Anthem Heart Healthy Bronze Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives)

Anthem Blue Cross and Blue Shield · 2026 plan year

Expanded BronzeHSA eligible
Ind. deductible
$4,500
Family deductible
$9,000
Ind. OOP max
$10,150
Family OOP max
$20,300

Compare with other Expanded Bronze plans in IN

Side by side: deductibles, out-of-pocket limits and copays.

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Monthly premiums by age

Rating Area 15 — the lowest-priced of the 16 areas this plan covers. Premiums differ by area.

AgeIndividualIndividual + tobacco
Under 15$238$238
21$312$327
30$354$389
40$398$438
50$556$612
60$845$930
64 and over$935$1,028

Live premium estimate

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Benefits & cost sharing

Primary Care

BenefitIn-network
Preventive Care/Screening/ImmunizationNo charge
Primary Care Visit to Treat an Injury or Illness$50.00

Specialist

BenefitIn-network
Specialist Visit$100.00

Hospital

BenefitIn-network
Outpatient Surgery Physician/Surgical Services50.00% Coinsurance after deductible
Emergency Room Services$500.00 Copay after deductible + 50.00% Coinsurance after deductible
Inpatient Hospital Services (e.g., Hospital Stay)$1500.00 Copay per Stay after deductible + 50.00% Coinsurance after deductible
Urgent Care Centers or Facilities$75.00

Pharmacy

BenefitIn-network
Non-Preferred Brand Drugs45.00% Coinsurance after deductible
Preferred Brand Drugs40.00% Coinsurance after deductible
Generic Drugs40.00% Coinsurance after deductible
Specialty Drugs50.00% Coinsurance after deductible

Mental Health

BenefitIn-network
Mental/Behavioral Health Inpatient Services$1500.00 Copay per Stay after deductible + 50.00% Coinsurance after deductible
Mental/Behavioral Health Outpatient Services50.00% Coinsurance after deductible

Other

BenefitIn-network
Delivery and All Inpatient Services for Maternity Care$1500.00 Copay after deductible + 50.00% Coinsurance after deductible
Nutritional Counseling50.00% Coinsurance after deductible
Orthodontia - AdultNot covered
Orthodontia - ChildNot covered
Other Practitioner Office Visit (Nurse, Physician Assistant)$50.00
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)50.00% Coinsurance after deductible
Outpatient Rehabilitation Services50.00% Coinsurance after deductible
Prenatal and Postnatal Care50.00% Coinsurance after deductible
Private-Duty Nursing50.00% Coinsurance after deductible
Prosthetic Devices50.00% Coinsurance after deductible
Radiation50.00% Coinsurance after deductible
Reconstructive Surgery$1500.00 Copay after deductible + 50.00% Coinsurance after deductible
Rehabilitative Occupational and Rehabilitative Physical Therapy50.00% Coinsurance after deductible
Rehabilitative Speech Therapy50.00% Coinsurance after deductible
Routine Dental Services (Adult)Not covered
Routine Eye Exam (Adult)Not covered
Routine Eye Exam for ChildrenNo charge
Routine Foot CareNot covered
Skilled Nursing Facility50.00% Coinsurance after deductible
Abortion for Which Public Funding is ProhibitedNot covered
Accidental Dental$100.00
AcupunctureNot covered
Allergy Testing50.00% Coinsurance after deductible
Bariatric SurgeryNot covered
Basic Dental Care - AdultNot covered
Basic Dental Care - ChildNot covered
Chemotherapy50.00% Coinsurance after deductible
Chiropractic Care50.00% Coinsurance after deductible
Cosmetic SurgeryNot covered
Dental Anesthesia50.00% Coinsurance after deductible
Dental Check-Up for ChildrenNot covered
Diabetes Education$100.00
Dialysis50.00% Coinsurance after deductible
Durable Medical Equipment50.00% Coinsurance after deductible
Emergency Transportation/Ambulance50.00% Coinsurance after deductible
Eye Glasses for ChildrenNo charge
Habilitation Services50.00% Coinsurance after deductible
Hearing AidsNot covered
Home Health Care Services50.00% Coinsurance after deductible
Hospice Services50.00% Coinsurance after deductible
Imaging (CT/PET Scans, MRIs)$500.00 Copay after deductible + 50.00% Coinsurance after deductible
Infertility TreatmentNot covered
Infusion Therapy50.00% Coinsurance after deductible
Inpatient Physician and Surgical Services50.00% Coinsurance after deductible
Laboratory Outpatient and Professional Services50.00% Coinsurance after deductible
Long-Term/Custodial Nursing Home CareNot covered
Major Dental Care - AdultNot covered
Major Dental Care - ChildNot covered
Substance Abuse Disorder Inpatient Services$1500.00 Copay per Stay after deductible + 50.00% Coinsurance after deductible
Substance Abuse Disorder Outpatient Services50.00% Coinsurance after deductible
Transplant$1500.00 Copay after deductible + 50.00% Coinsurance after deductible
Treatment for Temporomandibular Joint Disorders50.00% Coinsurance after deductible
Weight Loss ProgramsNot covered
Well Baby Visits and CareNo charge
X-rays and Diagnostic Imaging50.00% Coinsurance after deductible

Plan rules

Service area

This plan covers 85 geographic areas.

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