Anthem Silver X 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives)
HMO Colorado, Inc., DBA HMO Nevada · 2027 plan year
Silver
- Ind. deductible
- $5,500
- Family deductible
- $11,000
- Ind. OOP max
- $11,500
- Family OOP max
- $23,000
Compare with other Silver plans in NV
Side by side: deductibles, out-of-pocket limits and copays.
Other cost-sharing reduction variants for this plan:
More HMO Colorado, Inc., DBA HMO Nevada plans in NV
Anthem Bronze X 6000 HSA ($0 Virtual PCP + $0 Select Drugs + Incentives)Anthem Silver Convenient Care X 5000 ($0 Virtual PCP + $0 Select Drugs + Incentives)Anthem Catastrophic X HSA ($0 Virtual PCP + Incentives)Anthem Bronze X 8050 HSA ($0 Virtual PCP + $0 Select Drugs + Incentives)Anthem Bronze X 12000 HSA ($0 Virtual PCP + $0 Select Drugs + Incentives)
Monthly premiums by age
Rating Area 1 — the lowest-priced of the 4 areas this plan covers. Premiums differ by area.
| Age | Individual | Individual + tobacco |
|---|---|---|
| Under 15 | $354 | $354 |
| 21 | $463 | $486 |
| 30 | $526 | $605 |
| 40 | $592 | $740 |
| 50 | $827 | $1,158 |
| 60 | $1,257 | $1,874 |
| 64 and over | $1,390 | $2,071 |
Live premium estimate
Benefits & cost sharing
Primary Care
| Benefit | In-network |
|---|---|
| Preventive Care/Screening/Immunization | No charge |
| Primary Care Visit to Treat an Injury or Illness | $10.00 |
Specialist
| Benefit | In-network |
|---|---|
| Specialist Visit | $60.00 |
Hospital
| Benefit | In-network |
|---|---|
| Emergency Room Services | $650.00 Copay after deductible + 25.00% Coinsurance after deductible |
| Inpatient Hospital Services (e.g., Hospital Stay) | $1000.00 Copay per Stay after deductible + 25.00% Coinsurance after deductible |
| Outpatient Surgery Physician/Surgical Services | 25.00% Coinsurance after deductible |
| Urgent Care Centers or Facilities | $50.00 |
Pharmacy
| Benefit | In-network |
|---|---|
| Generic Drugs | $10.00 |
| Non-Preferred Brand Drugs | 35.00% Coinsurance after deductible |
| Preferred Brand Drugs | $40.00 |
| Specialty Drugs | 45.00% Coinsurance after deductible |
Mental Health
| Benefit | In-network |
|---|---|
| Mental/Behavioral Health Inpatient Services | $1000.00 Copay per Stay after deductible + 25.00% Coinsurance after deductible |
| Mental/Behavioral Health Outpatient Services | 25.00% Coinsurance after deductible |
Other
| Benefit | In-network |
|---|---|
| Accidental Dental | 25.00% Coinsurance after deductible |
| Allergy Testing | 25.00% Coinsurance after deductible |
| Bariatric Surgery | $1000.00 Copay after deductible + 25.00% Coinsurance after deductible |
| Chemotherapy | 25.00% Coinsurance after deductible |
| Chiropractic Care | 25.00% Coinsurance after deductible |
| Delivery and All Inpatient Services for Maternity Care | $1000.00 Copay after deductible + 25.00% Coinsurance after deductible |
| Diabetes Education | 25.00% Coinsurance after deductible |
| Dialysis | 25.00% Coinsurance after deductible |
| Durable Medical Equipment | 25.00% Coinsurance after deductible |
| Emergency Transportation/Ambulance | 25.00% Coinsurance after deductible |
| Eye Glasses for Children | No charge |
| Gender Affirming Care | 25.00% Coinsurance after deductible |
| Habilitation Services | 25.00% Coinsurance after deductible |
| Hearing Aids | 25.00% Coinsurance after deductible |
| Home Health Care Services | 25.00% Coinsurance after deductible |
| Hospice Services | 25.00% Coinsurance after deductible |
| Imaging (CT/PET Scans, MRIs) | 25.00% Coinsurance after deductible |
| Infertility Treatment | 25.00% Coinsurance after deductible |
| Infusion Therapy | 25.00% Coinsurance after deductible |
| Inpatient Physician and Surgical Services | 25.00% Coinsurance after deductible |
| Laboratory Outpatient and Professional Services | 25.00% Coinsurance after deductible |
| Nutritional Counseling | 25.00% Coinsurance after deductible |
| Other Practitioner Office Visit (Nurse, Physician Assistant) | $10.00 |
| Outpatient Facility Fee (e.g., Ambulatory Surgery Center) | 25.00% Coinsurance after deductible |
| Outpatient Rehabilitation Services | 25.00% Coinsurance after deductible |
| Prenatal and Postnatal Care | 25.00% Coinsurance after deductible |
| Private-Duty Nursing | 25.00% Coinsurance after deductible |
| Prosthetic Devices | 25.00% Coinsurance after deductible |
| Radiation | 25.00% Coinsurance after deductible |
| Reconstructive Surgery | $1000.00 Copay after deductible + 25.00% Coinsurance after deductible |
| Rehabilitative Occupational and Rehabilitative Physical Therapy | 25.00% Coinsurance after deductible |
| Rehabilitative Speech Therapy | 25.00% Coinsurance after deductible |
| Routine Eye Exam for Children | No charge |
| Skilled Nursing Facility | $1000.00 Copay per Stay after deductible + 25.00% Coinsurance after deductible |
| Substance Abuse Disorder Inpatient Services | $1000.00 Copay per Stay after deductible + 25.00% Coinsurance after deductible |
| Substance Abuse Disorder Outpatient Services | 25.00% Coinsurance after deductible |
| Transplant | $1000.00 Copay after deductible + 25.00% Coinsurance after deductible |
| Treatment for Temporomandibular Joint Disorders | 25.00% Coinsurance after deductible |
| Well Baby Visits and Care | No charge |
| X-rays and Diagnostic Imaging | $50.00 |
Service area
This plan covers 1 geographic area.
Open enrollment coming up?
Get notified when it opens — we'll remind you so you don't miss your window.