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Anthem Blue Cross and Blue Shield of Wisconsin Lumenos HSA Plus – Wisconsin Health Insurance Plan

A detailed comparison of the Anthem Blue Cross and Blue Shield of Wisconsin Lumenos HSA Plus 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 $1,500 (individual) $1,500 (individual)
Coinsurance 50% 50%
Coinsurance Limit
Out-of-Pocket Maximum N/A N/A
Lifetime Maximum Unlimited Unlimited
Prescription Drugs Retail Drugs (Mail Order Drugs when available): 50% coinsurance after deductible Retail Drugs (Mail Order Drugs when available): 50% coinsurance after deductible
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
  • Ambulance: 50% coinsurance after deductible
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    Adult Preventative Care Preventive Care Services (Covers all nationally recommended preventive care services, including immunizations, PSA screenings, Pap tests, mammograms and more): No deductible, copay, or coinsurance Preventive Care Services (Covers all nationally recommended preventive care services, including immunizations, PSA screenings, Pap tests, mammograms and more): 50% coinsurance
    Child Preventative Care Preventive Care Services (Covers all nationally recommended preventive care services, including well-child care, immunizations and more): No deductible, copay, or coinsurance (Child immunizations are covered at 100% in network from birth through age 5) Preventive Care Services (Covers all nationally recommended preventive care services, including well-child care, immunizations and more): 50% coinsurance
    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
  • Physical Therapy: 50% coinsurance after deductible (20 visit max., Chiropractic Services are unlimited)
  • Occupational Therapy: 50% coinsurance after deductible (20 visit max.)
  • Speech Therapy: 50% coinsurance after deductible (20 visit max.)
  • Physical Therapy: 50% coinsurance after deductible (20 visit max., Chiropractic Services are unlimited)
  • Occupational Therapy: 50% coinsurance after deductible (20 visit max.)
  • Speech Therapy: 50% coinsurance after deductible (20 visit max.)
    • Home Health Care 50% coinsurance after deductible (60 visit limit for network & non-network combined per calendar year) 50% coinsurance after deductible (60 visit limit for network & non-network combined per calendar year)
    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
  • Inpatient Services (Overnight hospital/facility stays): 50% coinsurance after deductible
  • Outpatient Services (Without overnight hospital/facility
  • Professional and Diagnostic Services (X-ray, lab, anesthesia, surgeon, etc.): 50% coinsurance after deductible
  • Inpatient Services (Overnight hospital/facility stays): 50% coinsurance after deductible
  • Outpatient Services (Without overnight h
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