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California Health Insurance: Anthem Blue Cross Silver Pathway 2000 EPO

California Health Insurance: Anthem Blue Cross Silver Pathway 2000 EPO

Anthem Silver Pathway 2000 EPO

In-Network
Cost Share Information 
Individual Deductible  $2,000
Family Deductible  $4,000
Out of Pocket Limit-Individual  $6,350 (including deductible)
Out of Pocket Limit-Family  $12,700 (including deductible)
Co-Insurance  25%
Lifetime Maximum  Unlimited
Office Visits 

Primary Care 

$35 ded waived visits 1-3;

25% after deductible visits 4+
Specialist  25% after deductible
Adult Preventive Care  No Charge
Child Preventive Care  No Charge

Maternity Prenatal/Postnatal Care 

Pre-No charge; Post-$35deductible

waived visits 1-3/25% after deductible visits 4+
Rehabilitation Services  25% after deductible
Chiropractic Care  Refer to carrier
Inpatient Services 
Inpatient Hospital 50% after deductible 
Maternity Delivery/Inpatient  50% after deductible 
Outpatient Services 
Outpatient Facility  25% after deductible 
Mental Health Outpatient  25% after deductible 
Lab/X-Ray  25% after deductible 
Emergency Care 
Emergency Room  $200 (waived if admitted) + 25% after deductible 
Urgent Care  $50 + 25% after deductible
Ambulance  25% after deductible 
Prescription Drugs 
Rx Deductible  Integrated Medical/Rx 
Rx Generic  25% after deductible (T1); 35% after deductible (T2) 
Rx Preferred  25% after deductible (T1); 35% after deductible (T2)
Rx Non-Preferred  25% after deductible (T1); 35% after deductible (T2)
Recovery/ Special Needs 
Home Health Care  25% after deductible; 100 visits per year 
Durable Medical Equipment  25% after deductible 
 
Optional Benefits  None  

If you you have questions about the Anthem Blue Cross Bronze 6900 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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