| Anthem Bronze Essential 10150 ($0 Virtual PCP + $0 Select Drugs + Incentives) |
Bronze | HMO | Indiana |
85 | $10,150 | $10,150 |
| Anthem Bronze Essential 10150 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) |
Bronze | HMO | Indiana |
85 | $10,150 | $10,150 |
| Anthem Catastrophic Essential (+ Incentives) |
Catastrophic | HMO | Indiana |
85 | $10,600 | $10,600 |
| Anthem Bronze Essential 6500 HSA (+ Incentives) |
Expanded Bronze | HMO | Indiana |
85 | $6,500 | $8,450 |
| Anthem Bronze Essential 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) |
Expanded Bronze | HMO | Indiana |
85 | $7,500 | $10,000 |
| Anthem Bronze Essential POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) |
Expanded Bronze | POS | Indiana |
85 | $5,500 | $10,150 |
| Anthem Bronze Essential POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) |
Expanded Bronze | POS | Indiana |
85 | $7,500 | $10,000 |
| Anthem Heart Healthy Bronze Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) |
Expanded Bronze | HMO | Indiana |
85 | $4,500 | $10,150 |
| Anthem Gold Essential 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) |
Gold | HMO | Indiana |
85 | $2,000 | $8,200 |
| Anthem Gold Essential 2200 ($0 Virtual PCP + $0 Select Drugs + Incentives) |
Gold | HMO | Indiana |
85 | $2,200 | $4,700 |
| Anthem Heart Healthy Silver Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) |
Silver | HMO | Indiana |
85 | $4,500 | $8,800 |
| Anthem Silver Essential 3500 HSA (+ Incentives) |
Silver | HMO | Indiana |
85 | $3,500 | $8,450 |
| Anthem Silver Essential 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) |
Silver | HMO | Indiana |
85 | $6,000 | $8,900 |
| Anthem Silver Essential 7000 ($0 Virtual PCP + $0 Select Drugs + Incentives) |
Silver | HMO | Indiana |
85 | $7,000 | $8,850 |
| Anthem Silver Essential 7000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) |
Silver | HMO | Indiana |
85 | $7,000 | $8,850 |
| Anthem Bronze Pathway 10150 ($0 Virtual PCP + $0 Select Drugs + Incentives) |
Bronze | EPO | Missouri |
81 | $10,150 | $10,150 |
| Anthem Bronze Pathway Essentials 10150 ($0 Virtual PCP + $0 Select Drugs + Incentives) |
Bronze | EPO | Missouri |
4 | $10,150 | $10,150 |
| Anthem Catastrophic Pathway (+ Incentives) |
Catastrophic | EPO | Missouri |
81 | $10,600 | $10,600 |
| Anthem Catastrophic Pathway Essentials (+ Incentives) |
Catastrophic | EPO | Missouri |
4 | $10,600 | $10,600 |
| Anthem Bronze Pathway 6900 ($0 Virtual PCP + $0 Select Drugs + Incentives) |
Expanded Bronze | EPO | Missouri |
81 | $6,900 | $10,150 |
| Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) |
Expanded Bronze | EPO | Missouri |
81 | $7,500 | $10,000 |
| Anthem Bronze Pathway Essentials 6900 ($0 Virtual PCP + $0 Select Drugs + Incentives) |
Expanded Bronze | EPO | Missouri |
4 | $6,900 | $10,150 |
| Anthem Bronze Pathway Essentials 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) |
Expanded Bronze | EPO | Missouri |
4 | $7,500 | $10,000 |
| Anthem Heart Healthy Bronze Pathway 4900 ($0 Virtual PCP + $0 Select Drugs + Incentives) |
Expanded Bronze | EPO | Missouri |
81 | $4,900 | $10,150 |
| Anthem Heart Healthy Bronze Pathway Essentials 4900 ($0 Virtual PCP + $0 Select Drugs) |
Expanded Bronze | EPO | Missouri |
4 | $4,900 | $10,150 |
| Anthem Gold Pathway 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) |
Gold | EPO | Missouri |
81 | $2,000 | $8,200 |
| Anthem Gold Pathway Essentials 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) |
Gold | EPO | Missouri |
4 | $2,000 | $8,200 |
| Anthem Heart Healthy Silver Pathway 3100 ($0 Virtual PCP + $0 Select Drugs + Incentives) |
Silver | EPO | Missouri |
81 | $3,100 | $10,150 |
| Anthem Heart Healthy Silver Pathway Essentials 3100 ($0 Virtual PCP + $0 Select Drugs) |
Silver | EPO | Missouri |
4 | $3,100 | $10,150 |
| Anthem Silver Pathway 5350 ($0 Virtual PCP + $0 Select Drugs + Incentives) |
Silver | EPO | Missouri |
81 | $5,350 | $8,600 |
| Anthem Silver Pathway 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) |
Silver | EPO | Missouri |
81 | $6,000 | $8,900 |
| Anthem Silver Pathway 7200 ($0 Virtual PCP + $0 Select Drugs + Incentives) |
Silver | EPO | Missouri |
81 | $7,200 | $8,625 |
| Anthem Silver Pathway Essentials 5350 ($0 Virtual PCP + $0 Select Drugs + Incentives) |
Silver | EPO | Missouri |
4 | $5,350 | $8,600 |
| Anthem Silver Pathway Essentials 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) |
Silver | EPO | Missouri |
4 | $6,000 | $8,900 |
| Anthem Silver Pathway Essentials 7200 ($0 Virtual PCP + $0 Select Drugs + Incentives) |
Silver | EPO | Missouri |
4 | $7,200 | $8,625 |
| Anthem Catastrophic Pathway X Enhanced |
Catastrophic | HMO | New Hampshire |
10 | $10,600 | $10,600 |
| Anthem Bronze Pathway X Enhanced 6000/35% HSA |
Expanded Bronze | HMO | New Hampshire |
10 | $6,000 | $8,000 |
| Anthem Bronze Pathway X Enhanced 7000/0% ($0 Virtual PCP + $0 Select Drugs) |
Expanded Bronze | HMO | New Hampshire |
10 | $7,000 | $10,000 |
| Anthem Bronze Pathway X Enhanced 7500/50% ($0 Virtual PCP + $0 Select Drugs) Standard |
Expanded Bronze | HMO | New Hampshire |
10 | $7,500 | $10,000 |
| Anthem Heart Healthy Bronze Pathway X Enhanced 6000/40% ($0 Virtual PCP + $0 Select Drugs) |
Expanded Bronze | HMO | New Hampshire |
10 | $6,000 | $10,000 |
| Anthem Gold Pathway X Enhanced 1200/20% ($0 Virtual PCP + $0 Select Drugs) |
Gold | HMO | New Hampshire |
10 | $1,200 | $9,000 |
| Anthem Gold Pathway X Enhanced 2000/25% ($0 Virtual PCP + $0 Select Drug) Standard |
Gold | HMO | New Hampshire |
10 | $2,000 | $8,200 |
| Anthem Gold Pathway X Enhanced 700/40% ($0 Virtual PCP + $0 Select Drugs) |
Gold | HMO | New Hampshire |
10 | $700 | $7,500 |
| Anthem Heart Healthy Silver Pathway X Enhanced 4000/0% ($0 Virtual PCP + $0 Select Drugs) |
Silver | HMO | New Hampshire |
10 | $4,000 | $9,000 |
| Anthem Silver Pathway X Enhanced 4500/20% HSA |
Silver | HMO | New Hampshire |
10 | $4,500 | $6,000 |
| Anthem Silver Pathway X Enhanced 5500/20% ($0 Virtual PCP + $0 Select Drugs) |
Silver | HMO | New Hampshire |
10 | $5,500 | $8,500 |
| Anthem Silver Pathway X Enhanced 6000/40% ($0 Virtual PCP + $0 Select Drugs) Standard |
Silver | HMO | New Hampshire |
10 | $6,000 | $8,900 |
| Anthem Bronze Pathway 10600 ($0 Virtual PCP + $0 Select Drugs) |
Bronze | HMO | Ohio |
88 | $10,600 | $10,600 |
| Anthem Bronze Pathway 10600 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs) |
Bronze | HMO | Ohio |
88 | $10,600 | $10,600 |
| Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs) |
Expanded Bronze | HMO | Ohio |
88 | $7,500 | $10,000 |
| Anthem Bronze Pathway 8500 for HSA |
Expanded Bronze | HMO | Ohio |
88 | $8,500 | $8,500 |
| Anthem Heart Healthy Bronze Pathway 6000 ($0 Virtual PCP + $0 Select Drugs) |
Expanded Bronze | HMO | Ohio |
88 | $6,000 | $10,600 |
| Anthem Gold Pathway 2000 Standard ($0 Virtual PCP + $0 Select Drugs) |
Gold | HMO | Ohio |
88 | $2,000 | $8,200 |
| Anthem Heart Healthy Silver Pathway 5000 ($0 Virtual PCP + $0 Select Drugs) |
Silver | HMO | Ohio |
88 | $5,000 | $8,950 |
| Anthem Silver Pathway 4000 ($0 Virtual PCP + $0 Select Drugs) |
Silver | HMO | Ohio |
88 | $4,000 | $9,200 |
| Anthem Silver Pathway 4000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs) |
Silver | HMO | Ohio |
88 | $4,000 | $9,200 |
| Anthem Silver Pathway 5500 for HSA |
Silver | HMO | Ohio |
88 | $5,500 | $5,500 |
| Anthem Silver Pathway 6000 Standard ($0 Virtual PCP + $0 Select Drugs) |
Silver | HMO | Ohio |
88 | $6,000 | $8,900 |
| Anthem Bronze Pathway/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) |
Expanded Bronze | HMO | Wisconsin |
5 | $5,000 | $10,600 |
| Anthem Bronze Pathway/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) |
Expanded Bronze | HMO | Wisconsin |
4 | $5,000 | $10,600 |
| Anthem Bronze Pathway/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) |
Expanded Bronze | HMO | Wisconsin |
2 | $5,000 | $10,600 |
| Anthem Bronze Pathway/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) |
Expanded Bronze | HMO | Wisconsin |
1 | $5,000 | $10,600 |
| Anthem Bronze Pathway/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) |
Expanded Bronze | HMO | Wisconsin |
3 | $5,000 | $10,600 |
| Anthem Bronze Pathway/Lean HSA (+ Incentives) |
Expanded Bronze | HMO | Wisconsin |
5 | $8,450 | $8,450 |
| Anthem Bronze Pathway/Lean HSA (+ Incentives) |
Expanded Bronze | HMO | Wisconsin |
4 | $8,450 | $8,450 |
| Anthem Bronze Pathway/Lean HSA (+ Incentives) |
Expanded Bronze | HMO | Wisconsin |
2 | $8,450 | $8,450 |
| Anthem Bronze Pathway/Lean HSA (+ Incentives) |
Expanded Bronze | HMO | Wisconsin |
1 | $8,450 | $8,450 |
| Anthem Bronze Pathway/Lean HSA (+ Incentives) |
Expanded Bronze | HMO | Wisconsin |
3 | $8,450 | $8,450 |
| Anthem Bronze Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) |
Expanded Bronze | HMO | Wisconsin |
5 | $7,500 | $10,000 |
| Anthem Bronze Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) |
Expanded Bronze | HMO | Wisconsin |
4 | $7,500 | $10,000 |
| Anthem Bronze Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) |
Expanded Bronze | HMO | Wisconsin |
2 | $7,500 | $10,000 |
| Anthem Bronze Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) |
Expanded Bronze | HMO | Wisconsin |
1 | $7,500 | $10,000 |
| Anthem Bronze Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) |
Expanded Bronze | HMO | Wisconsin |
3 | $7,500 | $10,000 |
| Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) |
Expanded Bronze | POS | Wisconsin |
38 | $5,000 | $10,600 |
| Anthem Bronze Preferred/Broad HSA (+ Incentives) |
Expanded Bronze | POS | Wisconsin |
38 | $8,450 | $8,450 |
| Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) |
Expanded Bronze | POS | Wisconsin |
38 | $7,500 | $10,000 |
| Anthem Heart Healthy Bronze Pathway/Lean 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) |
Expanded Bronze | HMO | Wisconsin |
5 | $0 | $10,600 |
| Anthem Heart Healthy Bronze Pathway/Lean 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) |
Expanded Bronze | HMO | Wisconsin |
4 | $0 | $10,600 |
| Anthem Heart Healthy Bronze Pathway/Lean 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) |
Expanded Bronze | HMO | Wisconsin |
2 | $0 | $10,600 |
| Anthem Heart Healthy Bronze Pathway/Lean 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) |
Expanded Bronze | HMO | Wisconsin |
1 | $0 | $10,600 |
| Anthem Heart Healthy Bronze Pathway/Lean 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) |
Expanded Bronze | HMO | Wisconsin |
3 | $0 | $10,600 |
| Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) |
Expanded Bronze | POS | Wisconsin |
38 | $0 | $10,600 |
| Anthem Gold Pathway/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) |
Gold | HMO | Wisconsin |
5 | $1,000 | $7,200 |
| Anthem Gold Pathway/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) |
Gold | HMO | Wisconsin |
4 | $1,000 | $7,200 |
| Anthem Gold Pathway/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) |
Gold | HMO | Wisconsin |
2 | $1,000 | $7,200 |
| Anthem Gold Pathway/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) |
Gold | HMO | Wisconsin |
1 | $1,000 | $7,200 |
| Anthem Gold Pathway/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) |
Gold | HMO | Wisconsin |
3 | $1,000 | $7,200 |
| Anthem Gold Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) |
Gold | HMO | Wisconsin |
5 | $2,000 | $8,200 |
| Anthem Gold Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) |
Gold | HMO | Wisconsin |
4 | $2,000 | $8,200 |
| Anthem Gold Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) |
Gold | HMO | Wisconsin |
2 | $2,000 | $8,200 |
| Anthem Gold Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) |
Gold | HMO | Wisconsin |
1 | $2,000 | $8,200 |
| Anthem Gold Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) |
Gold | HMO | Wisconsin |
3 | $2,000 | $8,200 |
| Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) |
Gold | POS | Wisconsin |
38 | $1,000 | $7,200 |
| Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) |
Gold | POS | Wisconsin |
38 | $2,000 | $8,200 |
| Anthem Silver Pathway/Lean 4000 ($0 PCP Visits + $0 Select Drugs + Incentives) |
Silver | HMO | Wisconsin |
5 | $4,000 | $9,400 |
| Anthem Silver Pathway/Lean 4000 ($0 PCP Visits + $0 Select Drugs + Incentives) |
Silver | HMO | Wisconsin |
4 | $4,000 | $9,400 |
| Anthem Silver Pathway/Lean 4000 ($0 PCP Visits + $0 Select Drugs + Incentives) |
Silver | HMO | Wisconsin |
2 | $4,000 | $9,400 |
| Anthem Silver Pathway/Lean 4000 ($0 PCP Visits + $0 Select Drugs + Incentives) |
Silver | HMO | Wisconsin |
1 | $4,000 | $9,400 |
| Anthem Silver Pathway/Lean 4000 ($0 PCP Visits + $0 Select Drugs + Incentives) |
Silver | HMO | Wisconsin |
3 | $4,000 | $9,400 |
| Anthem Silver Pathway/Lean 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) |
Silver | HMO | Wisconsin |
5 | $5,500 | $9,200 |
| Anthem Silver Pathway/Lean 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) |
Silver | HMO | Wisconsin |
4 | $5,500 | $9,200 |
| Anthem Silver Pathway/Lean 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) |
Silver | HMO | Wisconsin |
2 | $5,500 | $9,200 |
| Anthem Silver Pathway/Lean 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) |
Silver | HMO | Wisconsin |
1 | $5,500 | $9,200 |
| Anthem Silver Pathway/Lean 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) |
Silver | HMO | Wisconsin |
3 | $5,500 | $9,200 |
| Anthem Silver Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) |
Silver | HMO | Wisconsin |
5 | $6,000 | $8,900 |
| Anthem Silver Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) |
Silver | HMO | Wisconsin |
4 | $6,000 | $8,900 |
| Anthem Silver Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) |
Silver | HMO | Wisconsin |
2 | $6,000 | $8,900 |
| Anthem Silver Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) |
Silver | HMO | Wisconsin |
1 | $6,000 | $8,900 |
| Anthem Silver Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) |
Silver | HMO | Wisconsin |
3 | $6,000 | $8,900 |
| Anthem Silver Preferred/Broad 4000 ($0 PCP Visits + $0 Select Drugs + Incentives) |
Silver | POS | Wisconsin |
38 | $4,000 | $9,400 |
| Anthem Silver Preferred/Broad 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) |
Silver | POS | Wisconsin |
38 | $5,500 | $9,200 |
| Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) |
Silver | POS | Wisconsin |
38 | $6,000 | $8,900 |