California Health Insurance: Anthem Blue Cross Bronze Pathway 1900 EPO

Anthem Bronze Pathway 1900 EPO


Cost Share Information 
Individual Deductible  $1,900
Family Deductible  $3,800
Out of Pocket Limit-Individual  $6,350 (including deductible)
Out of Pocket Limit-Family  $12,700 (including deductible)
Co-Insurance  30%
Lifetime Maximum  Unlimited
Office Visits 

Primary Care 

$35 ded waived visits 1-3;

30% after deductible visits 4+

Specialist  30% after deductible
Adult Preventive Care  No Charge
Child Preventive Care  No Charge

Maternity Prenatal/Postnatal Care 

Pre-No charge; Post-$35deductible

waived visits 1-3/30% after deductible visits 3+

Rehabilitation Services  30% after deductible
Chiropractic Care  Refer to carrier
Inpatient Services 
Inpatient Hospital 50% after deductible 
Maternity Delivery/Inpatient  50% after deductible 
Outpatient Services 
Outpatient Facility  30% after deductible 
Mental Health Outpatient  30% after deductible 
Lab/X-Ray  30% after deductible 
Emergency Care 
Emergency Room  $200 (waived if admitted) + 30% after deductible 
Urgent Care  $50 + 30% after deductible
Ambulance  30% after deductible 
Prescription Drugs 
Rx Deductible  Integrated Medical/Rx 
Rx Generic  $9 deductible waived (T1); $19 deductible waived (T2) 
Rx Preferred  $40 deductible waived(T1); $50 deductible waived (T2)
Rx Non-Preferred  40% after deductible (T1); 50% after deductible (T2)
Recovery/ Special Needs 
Home Health Care  30% after deductible; 100 visits per year 
Durable Medical Equipment  30% after deductible 
Optional Benefits  None  

If you you have questions about the Anthem Blue Cross Bronze 1900 EPO plan or any other plans from Anthem Blue Cross of California please call The Lynn Company at (800)-326-5966 for more information on California Health Insurance Plans
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