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Home   >  Health Insurance Companies   >   Anthem BC CA Plans  >   Lumenos HSA 5950
 
 

Anthem Blue Cross of California

Lumenos HSA 5950 Plus Health Insurance Plan

A plan summary of the Anthem Blue Cross of California Lumenos HSA 5950 Plus Plan is detailed out below for both In Network and Out of Network coverage.

                                                In Network Out of Network

  Copay

 No Charge after Deductible

40%

  Office Visits

No Charge after Deductible 40%

  Annual Deductible

Individual: $5,950

Individual: $5,950

  Annual Out-Of-Pocket  Limit

Individual: $5,950

Individual: $5,950       (Deductible not Included)

  Lifetime Maximum

Unlimited Unlimited

  Prescription Drugs

No Charge after Medical/Rx Deductible

40%

  Laboratory & X-Ray

25% 40%

  Annual Physical Exam

No Charge 40%

  Annual OB-GYN Exam

No Charge 40%

  Well Baby Care

No Charge 40%

  Outpatient Surgery

No Charge after Deductible  40%

  Emergency Room

No Charge after Deductible No Charge after Deductible

  Inpatient Hospital

No Charge after Deductible 40%

  Ambulance

See Brochure See Brochure

  Home Health Care

See Brochure See Brochure

  Mental Health - Outpatient

See Brochure See Brochure

  Chiropractic Care

See Brochure See Brochure

  Acupuncture

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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