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Anthem Blue Cross and Blue Shield of Missouri Health Insurance in MISSOURI – Health Plan Options

Anthem Blue Cross and Blue Shield of Missouri — Blue Access Choice Value RX Option Discount Only

A comparison of the Blue Access Choice Value RX Option Discount Only offered by Anthem Blue Cross and Blue Shield of Missouri is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	70% after deductible	50% after deductible
Office Visit	Physician Office Services: $30 for office visit charge (for first 2 visits only). 70% after deductible for other services. Visits 3+ are not covered.	50% after deductible for first 2 office visits. Visits 3+ are not covered.
Copay	Physician Office Services: $30 for office visit charge (for first 2 visits only).	N/A
Deductible	$2,000 Individual, $6,000 Family Network and Non-network deductibles are separate and do not accumulate towards each other.	$4,000 Individual, $12,000 Family Network and Non-network deductibles are separate and do not accumulate towards each other.

Anthem Blue Cross and Blue Shield of Missouri — Blue Access Choice Value RX Option $15/$30/$60/25% ($500 deductible)

A comparison of the Blue Access Choice Value RX Option $15/$30/$60/25% ($500 deductible) offered by Anthem Blue Cross and Blue Shield of Missouri is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	70% after deductible	50% after deductible
Office Visit	Physician Office Services: $30 for office visit charge (for first 2 visits only). 70% after deductible for other services. Visits 3+ are not covered.	50% after deductible for first 2 office visits. Visits 3+ are not covered.
Copay	Physician Office Services: $30 for office visit charge (for first 2 visits only).	N/A
Deductible	$10,000 Individual, $30,000 Family Network and Non-network deductibles are separate and do not accumulate towards each other.	$20,000 Individual, $60,000 Family Network and Non-network deductibles are separate and do not accumulate towards each other.

Anthem Blue Cross and Blue Shield of Missouri — Blue Access Choice Value RX Option $15 Generic only ($500 maximum)

A comparison of the Blue Access Choice Value RX Option $15 Generic only ($500 maximum) offered by Anthem Blue Cross and Blue Shield of Missouri is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	70% after deductible	50% after deductible
Office Visit	Physician Office Services: $30 for office visit charge (for first 2 visits only). 70% after deductible for other services. Visits 3+ are not covered.	50% after deductible for first 2 office visits. Visits 3+ are not covered.
Copay	Physician Office Services: $30 for office visit charge (for first 2 visits only).	N/A
Deductible	$2,000 Individual, $6,000 Family Network and Non-network deductibles are separate and do not accumulate towards each other.	$4,000 Individual, $12,000 Family Network and Non-network deductibles are separate and do not accumulate towards each other.

Anthem Blue Cross and Blue Shield of Missouri — Blue Access Choice Value RX Option Discount Only

A comparison of the Blue Access Choice Value RX Option Discount Only offered by Anthem Blue Cross and Blue Shield of Missouri is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	70% after deductible	50% after deductible
Office Visit	Physician Office Services: $30 for office visit charge (for first 2 visits only). 70% after deductible for other services. Visits 3+ are not covered.	50% after deductible for first 2 office visits. Visits 3+ are not covered.
Copay	Physician Office Services: $30 for office visit charge (for first 2 visits only).	N/A
Deductible	$3,000 Individual, $9,000 Family Network and Non-network deductibles are separate and do not accumulate towards each other.	$6,000 Individual, $18,000 Family Network and Non-network deductibles are separate and do not accumulate towards each other.

Anthem Blue Cross and Blue Shield of Missouri — Blue Access Choice Value RX Option $15/$30/$60/25% ($500 deductible)

A comparison of the Blue Access Choice Value RX Option $15/$30/$60/25% ($500 deductible) offered by Anthem Blue Cross and Blue Shield of Missouri is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	70% after deductible	50% after deductible
Office Visit	Physician Office Services: $30 for office visit charge (for first 2 visits only). 70% after deductible for other services. Visits 3+ are not covered.	50% after deductible for first 2 office visits. Visits 3+ are not covered.
Copay	Physician Office Services: $30 for office visit charge (for first 2 visits only).	N/A
Deductible	$10,000 Individual, $30,000 Family Network and Non-network deductibles are separate and do not accumulate towards each other.	$20,000 Individual, $60,000 Family Network and Non-network deductibles are separate and do not accumulate towards each other.

Anthem Blue Cross and Blue Shield of Missouri — Blue Access Choice Value RX Option $15 Generic only ($500 maximum)

A comparison of the Blue Access Choice Value RX Option $15 Generic only ($500 maximum) offered by Anthem Blue Cross and Blue Shield of Missouri is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	70% after deductible	50% after deductible
Office Visit	Physician Office Services: $30 for office visit charge (for first 2 visits only). 70% after deductible for other services. Visits 3+ are not covered.	50% after deductible for first 2 office visits. Visits 3+ are not covered.
Copay	Physician Office Services: $30 for office visit charge (for first 2 visits only).	N/A
Deductible	$3,000 Individual, $9,000 Family Network and Non-network deductibles are separate and do not accumulate towards each other.	$6,000 Individual, $18,000 Family Network and Non-network deductibles are separate and do not accumulate towards each other.

Anthem Blue Cross and Blue Shield of Missouri — Blue Access Choice Value RX Option Discount Only

A comparison of the Blue Access Choice Value RX Option Discount Only offered by Anthem Blue Cross and Blue Shield of Missouri is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	70% after deductible	50% after deductible
Office Visit	Physician Office Services: $30 for office visit charge (for first 2 visits only). 70% after deductible for other services. Visits 3+ are not covered.	50% after deductible for first 2 office visits. Visits 3+ are not covered.
Copay	Physician Office Services: $30 for office visit charge (for first 2 visits only).	N/A
Deductible	$5,000 Individual, $15,000 Family Network and Non-network deductibles are separate and do not accumulate towards each other.	$10,000 Individual, $30,000 Family Network and Non-network deductibles are separate and do not accumulate towards each other.

Anthem Blue Cross and Blue Shield of Missouri — Blue Access Choice Value RX Option $15/$30/$60/25% ($500 deductible)

A comparison of the Blue Access Choice Value RX Option $15/$30/$60/25% ($500 deductible) offered by Anthem Blue Cross and Blue Shield of Missouri is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	70% after deductible	50% after deductible
Office Visit	Physician Office Services: $30 for office visit charge (for first 2 visits only). 70% after deductible for other services. Visits 3+ are not covered.	50% after deductible for first 2 office visits. Visits 3+ are not covered.
Copay	Physician Office Services: $30 for office visit charge (for first 2 visits only).	N/A
Deductible	$10,000 Individual, $30,000 Family Network and Non-network deductibles are separate and do not accumulate towards each other.	$20,000 Individual, $60,000 Family Network and Non-network deductibles are separate and do not accumulate towards each other.

Anthem Blue Cross and Blue Shield of Missouri — Blue Access Choice Value RX Option $15 Generic only ($500 maximum)

A comparison of the Blue Access Choice Value RX Option $15 Generic only ($500 maximum) offered by Anthem Blue Cross and Blue Shield of Missouri is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	70% after deductible	50% after deductible
Office Visit	Physician Office Services: $30 for office visit charge (for first 2 visits only). 70% after deductible for other services. Visits 3+ are not covered.	50% after deductible for first 2 office visits. Visits 3+ are not covered.
Copay	Physician Office Services: $30 for office visit charge (for first 2 visits only).	N/A
Deductible	$5,000 Individual, $15,000 Family Network and Non-network deductibles are separate and do not accumulate towards each other.	$10,000 Individual, $30,000 Family Network and Non-network deductibles are separate and do not accumulate towards each other.

Anthem Blue Cross and Blue Shield of Missouri — Blue Access Choice Value RX Option Discount Only

A comparison of the Blue Access Choice Value RX Option Discount Only offered by Anthem Blue Cross and Blue Shield of Missouri is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	70% after deductible	50% after deductible
Office Visit	Physician Office Services: $30 for office visit charge (for first 2 visits only). 70% after deductible for other services. Visits 3+ are not covered.	50% after deductible for first 2 office visits. Visits 3+ are not covered.
Copay	Physician Office Services: $30 for office visit charge (for first 2 visits only).	N/A
Deductible	$10,000 Individual, $30,000 Family Network and Non-network deductibles are separate and do not accumulate towards each other.	$20,000 Individual, $60,000 Family Network and Non-network deductibles are separate and do not accumulate towards each other.

Anthem Blue Cross and Blue Shield of Missouri — Blue Access Choice Value RX Option $15/$30/$60/25% ($500 deductible)

A comparison of the Blue Access Choice Value RX Option $15/$30/$60/25% ($500 deductible) offered by Anthem Blue Cross and Blue Shield of Missouri is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	70% after deductible	50% after deductible
Office Visit	Physician Office Services: $30 for office visit charge (for first 2 visits only). 70% after deductible for other services. Visits 3+ are not covered.	50% after deductible for first 2 office visits. Visits 3+ are not covered.
Copay	Physician Office Services: $30 for office visit charge (for first 2 visits only).	N/A
Deductible	$10,000 Individual, $30,000 Family Network and Non-network deductibles are separate and do not accumulate towards each other.	$20,000 Individual, $60,000 Family Network and Non-network deductibles are separate and do not accumulate towards each other.

Anthem Blue Cross and Blue Shield of Missouri — Blue Access Choice Value RX Option $15 Generic only ($500 maximum)

A comparison of the Blue Access Choice Value RX Option $15 Generic only ($500 maximum) offered by Anthem Blue Cross and Blue Shield of Missouri is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	70% after deductible	50% after deductible
Office Visit	Physician Office Services: $30 for office visit charge (for first 2 visits only). 70% after deductible for other services. Visits 3+ are not covered.	50% after deductible for first 2 office visits. Visits 3+ are not covered.
Copay	Physician Office Services: $30 for office visit charge (for first 2 visits only).	N/A
Deductible	$10,000 Individual, $30,000 Family Network and Non-network deductibles are separate and do not accumulate towards each other.	$20,000 Individual, $60,000 Family Network and Non-network deductibles are separate and do not accumulate towards each other.

Anthem Blue Cross and Blue Shield of Missouri — Lumenos Health Incentive Account Plan 1

A comparison of the Lumenos Health Incentive Account Plan 1 offered by Anthem Blue Cross and Blue Shield of Missouri is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100% after deductible	60% after deductible
Office Visit	Subject to deductible and coinsurance.	Subject to deductible and coinsurance.
Copay	N/A	N/A
Deductible	$1,000 Individual, $2,000 Family	$1,000 Individual, $2,000 Family

Anthem Blue Cross and Blue Shield of Missouri — Lumenos Health Incentive Account Plan 2

A comparison of the Lumenos Health Incentive Account Plan 2 offered by Anthem Blue Cross and Blue Shield of Missouri is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	60% after deductible
Office Visit	Subject to deductible and coinsurance.	Subject to deductible and coinsurance.
Copay	N/A	N/A
Deductible	Individual $1,000, Family $2,000	Individual $1,000, Family $2,000

Anthem Blue Cross and Blue Shield of Missouri — Lumenos Health Incentive Account Plan 1

A comparison of the Lumenos Health Incentive Account Plan 1 offered by Anthem Blue Cross and Blue Shield of Missouri is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100% after deductible	60% after deductible
Office Visit	Subject to deductible and coinsurance.	Subject to deductible and coinsurance.
Copay	N/A	N/A
Deductible	$2,500 Individual, $5,000 Family	$2,500 Individual, $5,000 Family

Anthem Blue Cross and Blue Shield of Missouri — Lumenos Health Incentive Account Plan 2

A comparison of the Lumenos Health Incentive Account Plan 2 offered by Anthem Blue Cross and Blue Shield of Missouri is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	60% after deductible
Office Visit	Subject to deductible and coinsurance.	Subject to deductible and coinsurance.
Copay	N/A	N/A
Deductible	Individual $2,500, Family $5,000	Individual $2,500, Family $5,000

Anthem Blue Cross and Blue Shield of Missouri — Lumenos Health Incentive Account Plus Plan 1

A comparison of the Lumenos Health Incentive Account Plus Plan 1 offered by Anthem Blue Cross and Blue Shield of Missouri is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100% after deductible	60% after deductible
Office Visit	Subject to deductible and coinsurance.	Subject to deductible and coinsurance.
Copay	N/A	N/A
Deductible	$2,500 Individual, $5,000 Family	$5,000 Individual, $10,000 Family

Anthem Blue Cross and Blue Shield of Missouri — Lumenos Health Incentive Account Plus Plan 2

A comparison of the Lumenos Health Incentive Account Plus Plan 2 offered by Anthem Blue Cross and Blue Shield of Missouri is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	60% after deductible
Office Visit	Subject to deductible and coinsurance.	Subject to deductible and coinsurance.
Copay	N/A	N/A
Deductible	$2,500 Individual, $5,000 Family	$5,000 Individual, $10,000 Family

Anthem Blue Cross and Blue Shield of Missouri — Lumenos Health Incentive Account Plan 1

A comparison of the Lumenos Health Incentive Account Plan 1 offered by Anthem Blue Cross and Blue Shield of Missouri is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100% after deductible	60% after deductible
Office Visit	Subject to deductible and coinsurance.	Subject to deductible and coinsurance.
Copay	N/A	N/A
Deductible	$5,000 Individual, $10,000 Family	$5,000 Individual, $10,000 Family

Anthem Blue Cross and Blue Shield of Missouri — Lumenos Health Incentive Account Plus Plan 1

A comparison of the Lumenos Health Incentive Account Plus Plan 1 offered by Anthem Blue Cross and Blue Shield of Missouri is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100% after deductible	60% after deductible
Office Visit	Subject to deductible and coinsurance.	Subject to deductible and coinsurance.
Copay	N/A	N/A
Deductible	$5,000 Individual, $10,000 Family	$10,000 Individual, $20,000 Family

Anthem Blue Cross and Blue Shield of Missouri — Lumenos Health Incentive Account Plus Plan 1

A comparison of the Lumenos Health Incentive Account Plus Plan 1 offered by Anthem Blue Cross and Blue Shield of Missouri is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100% after deductible	60% after deductible
Office Visit	Subject to deductible and coinsurance.	Subject to deductible and coinsurance.
Copay	N/A	N/A
Deductible	$10,000 Individual, $20,000 Family	$20,000 Individual, $40,000 Family

Anthem Blue Cross and Blue Shield of Missouri — Premier 100% Std Rx

A comparison of the Premier 100% Std Rx offered by Anthem Blue Cross and Blue Shield of Missouri is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100% coinsurance after deductible	70% coinsurance after deductible
Office Visit	Office Visit Copay: $30 copay for primary care physician (deductible waived); $40 copay for specialist (deductible waived) Other Services: 100% coinsurance after deductible	70% coinsurance after deductible
Copay	Office Visit Copay: $30 copay for primary care physician (deductible waived); $40 copay for specialist (deductible waived) Other Services: 100% coinsurance after deductible	70% coinsurance after deductible
Deductible	Individual: $500, Family: $1,000	Individual: $500, Family: $1,000

Anthem Blue Cross and Blue Shield of Missouri — Premier 100% BuyUp Rx

A comparison of the Premier 100% BuyUp Rx offered by Anthem Blue Cross and Blue Shield of Missouri is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100% coinsurance after deductible	70% coinsurance after deductible
Office Visit	Office Visit Copay: $30 copay for primary care physician (deductible waived); $40 copay for specialist (deductible waived) Other Services: 100% coinsurance after deductible	70% coinsurance after deductible
Copay	Office Visit Copay: $30 copay for primary care physician (deductible waived); $40 copay for specialist (deductible waived) Other Services: 100% coinsurance after deductible	70% coinsurance after deductible
Deductible	Individual: $500, Family: $1,000	Individual: $500, Family: $1,000

Anthem Blue Cross and Blue Shield of Missouri — Premier 80% Std Rx

A comparison of the Premier 80% Std Rx offered by Anthem Blue Cross and Blue Shield of Missouri is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% coinsurance after deductible	60% coinsurance after deductible
Office Visit	Office Visit Copay: $30 copay for primary care physician (deductible waived); $40 copay for specialist (deductible waived) Other Services: 80% coinsurance after deductible	60% coinsurance after deductible
Copay	Office Visit Copay: $30 copay for primary care physician (deductible waived); $40 copay for specialist (deductible waived) Other Services: 80% coinsurance after deductible	60% coinsurance after deductible
Deductible	Individual: $500, Family: $1,000	Individual: $500, Family: $1,000

Anthem Blue Cross and Blue Shield of Missouri — Premier 80% BuyUp Rx

A comparison of the Premier 80% BuyUp Rx offered by Anthem Blue Cross and Blue Shield of Missouri is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% coinsurance after deductible	60% coinsurance after deductible
Office Visit	Office Visit Copay: $30 copay for primary care physician (deductible waived); $40 copay for specialist (deductible waived) Other Services: 80% coinsurance after deductible	60% coinsurance after deductible
Copay	Office Visit Copay: $30 copay for primary care physician (deductible waived); $40 copay for specialist (deductible waived) Other Services: 80% coinsurance after deductible	60% coinsurance after deductible
Deductible	Individual: $500, Family: $1,000	Individual: $500, Family: $1,000

Anthem Blue Cross and Blue Shield of Missouri — SmartSense Premier Rx

A comparison of the SmartSense Premier Rx offered by Anthem Blue Cross and Blue Shield of Missouri is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	70% coinsurance after deductible	50% coinsurance after deductible
Office Visit	Office Visit Copay: $35 copay for the first 3 visits per person per calendar year for primary care physician/specialist (deductible waived); then 70% coinsurance for 4+ office visit charges Other Services: 70% coinsurance after deductible	50% coinsurance after deductible
Copay	Office Visit Copay: $35 copay for the first 3 visits per person per calendar year for primary care physician/specialist (deductible waived); then 70% coinsurance for 4+ office visit charges Other Services: 70% coinsurance after deductible	50% coinsurance after deductible
Deductible	Individual: $500, Family: $1,000	Individual: $500, Family: $1,000

Anthem Blue Cross and Blue Shield of Missouri — SmartSense Generic Rx

A comparison of the SmartSense Generic Rx offered by Anthem Blue Cross and Blue Shield of Missouri is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	70% coinsurance after deductible	50% coinsurance after deductible
Office Visit	Office Visit Copay: $35 copay for the first 3 visits per person per calendar year for primary care physician/specialist (deductible waived); then 70% coinsurance for 4+ office visit charges Other Services: 70% coinsurance after deductible	50% coinsurance after deductible
Copay	Office Visit Copay: $35 copay for the first 3 visits per person per calendar year for primary care physician/specialist (deductible waived); then 70% coinsurance for 4+ office visit charges Other Services: 70% coinsurance after deductible	50% coinsurance after deductible
Deductible	Individual: $500, Family: $1,000	Individual: $500, Family: $1,000

Anthem Blue Cross and Blue Shield of Missouri — Premier 100% Std Rx

A comparison of the Premier 100% Std Rx offered by Anthem Blue Cross and Blue Shield of Missouri is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100% coinsurance after deductible	70% coinsurance after deductible
Office Visit	Office Visit Copay: $30 copay for primary care physician (deductible waived); $40 copay for specialist (deductible waived) Other Services: 100% coinsurance after deductible	70% coinsurance after deductible
Copay	Office Visit Copay: $30 copay for primary care physician (deductible waived); $40 copay for specialist (deductible waived) Other Services: 100% coinsurance after deductible	70% coinsurance after deductible
Deductible	Individual: $1,000, Family: $2,000	Individual: $1,000, Family: $2,000

Anthem Blue Cross and Blue Shield of Missouri — Premier 100% BuyUp Rx

A comparison of the Premier 100% BuyUp Rx offered by Anthem Blue Cross and Blue Shield of Missouri is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100% coinsurance after deductible	70% coinsurance after deductible
Office Visit	Office Visit Copay: $30 copay for primary care physician (deductible waived); $40 copay for specialist (deductible waived) Other Services: 100% coinsurance after deductible	70% coinsurance after deductible
Copay	Office Visit Copay: $30 copay for primary care physician (deductible waived); $40 copay for specialist (deductible waived) Other Services: 100% coinsurance after deductible	70% coinsurance after deductible
Deductible	Individual: $1,000, Family: $2,000	Individual: $1,000, Family: $2,000

Anthem Blue Cross and Blue Shield of Missouri — Premier 80% Std Rx

A comparison of the Premier 80% Std Rx offered by Anthem Blue Cross and Blue Shield of Missouri is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% coinsurance after deductible	60% coinsurance after deductible
Office Visit	Office Visit Copay: $30 copay for primary care physician (deductible waived); $40 copay for specialist (deductible waived) Other Services: 80% coinsurance after deductible	60% coinsurance after deductible
Copay	Office Visit Copay: $30 copay for primary care physician (deductible waived); $40 copay for specialist (deductible waived) Other Services: 80% coinsurance after deductible	60% coinsurance after deductible
Deductible	Individual: $1,000, Family: $2,000	Individual: $1,000, Family: $2,000

Anthem Blue Cross and Blue Shield of Missouri — Premier 80% BuyUp Rx

A comparison of the Premier 80% BuyUp Rx offered by Anthem Blue Cross and Blue Shield of Missouri is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% coinsurance after deductible	60% coinsurance after deductible
Office Visit	Office Visit Copay: $30 copay for primary care physician (deductible waived); $40 copay for specialist (deductible waived) Other Services: 80% coinsurance after deductible	60% coinsurance after deductible
Copay	Office Visit Copay: $30 copay for primary care physician (deductible waived); $40 copay for specialist (deductible waived) Other Services: 80% coinsurance after deductible	60% coinsurance after deductible
Deductible	Individual: $1,000, Family: $2,000	Individual: $1,000, Family: $2,000

Anthem Blue Cross and Blue Shield of Missouri — SmartSense Premier Rx

A comparison of the SmartSense Premier Rx offered by Anthem Blue Cross and Blue Shield of Missouri is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	70% coinsurance after deductible	50% coinsurance after deductible
Office Visit	Office Visit Copay: $35 copay for the first 3 visits per person per calendar year for primary care physician/specialist (deductible waived); then 70% coinsurance for 4+ office visit charges Other Services: 70% coinsurance after deductible	50% coinsurance after deductible
Copay	Office Visit Copay: $35 copay for the first 3 visits per person per calendar year for primary care physician/specialist (deductible waived); then 70% coinsurance for 4+ office visit charges Other Services: 70% coinsurance after deductible	50% coinsurance after deductible
Deductible	Individual: $1,000, Family: $2,000	Individual: $1,000, Family: $2,000

Anthem Blue Cross and Blue Shield of Missouri — SmartSense Generic Rx

A comparison of the SmartSense Generic Rx offered by Anthem Blue Cross and Blue Shield of Missouri is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	70% coinsurance after deductible	50% coinsurance after deductible
Office Visit	Office Visit Copay: $35 copay for the first 3 visits per person per calendar year for primary care physician/specialist (deductible waived); then 70% coinsurance for 4+ office visit charges Other Services: 70% coinsurance after deductible	50% coinsurance after deductible
Copay	Office Visit Copay: $35 copay for the first 3 visits per person per calendar year for primary care physician/specialist (deductible waived); then 70% coinsurance for 4+ office visit charges Other Services: 70% coinsurance after deductible	50% coinsurance after deductible
Deductible	Individual: $1,000, Family: $2,000	Individual: $1,000, Family: $2,000

Anthem Blue Cross and Blue Shield of Missouri — Premier 80% Std Rx

A comparison of the Premier 80% Std Rx offered by Anthem Blue Cross and Blue Shield of Missouri is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% coinsurance after deductible	60% coinsurance after deductible
Office Visit	Office Visit Copay: $30 copay for primary care physician (deductible waived); $40 copay for specialist (deductible waived) Other Services: 80% coinsurance after deductible	60% coinsurance after deductible
Copay	Office Visit Copay: $30 copay for primary care physician (deductible waived); $40 copay for specialist (deductible waived) Other Services: 80% coinsurance after deductible	60% coinsurance after deductible
Deductible	Individual: $1,500, Family: $3,000	Individual: $1,500, Family: $3,000

Anthem Blue Cross and Blue Shield of Missouri — Premier 80% BuyUp Rx

A comparison of the Premier 80% BuyUp Rx offered by Anthem Blue Cross and Blue Shield of Missouri is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% coinsurance after deductible	60% coinsurance after deductible
Office Visit	Office Visit Copay: $30 copay for primary care physician (deductible waived); $40 copay for specialist (deductible waived) Other Services: 80% coinsurance after deductible	60% coinsurance after deductible
Copay	Office Visit Copay: $30 copay for primary care physician (deductible waived); $40 copay for specialist (deductible waived) Other Services: 80% coinsurance after deductible	60% coinsurance after deductible
Deductible	Individual: $1,500, Family: $3,000	Individual: $1,500, Family: $3,000

Anthem Blue Cross and Blue Shield of Missouri — SmartSense Premier Rx

A comparison of the SmartSense Premier Rx offered by Anthem Blue Cross and Blue Shield of Missouri is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	70% coinsurance after deductible	50% coinsurance after deductible
Office Visit	Office Visit Copay: $35 copay for the first 3 visits per person per calendar year for primary care physician/specialist (deductible waived); then 70% coinsurance for 4+ office visit charges Other Services: 70% coinsurance after deductible	50% coinsurance after deductible
Copay	Office Visit Copay: $35 copay for the first 3 visits per person per calendar year for primary care physician/specialist (deductible waived); then 70% coinsurance for 4+ office visit charges Other Services: 70% coinsurance after deductible	50% coinsurance after deductible
Deductible	Individual: $1,500, Family: $3,000	Individual: $1,500, Family: $3,000

Anthem Blue Cross and Blue Shield of Missouri — SmartSense Generic Rx

A comparison of the SmartSense Generic Rx offered by Anthem Blue Cross and Blue Shield of Missouri is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	70% coinsurance after deductible	50% coinsurance after deductible
Office Visit	Office Visit Copay: $35 copay for the first 3 visits per person per calendar year for primary care physician/specialist (deductible waived); then 70% coinsurance for 4+ office visit charges Other Services: 70% coinsurance after deductible	50% coinsurance after deductible
Copay	Office Visit Copay: $35 copay for the first 3 visits per person per calendar year for primary care physician/specialist (deductible waived); then 70% coinsurance for 4+ office visit charges Other Services: 70% coinsurance after deductible	50% coinsurance after deductible
Deductible	Individual: $1,500, Family: $3,000	Individual: $1,500, Family: $3,000

Anthem Blue Cross and Blue Shield of Missouri — Premier 100% Std Rx

A comparison of the Premier 100% Std Rx offered by Anthem Blue Cross and Blue Shield of Missouri is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100% coinsurance after deductible	70% coinsurance after deductible
Office Visit	Office Visit Copay: $30 copay for primary care physician (deductible waived); $40 copay for specialist (deductible waived) Other Services: 100% coinsurance after deductible	70% coinsurance after deductible
Copay	Office Visit Copay: $30 copay for primary care physician (deductible waived); $40 copay for specialist (deductible waived) Other Services: 100% coinsurance after deductible	70% coinsurance after deductible
Deductible	Individual: $2,500, Family: $5,000	Individual: $2,500, Family: $5,000

Anthem Blue Cross and Blue Shield of Missouri — Premier 100% BuyUp Rx

A comparison of the Premier 100% BuyUp Rx offered by Anthem Blue Cross and Blue Shield of Missouri is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100% coinsurance after deductible	70% coinsurance after deductible
Office Visit	Office Visit Copay: $30 copay for primary care physician (deductible waived); $40 copay for specialist (deductible waived) Other Services: 100% coinsurance after deductible	70% coinsurance after deductible
Copay	Office Visit Copay: $30 copay for primary care physician (deductible waived); $40 copay for specialist (deductible waived) Other Services: 100% coinsurance after deductible	70% coinsurance after deductible
Deductible	Individual: $2,500, Family: $5,000	Individual: $2,500, Family: $5,000

Anthem Blue Cross and Blue Shield of Missouri — Premier 80% Std Rx

A comparison of the Premier 80% Std Rx offered by Anthem Blue Cross and Blue Shield of Missouri is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% coinsurance after deductible	60% coinsurance after deductible
Office Visit	Office Visit Copay: $30 copay for primary care physician (deductible waived); $40 copay for specialist (deductible waived) Other Services: 80% coinsurance after deductible	60% coinsurance after deductible
Copay	Office Visit Copay: $30 copay for primary care physician (deductible waived); $40 copay for specialist (deductible waived) Other Services: 80% coinsurance after deductible	60% coinsurance after deductible
Deductible	Individual: $2,500, Family: $5,000	Individual: $2,500, Family: $5,000

Anthem Blue Cross and Blue Shield of Missouri — Premier 80% BuyUp Rx

A comparison of the Premier 80% BuyUp Rx offered by Anthem Blue Cross and Blue Shield of Missouri is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% coinsurance after deductible	60% coinsurance after deductible
Office Visit	Office Visit Copay: $30 copay for primary care physician (deductible waived); $40 copay for specialist (deductible waived) Other Services: 80% coinsurance after deductible	60% coinsurance after deductible
Copay	Office Visit Copay: $30 copay for primary care physician (deductible waived); $40 copay for specialist (deductible waived) Other Services: 80% coinsurance after deductible	60% coinsurance after deductible
Deductible	Individual: $2,500, Family: $5,000	Individual: $2,500, Family: $5,000

Anthem Blue Cross and Blue Shield of Missouri — SmartSense Premier Rx

A comparison of the SmartSense Premier Rx offered by Anthem Blue Cross and Blue Shield of Missouri is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	70% coinsurance after deductible	50% coinsurance after deductible
Office Visit	Office Visit Copay: $35 copay for the first 3 visits per person per calendar year for primary care physician/specialist (deductible waived); then 70% coinsurance for 4+ office visit charges Other Services: 70% coinsurance after deductible	50% coinsurance after deductible
Copay	Office Visit Copay: $35 copay for the first 3 visits per person per calendar year for primary care physician/specialist (deductible waived); then 70% coinsurance for 4+ office visit charges Other Services: 70% coinsurance after deductible	50% coinsurance after deductible
Deductible	Individual: $2,500, Family: $5,000	Individual: $2,500, Family: $5,000

Anthem Blue Cross and Blue Shield of Missouri — SmartSense Generic Rx

A comparison of the SmartSense Generic Rx offered by Anthem Blue Cross and Blue Shield of Missouri is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	70% coinsurance after deductible	50% coinsurance after deductible
Office Visit	Office Visit Copay: $35 copay for the first 3 visits per person per calendar year for primary care physician/specialist (deductible waived); then 70% coinsurance for 4+ office visit charges Other Services: 70% coinsurance after deductible	50% coinsurance after deductible
Copay	Office Visit Copay: $35 copay for the first 3 visits per person per calendar year for primary care physician/specialist (deductible waived); then 70% coinsurance for 4+ office visit charges Other Services: 70% coinsurance after deductible	50% coinsurance after deductible
Deductible	Individual: $2,500, Family: $5,000	Individual: $2,500, Family: $5,000

Anthem Blue Cross and Blue Shield of Missouri — Premier 100% Std Rx

A comparison of the Premier 100% Std Rx offered by Anthem Blue Cross and Blue Shield of Missouri is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100% coinsurance after deductible	70% coinsurance after deductible
Office Visit	Office Visit Copay: $30 copay for primary care physician (deductible waived); $40 copay for specialist (deductible waived) Other Services: 100% coinsurance after deductible	70% coinsurance after deductible
Copay	Office Visit Copay: $30 copay for primary care physician (deductible waived); $40 copay for specialist (deductible waived) Other Services: 100% coinsurance after deductible	70% coinsurance after deductible
Deductible	Individual: $3,500, Family: $7,000	Individual: $3,500, Family: $7,000

Anthem Blue Cross and Blue Shield of Missouri — Premier 100% BuyUp Rx

A comparison of the Premier 100% BuyUp Rx offered by Anthem Blue Cross and Blue Shield of Missouri is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100% coinsurance after deductible	70% coinsurance after deductible
Office Visit	Office Visit Copay: $30 copay for primary care physician (deductible waived); $40 copay for specialist (deductible waived) Other Services: 100% coinsurance after deductible	70% coinsurance after deductible
Copay	Office Visit Copay: $30 copay for primary care physician (deductible waived); $40 copay for specialist (deductible waived) Other Services: 100% coinsurance after deductible	70% coinsurance after deductible
Deductible	Individual: $3,500, Family: $7,000	Individual: $3,500, Family: $7,000

Anthem Blue Cross and Blue Shield of Missouri — Premier 100% Std Rx

A comparison of the Premier 100% Std Rx offered by Anthem Blue Cross and Blue Shield of Missouri is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100% coinsurance after deductible	70% coinsurance after deductible
Office Visit	Office Visit Copay: $30 copay for primary care physician (deductible waived); $40 copay for specialist (deductible waived) Other Services: 100% coinsurance after deductible	70% coinsurance after deductible
Copay	Office Visit Copay: $30 copay for primary care physician (deductible waived); $40 copay for specialist (deductible waived) Other Services: 100% coinsurance after deductible	70% coinsurance after deductible
Deductible	Individual: $5,000, Family: $10,000	Individual: $5,000, Family: $10,000

Anthem Blue Cross and Blue Shield of Missouri — Premier 100% BuyUp Rx

A comparison of the Premier 100% BuyUp Rx offered by Anthem Blue Cross and Blue Shield of Missouri is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100% coinsurance after deductible	70% coinsurance after deductible
Office Visit	Office Visit Copay: $30 copay for primary care physician (deductible waived); $40 copay for specialist (deductible waived) Other Services: 100% coinsurance after deductible	70% coinsurance after deductible
Copay	Office Visit Copay: $30 copay for primary care physician (deductible waived); $40 copay for specialist (deductible waived) Other Services: 100% coinsurance after deductible	70% coinsurance after deductible
Deductible	Individual: $5,000, Family: $10,000	Individual: $5,000, Family: $10,000

Anthem Blue Cross and Blue Shield of Missouri — SmartSense Premier Rx

A comparison of the SmartSense Premier Rx offered by Anthem Blue Cross and Blue Shield of Missouri is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	70% coinsurance after deductible	50% coinsurance after deductible
Office Visit	Office Visit Copay: $35 copay for the first 3 visits per person per calendar year for primary care physician/specialist (deductible waived); then 70% coinsurance for 4+ office visit charges Other Services: 70% coinsurance after deductible	50% coinsurance after deductible
Copay	Office Visit Copay: $35 copay for the first 3 visits per person per calendar year for primary care physician/specialist (deductible waived); then 70% coinsurance for 4+ office visit charges Other Services: 70% coinsurance after deductible	50% coinsurance after deductible
Deductible	Individual: $5,000, Family: $10,000	Individual: $5,000, Family: $10,000

Anthem Blue Cross and Blue Shield of Missouri — SmartSense Generic Rx

A comparison of the SmartSense Generic Rx offered by Anthem Blue Cross and Blue Shield of Missouri is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	70% coinsurance after deductible	50% coinsurance after deductible
Office Visit	Office Visit Copay: $35 copay for the first 3 visits per person per calendar year for primary care physician/specialist (deductible waived); then 70% coinsurance for 4+ office visit charges Other Services: 70% coinsurance after deductible	50% coinsurance after deductible
Copay	Office Visit Copay: $35 copay for the first 3 visits per person per calendar year for primary care physician/specialist (deductible waived); then 70% coinsurance for 4+ office visit charges Other Services: 70% coinsurance after deductible	50% coinsurance after deductible
Deductible	Individual: $5,000, Family: $10,000	Individual: $5,000, Family: $10,000

Anthem Blue Cross and Blue Shield of Missouri — Premier 100% Std Rx

A comparison of the Premier 100% Std Rx offered by Anthem Blue Cross and Blue Shield of Missouri is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100% coinsurance after deductible	70% coinsurance after deductible
Office Visit	Office Visit Copay: $30 copay for primary care physician (deductible waived); $40 copay for specialist (deductible waived) Other Services: 100% coinsurance after deductible	70% coinsurance after deductible
Copay	Office Visit Copay: $30 copay for primary care physician (deductible waived); $40 copay for specialist (deductible waived) Other Services: 100% coinsurance after deductible	70% coinsurance after deductible
Deductible	Individual: $10,000, Family: $20,000	Individual: $10,000, Family: $20,000

Anthem Blue Cross and Blue Shield of Missouri — Premier 100% BuyUp Rx

A comparison of the Premier 100% BuyUp Rx offered by Anthem Blue Cross and Blue Shield of Missouri is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100% coinsurance after deductible	70% coinsurance after deductible
Office Visit	Office Visit Copay: $30 copay for primary care physician (deductible waived); $40 copay for specialist (deductible waived) Other Services: 100% coinsurance after deductible	70% coinsurance after deductible
Copay	Office Visit Copay: $30 copay for primary care physician (deductible waived); $40 copay for specialist (deductible waived) Other Services: 100% coinsurance after deductible	70% coinsurance after deductible
Deductible	Individual: $10,000, Family: $20,000	Individual: $10,000, Family: $20,000

Anthem Blue Cross and Blue Shield of Missouri — SmartSense Premier Rx

A comparison of the SmartSense Premier Rx offered by Anthem Blue Cross and Blue Shield of Missouri is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	70% coinsurance after deductible	50% coinsurance after deductible
Office Visit	Office Visit Copay: $35 copay for the first 3 visits per person per calendar year for primary care physician/specialist (deductible waived); then 70% coinsurance for 4+ office visit charges Other Services: 70% coinsurance after deductible	50% coinsurance after deductible
Copay	Office Visit Copay: $35 copay for the first 3 visits per person per calendar year for primary care physician/specialist (deductible waived); then 70% coinsurance for 4+ office visit charges Other Services: 70% coinsurance after deductible	50% coinsurance after deductible
Deductible	Individual: $10,000, Family: $20,000	Individual: $10,000, Family: $20,000

Anthem Blue Cross and Blue Shield of Missouri — SmartSense Generic Rx

A comparison of the SmartSense Generic Rx offered by Anthem Blue Cross and Blue Shield of Missouri is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	70% coinsurance after deductible	50% coinsurance after deductible
Office Visit	Office Visit Copay: $35 copay for the first 3 visits per person per calendar year for primary care physician/specialist (deductible waived); then 70% coinsurance for 4+ office visit charges Other Services: 70% coinsurance after deductible	50% coinsurance after deductible
Copay	Office Visit Copay: $35 copay for the first 3 visits per person per calendar year for primary care physician/specialist (deductible waived); then 70% coinsurance for 4+ office visit charges Other Services: 70% coinsurance after deductible	50% coinsurance after deductible
Deductible	Individual: $10,000, Family: $20,000	Individual: $10,000, Family: $20,000

Anthem Blue Cross and Blue Shield of Missouri — Lumenos Health Savings Account Plan 3

A comparison of the Lumenos Health Savings Account Plan 3 offered by Anthem Blue Cross and Blue Shield of Missouri is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100% coinsurance after deductible	70% coinsurance after deductible
Office Visit	100% coinsurance after deductible	70% coinsurance after deductible
Copay	100% coinsurance after deductible	70% coinsurance after deductible
Deductible	Individual: $1,500, Family: $3,000	Individual: $1,500, Family: $3,000

Anthem Blue Cross and Blue Shield of Missouri — Lumenos Health Savings Account Plan 4

A comparison of the Lumenos Health Savings Account Plan 4 offered by Anthem Blue Cross and Blue Shield of Missouri is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% coinsurance after deductible	60% coinsurance after deductible
Office Visit	80% coinsurance after deductible	60% coinsurance after deductible
Copay	80% coinsurance after deductible	60% coinsurance after deductible
Deductible	Individual: $1,750, Family: $3,500	Individual: $1,750, Family: $3,500

Anthem Blue Cross and Blue Shield of Missouri — Lumenos Health Savings Account Plan 3

A comparison of the Lumenos Health Savings Account Plan 3 offered by Anthem Blue Cross and Blue Shield of Missouri is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100% coinsurance after deductible	70% coinsurance after deductible
Office Visit	100% coinsurance after deductible	70% coinsurance after deductible
Copay	100% coinsurance after deductible	70% coinsurance after deductible
Deductible	Individual: $3,000, Family: $6,000	Individual: $3,000, Family: $6,000

Anthem Blue Cross and Blue Shield of Missouri — Lumenos Health Savings Account Plan 5

A comparison of the Lumenos Health Savings Account Plan 5 offered by Anthem Blue Cross and Blue Shield of Missouri is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100% coinsurance after deductible	70% coinsurance after deductible
Office Visit	100% coinsurance after deductible	70% coinsurance after deductible
Copay	100% coinsurance after deductible	70% coinsurance after deductible
Deductible	Individual: $3,500, Family: $7,000	Individual: $3,500, Family: $7,000

Anthem Blue Cross and Blue Shield of Missouri — Lumenos Health Savings Account Plan 3

A comparison of the Lumenos Health Savings Account Plan 3 offered by Anthem Blue Cross and Blue Shield of Missouri is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100% coinsurance after deductible	70% coinsurance after deductible
Office Visit	100% coinsurance after deductible	70% coinsurance after deductible
Copay	100% coinsurance after deductible	70% coinsurance after deductible
Deductible	Individual: $5,000, Family: $10,000	Individual: $5,000, Family: $10,000

Anthem Blue Cross and Blue Shield of Missouri — Blue Short Term

A comparison of the Blue Short Term offered by Anthem Blue Cross and Blue Shield of Missouri is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80%	80%
Office Visit	Subject to deductible and coinsurance.	Subject to deductible and coinsurance.
Copay	N/A	N/A
Deductible	$500 Single/$1,500 Family	$500 Single/$1,500 Family

Anthem Blue Cross and Blue Shield of Missouri — Blue Short Term

A comparison of the Blue Short Term offered by Anthem Blue Cross and Blue Shield of Missouri is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80%	80%
Office Visit	Subject to deductible and coinsurance.	Subject to deductible and coinsurance.
Copay	N/A	N/A
Deductible	$500 Single/$1,500 Family	$500 Single/$1,500 Family

Anthem Blue Cross and Blue Shield of Missouri — Blue Short Term

A comparison of the Blue Short Term offered by Anthem Blue Cross and Blue Shield of Missouri is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80%	80%
Office Visit	Subject to deductible and coinsurance.	Subject to deductible and coinsurance.
Copay	N/A	N/A
Deductible	$500 Single/$1,500 Family	$500 Single/$1,500 Family

Anthem Blue Cross and Blue Shield of Missouri — Blue Short Term

A comparison of the Blue Short Term offered by Anthem Blue Cross and Blue Shield of Missouri is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80%	80%
Office Visit	Subject to deductible and coinsurance.	Subject to deductible and coinsurance.
Copay	N/A	N/A
Deductible	$500 Single/$1,500 Family	$500 Single/$1,500 Family

Anthem Blue Cross and Blue Shield of Missouri — Blue Short Term

A comparison of the Blue Short Term offered by Anthem Blue Cross and Blue Shield of Missouri is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80%	80%
Office Visit	Subject to deductible and coinsurance.	Subject to deductible and coinsurance.
Copay	N/A	N/A
Deductible	$500 Single/$1,500 Family	$500 Single/$1,500 Family