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Anthem Blue Cross and Blue Shield of Connecticut Premier – Connecticut Health Insurance Plan

A detailed comparison of the Anthem Blue Cross and Blue Shield of Connecticut Premier health insurance plan as offered in Connecticut is listed below for both Network and Non-Network coverage. This is a review of the coverage for this specific Anthem Blue Cross and Blue Shield of Connecticut plan. However, GoHealthInsurance offers a large variety of health insurance options to fit your needs. If you wish, get a new Anthem Blue Cross and Blue Shield of Connecticut health insurance quote for Connecticut now or view all of our Anthem Blue Cross and Blue Shield of Connecticut health insurance quotes.

  Network Non-Network
Copay
  • Primary Care Physician: $30
  • Specialist: $40
    		•  30% Coinsurance
    OfficeVisit $30 Copay for primary care physician; $40 Copay for specialist (deductible waived) 30% Coinsurance
    Deductible false Individual: $2,500, Family: $5,000 Individual: $2,500, Family: $5,000
    Coinsurance 0% 30%
    Coinsurance Limit
    Out-of-Pocket Maximum N/A N/A
    Lifetime Maximum None None
    Prescription Drugs Retail Drugs (and Mail Order Drugs when available) -
    • Separate $200 deductible per member
    • Tier 1 Drugs (deductible waived) -
      • Retail (30-day supply): $15 Copay
      • Mail Order (90-day supply): $30 Copay
    • Tiers 2 and 3: 40% Co
    		 Retail Drugs (and Mail Order Drugs when available) -
    • Separate $200 deductible per member
    • 50% Coinsurance up to the maximum allowable amount. Member is responsible for difference between Anthem allowable charge and actual cost of drug
    Emergency Room 20% Coinsurance 20% Coinsurance
    Adult Preventative Care 0% Coinsurance, not subject to deductible (Covers all nationally recommended preventive care for adult including PSA screenings, Pap tests, mammograms and more) 30% Coinsurance (Covers all nationally recommended preventive care for adult including PSA screenings, Pap tests, mammograms and more)
    Child Preventative Care 0% Coinsurance, not subject to deductible (Covers all nationally recommended preventive care for children including immunizations and more) 30% Coinsurance (Covers all nationally recommended preventive care for children including immunizations and more)
    Lab / X-Ray 0% Coinsurance 30% Coinsurance
    Maternity Not Covered Not Covered
    Physical Therapy 0% Coinsurance (20 visits per year per person, in and out-of-network combined) 30% Coinsurance (20 visits per year per person, in and out-of-network combined)
    Home Health Care
  • Home Health Care: 0% Coinsurance (Member can not pay more than 25%/$420 for Social Services - as stated in mandate; 100 visit limit per year per person, in and out-of-network combined)
  • Hospice Care: 0% Coinsurance (Coverage is member is diagnose
    		•
  • Home Health Care: 30% Coinsurance (Member can not pay more than 25%/$420 for Social Services - as stated in mandate; 100 visit limit per year per person, in and out-of-network combined)
  • Hospice Care: 30% Coinsurance (Coverage is member is diagno
    		•
    Mental Health Mental Health Care/Substance Abuse (as stated in mandate) -
    • Inpatient: 0% Coinsurance
    • Outpatient -
      • Primary Care Physician: $30 Copay
      • Specialist Care: $40 Copay
    		 Mental Health Care/Substance Abuse (as stated in mandate) -
    • Inpatient: 30% Coinsurance
    • Outpatient -
      • Primary Care Physician: 30% Coinsurance
      • Specialist Care: 30% Coinsurance
    Hospital Care
  • Professional and Diagnostic Services (X-ray, lab, anesthesia, surgeon, etc.): 0% Coinsurance
  • Inpatient and Diagnostic Services (overnight hospital/facility stays): 0% Coinsurance
  • Outpatient Services (without overnight hospital/facility stay
    		•
  • Professional and Diagnostic Services (X-ray, lab, anesthesia, surgeon, etc.): 30% Coinsurance
  • Inpatient and Diagnostic Services (overnight hospital/facility stays): 30% Coinsurance
  • Outpatient Services (without overnight hospital/facility st
    		•
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