Anthem Bronze Essential POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives)

Anthem Blue Cross and Blue Shield · 2026 plan year

Expanded BronzeHSA eligible

Ind. deductible: $5,500
Family deductible: $11,000
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.

HSA Eligible Bronze 6000CareSource · Deductible $6,000 · Out-of-pocket max $7,250
Connect Bronze SW 4500 Indiv Med DeductibleCigna Healthcare · Deductible $4,500 · Out-of-pocket max $10,150
Connect myDiabetesCare BronzeCigna Healthcare · Deductible $7,000 · Out-of-pocket max $9,800

Compare 4 plans Browse all Expanded Bronze plans in IN

Other cost-sharing reduction variants for this plan:

Limited Cost Sharing Plan Variation Standard Bronze 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	$234	$234
21	$306	$322
30	$348	$382
40	$391	$430
50	$547	$602
60	$831	$914
64 and over	$919	$1,010

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	$50.00 + 40.00% Coinsurance after deductible

Specialist

Benefit	In-network
Specialist Visit	40.00% Coinsurance after deductible

Hospital

Benefit	In-network
Emergency Room Services	$500.00 Copay after deductible + 40.00% Coinsurance after deductible
Inpatient Hospital Services (e.g., Hospital Stay)	50.00% Coinsurance after deductible
Outpatient Surgery Physician/Surgical Services	40.00% Coinsurance after deductible
Urgent Care Centers or Facilities	$75.00

Pharmacy

Benefit	In-network
Generic Drugs	40.00% Coinsurance after deductible
Non-Preferred Brand Drugs	40.00% Coinsurance after deductible
Preferred Brand Drugs	40.00% Coinsurance after deductible
Specialty Drugs	40.00% Coinsurance after deductible

Mental Health

Benefit	In-network
Mental/Behavioral Health Inpatient Services	50.00% Coinsurance after deductible
Mental/Behavioral Health Outpatient Services	40.00% Coinsurance after deductible

Other

Benefit	In-network
Abortion for Which Public Funding is Prohibited	Not covered
Accidental Dental	40.00% Coinsurance after deductible
Acupuncture	Not covered
Allergy Testing	40.00% Coinsurance after deductible
Bariatric Surgery	Not covered
Basic Dental Care - Adult	Not covered
Basic Dental Care - Child	Not covered
Chemotherapy	40.00% Coinsurance after deductible
Chiropractic Care	40.00% Coinsurance after deductible
Cosmetic Surgery	Not covered
Delivery and All Inpatient Services for Maternity Care	50.00% Coinsurance after deductible
Dental Anesthesia	40.00% Coinsurance after deductible
Dental Check-Up for Children	Not covered
Diabetes Education	40.00% Coinsurance after deductible
Dialysis	40.00% Coinsurance after deductible
Durable Medical Equipment	40.00% Coinsurance after deductible
Emergency Transportation/Ambulance	40.00% Coinsurance after deductible
Eye Glasses for Children	No charge
Habilitation Services	40.00% Coinsurance after deductible
Hearing Aids	Not covered
Home Health Care Services	40.00% Coinsurance after deductible
Hospice Services	40.00% Coinsurance after deductible
Imaging (CT/PET Scans, MRIs)	$500.00 Copay after deductible + 50.00% Coinsurance after deductible
Infertility Treatment	Not covered
Infusion Therapy	40.00% Coinsurance after deductible
Inpatient Physician and Surgical Services	40.00% Coinsurance after deductible
Laboratory Outpatient and Professional Services	40.00% 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	40.00% Coinsurance after deductible
Orthodontia - Adult	Not covered
Orthodontia - Child	Not covered
Other Practitioner Office Visit (Nurse, Physician Assistant)	$50.00 + 40.00% Coinsurance after deductible
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)	40.00% Coinsurance after deductible
Outpatient Rehabilitation Services	40.00% Coinsurance after deductible
Prenatal and Postnatal Care	40.00% Coinsurance after deductible
Private-Duty Nursing	40.00% Coinsurance after deductible
Prosthetic Devices	40.00% Coinsurance after deductible
Radiation	40.00% Coinsurance after deductible
Reconstructive Surgery	50.00% Coinsurance after deductible
Rehabilitative Occupational and Rehabilitative Physical Therapy	40.00% Coinsurance after deductible
Rehabilitative Speech Therapy	40.00% 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	40.00% Coinsurance after deductible
Substance Abuse Disorder Inpatient Services	50.00% Coinsurance after deductible
Substance Abuse Disorder Outpatient Services	40.00% Coinsurance after deductible
Transplant	50.00% Coinsurance after deductible
Treatment for Temporomandibular Joint Disorders	40.00% Coinsurance after deductible
Weight Loss Programs	Not covered
Well Baby Visits and Care	No charge
X-rays and Diagnostic Imaging	40.00% Coinsurance after deductible