Anthem Gold X 1100 ($0 Virtual PCP + $0 Select Drugs + Incentives)
HMO Colorado, Inc., DBA HMO Nevada · 2027 plan year
Gold
- Ind. deductible
- $1,100
- Family deductible
- $2,200
- Ind. OOP max
- $7,000
- Family OOP max
- $14,000
Compare with other Gold 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 | $550 | $550 |
| 21 | $719 | $755 |
| 30 | $817 | $939 |
| 40 | $919 | $1,149 |
| 50 | $1,285 | $1,799 |
| 60 | $1,953 | $2,909 |
| 64 and over | $2,158 | $3,216 |
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 | $35.00 + 25.00% Coinsurance after deductible |
Specialist
| Benefit | In-network |
|---|---|
| Specialist Visit | 25.00% Coinsurance after deductible |
Hospital
| Benefit | In-network |
|---|---|
| Emergency Room Services | $500.00 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 | 30.00% Coinsurance after deductible |
| Preferred Brand Drugs | $40.00 |
| Specialty Drugs | 40.00% 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) | $250.00 Copay after deductible + 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) | $35.00 + 25.00% Coinsurance after deductible |
| 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 | 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 | 25.00% Coinsurance after deductible |
Service area
This plan covers 1 geographic area.
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