Anthem Silver Convenient Care X 0 ($0 Virtual PCP + $0 Select Drugs + Incentives) S06
HMO Colorado, Inc., DBA HMO Nevada · 2027 plan year
Silver
- Ind. deductible
- $0
- Family deductible
- $0
- Ind. OOP max
- $1,700
- Family OOP max
- $3,400
Other cost-sharing reduction variants for this plan:
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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 | No charge |
Specialist
| Benefit | In-network |
|---|---|
| Specialist Visit | $40.00 |
Hospital
| Benefit | In-network |
|---|---|
| Emergency Room Services | 50.00% |
| Inpatient Hospital Services (e.g., Hospital Stay) | $50.00 Copay per Stay + 50.00% |
| Outpatient Surgery Physician/Surgical Services | 10.00% |
| Urgent Care Centers or Facilities | $50.00 |
Pharmacy
| Benefit | In-network |
|---|---|
| Generic Drugs | $5.00 |
| Non-Preferred Brand Drugs | 10.00% |
| Preferred Brand Drugs | $20.00 |
| Specialty Drugs | 20.00% |
Mental Health
| Benefit | In-network |
|---|---|
| Mental/Behavioral Health Inpatient Services | $50.00 Copay per Stay + 50.00% |
| Mental/Behavioral Health Outpatient Services | 10.00% |
Other
| Benefit | In-network |
|---|---|
| Hearing Aids | 10.00% |
| Habilitation Services | 10.00% |
| Accidental Dental | 10.00% |
| Allergy Testing | 10.00% |
| Bariatric Surgery | $50.00 + 50.00% |
| Chemotherapy | 10.00% |
| Chiropractic Care | 10.00% |
| Delivery and All Inpatient Services for Maternity Care | $50.00 + 50.00% |
| Diabetes Education | 10.00% |
| Dialysis | 10.00% |
| Durable Medical Equipment | 10.00% |
| Emergency Transportation/Ambulance | 10.00% |
| Eye Glasses for Children | No charge |
| Gender Affirming Care | 10.00% |
| Home Health Care Services | 10.00% |
| Hospice Services | 10.00% |
| Imaging (CT/PET Scans, MRIs) | 50.00% |
| Infertility Treatment | 10.00% |
| Infusion Therapy | 10.00% |
| Inpatient Physician and Surgical Services | 10.00% |
| Laboratory Outpatient and Professional Services | $25.00 |
| Nutritional Counseling | 10.00% |
| Other Practitioner Office Visit (Nurse, Physician Assistant) | No charge |
| Outpatient Facility Fee (e.g., Ambulatory Surgery Center) | 10.00% |
| Outpatient Rehabilitation Services | 10.00% |
| Prenatal and Postnatal Care | 10.00% |
| Private-Duty Nursing | 10.00% |
| Prosthetic Devices | 10.00% |
| Radiation | 10.00% |
| Reconstructive Surgery | $50.00 + 50.00% |
| Rehabilitative Occupational and Rehabilitative Physical Therapy | 10.00% |
| Rehabilitative Speech Therapy | 10.00% |
| Routine Eye Exam for Children | No charge |
| Skilled Nursing Facility | $50.00 Copay per Stay + 50.00% |
| Substance Abuse Disorder Inpatient Services | $50.00 Copay per Stay + 50.00% |
| Substance Abuse Disorder Outpatient Services | 10.00% |
| Transplant | $50.00 + 50.00% |
| Treatment for Temporomandibular Joint Disorders | 10.00% |
| Well Baby Visits and Care | No charge |
| X-rays and Diagnostic Imaging | 10.00% |
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