Anthem Silver Essential 3500 HSA (+ Incentives)

Anthem Blue Cross and Blue Shield · 2026 plan year

SilverHSA eligible

Ind. deductible: $3,500
Family deductible: $7,000
Ind. OOP max: $8,450
Family OOP max: $16,900

Compare with other Silver plans in IN

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

Connect Silver 3000 Indiv Med DeductibleCigna Healthcare · Deductible $3,000 medical + $2,500 Rx (separate) · Out-of-pocket max $9,175
Connect Silver SW 4400 Indiv Med DeductibleCigna Healthcare · Deductible $4,400 · Out-of-pocket max $9,950
Diabetes Silver 5000 $0 Chronic Care Drugs & ServicesCareSource · Deductible $5,000 · Out-of-pocket max $9,500

Compare 4 plans Browse all Silver plans in IN

Other cost-sharing reduction variants for this plan:

73% AV Level Silver Plan 87% AV Level Silver Plan 94% AV Level Silver Plan Limited Cost Sharing Plan Variation Standard Silver Off Exchange Plan Zero Cost Sharing Plan Variation

More Anthem Blue Cross and Blue Shield plans in IN

Anthem Heart Healthy Silver Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives)Anthem Silver Essential 7000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives)

Monthly premiums by age

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

Age	Individual	Individual + tobacco
Under 15	$277	$277
21	$362	$380
30	$411	$452
40	$463	$509
50	$647	$712
60	$983	$1,082
64 and over	$1,087	$1,195

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	15.00% Coinsurance after deductible

Specialist

Benefit	In-network
Specialist Visit	15.00% Coinsurance after deductible

Hospital

Benefit	In-network
Emergency Room Services	$300.00 Copay after deductible + 15.00% Coinsurance after deductible
Inpatient Hospital Services (e.g., Hospital Stay)	$500.00 Copay per Stay after deductible + 50.00% Coinsurance after deductible
Outpatient Surgery Physician/Surgical Services	15.00% Coinsurance after deductible
Urgent Care Centers or Facilities	15.00% Coinsurance after deductible

Pharmacy

Benefit	In-network
Generic Drugs	$3.00 Copay after deductible
Non-Preferred Brand Drugs	35.00% Coinsurance after deductible
Preferred Brand Drugs	$40.00 Copay after deductible
Specialty Drugs	40.00% Coinsurance after deductible

Mental Health

Benefit	In-network
Mental/Behavioral Health Inpatient Services	$500.00 Copay per Stay after deductible + 50.00% Coinsurance after deductible
Mental/Behavioral Health Outpatient Services	15.00% Coinsurance after deductible

Other

Benefit	In-network
Chemotherapy	15.00% Coinsurance after deductible
Basic Dental Care - Child	Not covered
Basic Dental Care - Adult	Not covered
Abortion for Which Public Funding is Prohibited	Not covered
Accidental Dental	15.00% Coinsurance after deductible
Acupuncture	Not covered
Allergy Testing	15.00% Coinsurance after deductible
Bariatric Surgery	Not covered
Chiropractic Care	15.00% Coinsurance after deductible
Cosmetic Surgery	Not covered
Delivery and All Inpatient Services for Maternity Care	$500.00 Copay after deductible + 50.00% Coinsurance after deductible
Dental Anesthesia	15.00% Coinsurance after deductible
Dental Check-Up for Children	Not covered
Diabetes Education	15.00% Coinsurance after deductible
Dialysis	15.00% Coinsurance after deductible
Durable Medical Equipment	15.00% Coinsurance after deductible
Emergency Transportation/Ambulance	15.00% Coinsurance after deductible
Eye Glasses for Children	No charge
Habilitation Services	15.00% Coinsurance after deductible
Hearing Aids	Not covered
Home Health Care Services	15.00% Coinsurance after deductible
Hospice Services	15.00% Coinsurance after deductible
Imaging (CT/PET Scans, MRIs)	$300.00 Copay after deductible + 50.00% Coinsurance after deductible
Infertility Treatment	Not covered
Infusion Therapy	15.00% Coinsurance after deductible
Inpatient Physician and Surgical Services	15.00% Coinsurance after deductible
Laboratory Outpatient and Professional Services	15.00% Coinsurance after deductible
Long-Term/Custodial Nursing Home Care	Not covered
Major Dental Care - Adult	Not covered
Major Dental Care - Child	Not covered
Nutritional Counseling	15.00% Coinsurance after deductible
Orthodontia - Adult	Not covered
Orthodontia - Child	Not covered
Other Practitioner Office Visit (Nurse, Physician Assistant)	15.00% Coinsurance after deductible
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)	15.00% Coinsurance after deductible
Outpatient Rehabilitation Services	15.00% Coinsurance after deductible
Prenatal and Postnatal Care	15.00% Coinsurance after deductible
Private-Duty Nursing	15.00% Coinsurance after deductible
Prosthetic Devices	15.00% Coinsurance after deductible
Radiation	15.00% Coinsurance after deductible
Reconstructive Surgery	$500.00 Copay after deductible + 50.00% Coinsurance after deductible
Rehabilitative Occupational and Rehabilitative Physical Therapy	15.00% Coinsurance after deductible
Rehabilitative Speech Therapy	15.00% Coinsurance after deductible
Routine Dental Services (Adult)	Not covered
Routine Eye Exam (Adult)	Not covered
Routine Eye Exam for Children	No charge
Routine Foot Care	Not covered
Skilled Nursing Facility	15.00% Coinsurance after deductible
Substance Abuse Disorder Inpatient Services	$500.00 Copay per Stay after deductible + 50.00% Coinsurance after deductible
Substance Abuse Disorder Outpatient Services	15.00% Coinsurance after deductible
Transplant	$500.00 Copay after deductible + 50.00% Coinsurance after deductible
Treatment for Temporomandibular Joint Disorders	15.00% Coinsurance after deductible
Weight Loss Programs	Not covered
Well Baby Visits and Care	No charge
X-rays and Diagnostic Imaging	15.00% Coinsurance after deductible