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Home   >  Health Insurance Companies   >   Anthem BC CA Plans  >   Lumenos HSA 1500 30% No Maternity

Anthem Blue Cross of California

Lumenos HSA 1500 Plus Health Insurance Plan

A plan summary of the Anthem Blue Cross of California Lumenos HSA 1500 Plus Plan is detailed out below for both In Network and Out of Network coverage.

                                                In Network Out of Network




  Office Visits

30% 50%

  Annual Deductible

Individual: $1,500

Individual: $1,500

  Annual Out-Of-Pocket  Limit

          Individual: $3,500           (Deductible not Included)

      Individual: $8,500       (Deductible not Included)

  Lifetime Maximum

Unlimited Unlimited

  Prescription Drugs



  Laboratory & X-Ray

30% 50%

  Annual Physical Exam

No Charge 50%

  Annual OB-GYN Exam

No Charge 50%

  Well Baby Care

No Charge 50%

  Outpatient Surgery

30% All Charges except $380/day after Deductible

  Emergency Room

30% 30%

  Inpatient Hospital

30% All Charges Except $650/day after Deductible


See Brochure See Brochure

  Home Health Care

See Brochure See Brochure

  Mental Health - Outpatient

See Brochure See Brochure

  Chiropractic Care

See Brochure See Brochure


See Brochure See Brochure

  Mental Health - Inpatient

See Brochure See Brochure

  Chemical Dependency

See Brochure See Brochure

  Maternity Care

Not Covered Not Covered


To learn more about your individual and family California health insurance options, the price of each plan and/or a detailed benefit summary of the plans, visit us here.

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