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Anthem Blue Cross and Blue Shield of New Hampshire Health Insurance in NEW HAMPSHIRE – Health Plan Options

Anthem Blue Cross and Blue Shield of New Hampshire — Blue Direct $1,000

A comparison of the Blue Direct $1,000 offered by Anthem Blue Cross and Blue Shield of New Hampshire is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80%	60%
Office Visit	$20 per visit	$20 per visit
Copay	$20 per visit	$20 per visit
Deductible	Individual: $1,000, Family: $3,000	Individual: $2,000, Family: $6,000

Anthem Blue Cross and Blue Shield of New Hampshire — Blue Direct $2,000

A comparison of the Blue Direct $2,000 offered by Anthem Blue Cross and Blue Shield of New Hampshire is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	70%	50%
Office Visit	$40 per visit	$40 per visit
Copay	$40 per visit	$40 per visit
Deductible	Individual: $2,000, Family: $6,000	Individual: $3,000, Family: $9,000

Anthem Blue Cross and Blue Shield of New Hampshire — Blue Direct $5,000

A comparison of the Blue Direct $5,000 offered by Anthem Blue Cross and Blue Shield of New Hampshire is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80%	50%
Office Visit	Deductible and coinsurance	Deductible and coinsurance
Copay	N/A	N/A
Deductible	Individual: $5,000, Family: $15,000	Individual: $7,500, Family: $22,500

Anthem Blue Cross and Blue Shield of New Hampshire — Lumenos HSA

A comparison of the Lumenos HSA offered by Anthem Blue Cross and Blue Shield of New Hampshire is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	No cost to member after deductible100%	70%
Office Visit	No charge after deductible and coinsurance	No charge after deductible and coinsurance
Copay	N/A	N/A
Deductible	Individual: $1,250, Family: $2,500	Individual: $1,250, Family: $2,500

Anthem Blue Cross and Blue Shield of New Hampshire — Lumenos HSA

A comparison of the Lumenos HSA offered by Anthem Blue Cross and Blue Shield of New Hampshire is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	No cost to member after deductible100%	70%
Office Visit	No charge after deductible and coinsurance	No charge after 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 New Hampshire — Lumenos HSA

A comparison of the Lumenos HSA offered by Anthem Blue Cross and Blue Shield of New Hampshire is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	No cost to member after deductible80%	60%
Office Visit	No charge after deductible and coinsurance	No charge after 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 New Hampshire — Lumenos HSA

A comparison of the Lumenos HSA offered by Anthem Blue Cross and Blue Shield of New Hampshire is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	No cost to member after deductible100%	70%
Office Visit	No charge after deductible and coinsurance	No charge after deductible and coinsurance
Copay	N/A	N/A
Deductible	Individual: $5,000, Family: $10,000	Individual: $5,000, Family: $10,000

Anthem Blue Cross and Blue Shield of New Hampshire — Lumenos HIA

A comparison of the Lumenos HIA offered by Anthem Blue Cross and Blue Shield of New Hampshire is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% coinsurance	60% coinsurance
Office Visit	No cost to member	No cost to member
Copay	N/A	N/A
Deductible	Individual: $1,500, Family: $3,000	Individual: $1,500, Family: $3,000

Anthem Blue Cross and Blue Shield of New Hampshire — Lumenos HIA

A comparison of the Lumenos HIA offered by Anthem Blue Cross and Blue Shield of New Hampshire is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% coinsurance	60% coinsurance
Office Visit	No cost to member	No cost to member
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 New Hampshire — Lumenos HIA Plus

A comparison of the Lumenos HIA Plus offered by Anthem Blue Cross and Blue Shield of New Hampshire is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% coinsurance	70% coinsurance
Office Visit	No cost to member	No cost to member
Copay	N/A	N/A
Deductible	Individual: $2,500, Family: $5,000 (Places $200 ($400 Family) in your account to use first for covered services)	Individual: $2,500, Family: $5,000 (Places $200 ($400 Family) in your account to use first for covered services)

Anthem Blue Cross and Blue Shield of New Hampshire — Tonik 1500

A comparison of the Tonik 1500 offered by Anthem Blue Cross and Blue Shield of New Hampshire is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	0% coinsurance	50% coinsurance up to $8,500 per member per calendar year
Office Visit	$40 per visit	Subject to $1,500 deductible per member per calendar year and 50% coinsurance up to $8,500 per member per calendar year
Copay	$40 per visit	$40 per visit
Deductible	$1,500 deductible per member per calendar year	$1,500 deductible per member per calendar year and 50% coinsurance up to $8,500 per member per calendar year

Anthem Blue Cross and Blue Shield of New Hampshire — Tonik 3000

A comparison of the Tonik 3000 offered by Anthem Blue Cross and Blue Shield of New Hampshire is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	0% coinsurance	50% coinsurance up to $7,000 per member per calendar year
Office Visit	$30 per visit for the first four (4) Office Visits per member per calendar year	Subject to $3,000 deductible per member per calendar year and 50% coinsurance up to $7,000 per member per calendar year
Copay	$30 per visit	$30 per visit
Deductible	$3,000 deductible per member per calendar year	$3,000 deductible per member per calendar year and 50% coinsurance up to $7,000 per member per calendar year

Anthem Blue Cross and Blue Shield of New Hampshire — Tonik 5000

A comparison of the Tonik 5000 offered by Anthem Blue Cross and Blue Shield of New Hampshire is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	0% coinsurance	50% coinsurance up to $5,000 per member per calendar year
Office Visit	$20 per visit for the first four (4) Office Visits per member per calendar year	Subject to $5,000 deductible per member per calendar year and 50% coinsurance up to $5,000 per member per calendar year
Copay	$20 per visit	$20 per visit
Deductible	$5,000 deductible per member per calendar year	$5,000 deductible per member per calendar year and 50% coinsurance up to $5,000 per member per calendar year