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Home   >  Health Insurance Companies   >   Anthem BC CA Plans  >   California Tonik 5000 - Thrill-Seeker
 
 

Anthem Blue Cross of California

Tonik 5000 Thrill-Seeker Health Insurance Plan

A plan summary of the Anthem Blue Cross of California Tonik 5000 - Thrill-Seeker Plan is detailed out below for both In Network and Out of Network coverage.

                                                In Network Out of Network

  Copay

$20 (4 visit maximum per year)

50% (plus all excess charges, 4 visit maximum per year)

  Office Visits

$20 (4 visit maximum per year) 50% (plus all excess charges, 4 visit maximum per year)

  Annual Deductible

Individual: $5,000

Individual: $5,000

  Annual Out-Of-Pocket  Limit

Individual: $5,000

Individual: $10,000

  Lifetime Maximum

Unlimited Unlimited

  Prescription Drugs

$15 Generic

50% Drug Limited Fee Schedule

  Laboratory & X-Ray

No Charge after Deductible 50%

  Annual Physical Exam

No Charge 50%

  Annual OB-GYN Exam

No Charge 50%

  Well Baby Care

No Charge 50%

  Outpatient Surgery

No Charge after Deductible 50%

  Emergency Room

No Charge after Deductible No Charge after Deductible

  Inpatient Hospital

No Charge after Deductible All Charges Except $650/day

  Ambulance

No Charge after Deductible 50%

  Home Health Care

No Charge after Deductible (90 4-hour visits per year) All charges except $75 per visit (90 4-hour visits per year)

  Mental Health - Outpatient

All charges of negotiated fee except $25 per visit (1 visit per day/20 visits per year) All charges of negotiated fee except $25 per visit (1 visit per day/20 visits per year)

  Chiropractic Care

30% (24 visits per year) All charges except $25 per visit (24 visits per year)

  Acupuncture

Not Covered Not Covered

  Mental Health - Inpatient

All charges of negotiated fee except $25 per visit (1 visit per day/20 visits per year) All charges of negotiated fee except $25 per visit (1 visit per day/20 visits per year)

  Chemical Dependency

All of the negotiated fees except $175 per day (30 days per year) All of the negotiated fees except $175 per day (30 days per year)

  Maternity Care

Not Covered Not Covered

                                                               


To learn more about your 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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