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Anthem Blue Cross and Blue Shield of Ohio CoreShare – Ohio Health Insurance Plan

A detailed comparison of the Anthem Blue Cross and Blue Shield of Ohio CoreShare health insurance plan as offered in Ohio 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 Ohio 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 Ohio health insurance quote for Ohio now or view all of our Anthem Blue Cross and Blue Shield of Ohio health insurance quotes.

  Network Non-Network
Copay N/A N/A
OfficeVisit 50% coinsurance after deductible 50% coinsurance after deductible
Deductible false Individual: $5,000, Family: $10,000 Individual: $5,000, Family: $10,000
Coinsurance 50% 50%
Coinsurance Limit
Out-of-Pocket Maximum N/A N/A
Lifetime Maximum Unlimited Unlimited
Prescription Drugs Retail Drugs (and Mail Order Drugs when available) -
  • For Drugs on Formulary: Greater of $15 copayment or 40% coinsurance
  • For Drugs Not on Formulary: Member is responsible for entire cost after applied Anthem negotiated discount
 Retail Drugs (and Mail Order Drugs when available): Member is responsible for entire cost
Emergency Room 50% coinsurance after deductible 50% coinsurance after deductible (Member is responsible for amount that exceeds Anthem allowable charge)
Adult Preventative Care Covers all nationally recommended preventive care services, including immunizations, PSA screenings, Pap tests, mammograms and more: 0% coinsurance, not subject to deductible Covers all nationally recommended preventive care services, including immunizations, PSA screenings, Pap tests, mammograms and more: 50% coinsurance after deductible
Child Preventative Care Covers all nationally recommended preventive care services, including well-child care, immunizations, and more: 0% coinsurance, not subject to deductible Covers all nationally recommended preventive care services, including well-child care, immunizations, and more: 50% coinsurance after deductible
Lab / X-Ray 50% coinsurance after deductible 50% coinsurance after deductible
Maternity Not Covered, except covered for complications of pregnancy only. Not Covered, except covered for complications of pregnancy only.
Physical Therapy 50% coinsurance after deductible (Inpatient Physical Medicine Rehab Limited to 20 days) 50% coinsurance after deductible (Inpatient Physical Medicine Rehab Limited to 20 days)
Home Health Care 50% coinsurance after deductible (Home Health Care Limited to 60 visits. Infusion Therapy does not count toward the limit) 50% coinsurance after deductible (Home Health Care Limited to 60 visits. Infusion Therapy does not count toward the limit)
Mental Health 50% coinsurance after deductible ($750 Facility Copayment per admission that can be applied to facility fee and/or inpatient services. If a member is admitted within 72 hours - 3 days is also acceptable - of a discharge from the same or a different inpati 50% coinsurance after deductible ($750 Facility Copayment per admission that can be applied to facility fee and/or inpatient services. If a member is admitted within 72 hours - 3 days is also acceptable - of a discharge from the same or a different inpati
Hospital Care
  • Professional and Diagnostic Services (X-ray, lab, anesthesia, surgeon, etc.): 50% coinsurance after deductible
  • Inpatient Services (overnight hospital/facility stays): 50% coinsurance plus $750 copayment per admission
  • Outpatient Services (wi
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  • Professional and Diagnostic Services (X-ray, lab, anesthesia, surgeon, etc.): 50% coinsurance after deductible
  • Inpatient Services (overnight hospital/facility stays): 50% coinsurance plus $750 copayment per admission
  • Outpatient Services (wi
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