Major Medical — Anthem BCBS

Anthem Blue Cross Blue Shield plans

All ten major medical plans below run on the Anthem BlueCross BlueShield national PPO network — in-network coverage in all 50 states, plus DC & Puerto Rico.

Program highlights

National PPO Network — In-Network coverage in all 50 states, plus DC & Puerto Rico

4 tier rates nationwide — No age rating, no census needed, subject to actively-at-work rules

Available to all group sizes, including sole proprietors and 1099 contractors

Participants benefit from large group rates nationwide

Fully funded, first-dollar coverage

Coverage cannot be denied (no pre-existing condition limitations)

Additional Ancillary and Supplemental Programs Available

Plan pays 100% — $10 Child / $25 Adult Preventative Services

Account info & customer service support available through a dedicated concierge team

Base Plan

Member Only

Monthly Premium

Employee$883.00

Employee & (1) Child$1,415.25

Employee & Spouse$1,672.00

Employee & Family$2,092.25

Individual Deductible: $3,000
Individual Out-of-Pocket Max: $5,350
Family Deductible: $6,000
Family Out-of-Pocket Max: $10,700
Office Visit: Deductible and 50% coinsurance
Specialist Visit: Deductible and 50% coinsurance

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Bronze 4000 Plan

Member Only

Monthly Premium

Employee$985.00

Employee & (1) Child$1,531.25

Employee & Spouse$2,030.00

Employee & Family$2,362.25

Individual Deductible: $4,000
Individual Out-of-Pocket Max: $9,100
Family Deductible: $10,000
Family Out-of-Pocket Max: $18,200
Office Visit: $45 copay
Specialist Visit: $45 copay

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Bronze Plan

Member Only

Monthly Premium

Employee$1,032.00

Employee & (1) Child$1,683.25

Employee & Spouse$1,954.00

Employee & Family$2,360.25

Individual Deductible: None
Individual Out-of-Pocket Max: $7,350
Family Deductible: None
Family Out-of-Pocket Max: $14,700
Office Visit: 40% Coinsurance
Specialist Visit: 40% Coinsurance

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Silver 2500 Plan

Member Only

Monthly Premium

Employee$1,130.00

Employee & (1) Child$1,601.25

Employee & Spouse$2,063.00

Employee & Family$2,512.25

Individual Deductible: $2,500
Individual Out-of-Pocket Max: $9,100
Family Deductible: $7,500
Family Out-of-Pocket Max: $18,200
Office Visit: $30 copay
Specialist Visit: $30 copay

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Liberty 1500 Plan

Member Only

Monthly Premium

Employee$1,150.00

Employee & (1) Child$1,821.25

Employee & Spouse$2,229.00

Employee & Family$2,701.25

Individual Deductible: $1,500
Individual Out-of-Pocket Max: $5,350
Family Deductible: $3,000
Family Out-of-Pocket Max: $10,700
Office Visit: $30 copay
Specialist Visit: $50 copay

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Gold 1000 Plan

Member Only

Monthly Premium

Employee$1,244.00

Employee & (1) Child$1,823.25

Employee & Spouse$2,358.00

Employee & Family$2,940.25

Individual Deductible: $1,000
Individual Out-of-Pocket Max: $7,550
Family Deductible: $2,000
Family Out-of-Pocket Max: $15,000
Office Visit: $40 copay
Specialist Visit: $40 copay

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Liberty Plan

Member Only

Monthly Premium

Employee$1,259.00

Employee & (1) Child$2,096.25

Employee & Spouse$2,511.00

Employee & Family$3,016.25

Individual Deductible: None
Individual Out-of-Pocket Max: $5,350
Family Deductible: None
Family Out-of-Pocket Max: $10,700
Office Visit: $30 copay
Specialist Visit: $50 copay

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Gold Plan

Member Only

Monthly Premium

Employee$1,347.00

Employee & (1) Child$2,339.25

Employee & Spouse$2,608.00

Employee & Family$3,034.25

Individual Deductible: None
Individual Out-of-Pocket Max: $7,350
Family Deductible: None
Family Out-of-Pocket Max: $14,700
Office Visit: $10 copay & 20% Coinsurance
Specialist Visit: $10 copay & 20% Coinsurance

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ASO Plan

Member Only

Monthly Premium

Employee$1,426.00

Employee & (1) Child$2,476.25

Employee & Spouse$2,740.00

Employee & Family$3,297.25

Individual Deductible: None
Individual Out-of-Pocket Max: None
Family Deductible: None
Family Out-of-Pocket Max: None
Office Visit: $25 copay
Specialist Visit: $25 copay

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HSA 6000 Plan

Member Only

Monthly Premium

Employee$864.00

Employee & (1) Child$1,354.25

Employee & Spouse$1,651.00

Employee & Family$2,089.25

Individual Deductible: $6,000
Individual Out-of-Pocket Max: $8,300
Family Deductible: $12,000
Family Out-of-Pocket Max: $16,600
Office Visit: Deductible & 30% Coinsurance
Specialist Visit: Deductible & 30% Coinsurance

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