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

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

  Network Non-Network
Copay N/A N/A
OfficeVisit Doctors' Office Visits: 50% coinsurance after deductible Doctors' Office Visits: 50% coinsurance after deductible
Deductible false Individual: $2,500, Family: $5,000 Individual: $2,500, Family: $5,000
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) -
  • For Drugs on Formulary: Greater of $15 copayment or 40% coinsurance (Member is also responsible for difference between Anthem allowable charge and actual cost of drug)
  • For Drugs Not on For
Emergency Room
  • Emergency Room Services: 50% coinsurance after deductible
  • Ambulance: 50% coinsurance after deductible
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  • Emergency Room Services: 50% coinsurance after deductible (Member is responsible for amount that exceeds Anthem allowable charge)
  • Ambulance: 50% coinsurance after deductible (Member is responsible for charged amount that exceeds Anthem's maximum
    		•
    Adult Preventative Care Preventive Care Services (Includes all nationally recommended preventive services including well-child care, immunizations, PSA screenings, Pap tests, mammograms etc.): No deductible, copay, or coinsurance. Preventive Care Services (Includes immunizations, PSA screenings, Pap tests, mammograms, colorectal cancer screenings, bone density and lead testing): 50% coinsurance after deductible
    Child Preventative Care Preventive Care Services (Includes all nationally recommended preventive services including well-child care, immunizations, PSA screenings, Pap tests, mammograms etc.): No deductible, copay, or coinsurance - Immunizations are covered at 100% for children Preventive Care Services (Includes well-child care and immunizations): 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 Therapy Services -
    • Physical Therapy: 50% coinsurance after deductible (20 visits max., Chiropractic services are unlimited)
    • Occupational Therapy: 50% coinsurance after deductible (20 visits max.)
    • Speech Therapy: 50% coinsurance after de
    		 Therapy Services -
    • Physical Therapy: 50% coinsurance after deductible (20 visits max., Chiropractic services are unlimited)
    • Occupational Therapy: 50% coinsurance after deductible (20 visits max.)
    • Speech Therapy: 50% coinsurance after de
    Home Health Care
  • Home Health Care: 50% coinsurance after deductible (60 visit limit for network & non-network combined per calendar year)
  • Hospice Care: 50% coinsurance after deductible
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  • Home Health Care: 50% coinsurance after deductible (60 visit limit for network & non-network combined per calendar year)
  • Hospice Care: 50% coinsurance after deductible
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    Mental Health Not covered (Except for Autism) Not covered (Except for Autism)
    Hospital Care
  • Professional and Diagnostic Services (X-ray, lab, anesthesia, surgeon, etc.): 50% coinsurance after deductible
  • Inpatient Services (Overnight hospital/facility stays): 50% coinsurance after deductible plus $750 Facility Copayment per admission
  • Professional and Diagnostic Services (X-ray, lab, anesthesia, surgeon, etc.): 50% coinsurance after deductible
  • Inpatient Services (Overnight hospital/facility stays): 50% coinsurance plus $750 Facility Copayment per admission
  • Outpatient Ser
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