March 19, 2010

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Anthem – Lumenos HIA – NEVADA

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

  Network Non-Network
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Network See Provider See Provider
Application Lumenos HIA Application Lumenos HIA Application
Brochure Lumenos HIA Brochure Lumenos HIA Brochure
Copay N/A N/A
Office Visit
  • Subject to deductible and coinsurance.
    		•
  • Subject to deductible and coinsurance.
    		•
    Deductible $1,500 Individual, $3,000 Family $3,000 Individual, $6,000 Family
    Coinsurance Lumenos HIA Lumenos HIA
    Coinsurance Limit Lumenos HIA Lumenos HIA
    Out-of-Pocket Maximum Lumenos HIA Lumenos HIA
    Lifetime Maximum $5,000,000 $5,000,000
    Prescription Drugs
  • Subject to deductible and coinsurance.
    		•
  • Subject to deductible and coinsurance.
    		•
    Emergency Room
  • Subject to deductible and coinsurance.
    		•
  • Subject to deductible and coinsurance.
    		•
    Adult Preventative Care Lumenos HIA
  • Subject to deductible and coinsurance.
    		•
    Child Preventative Care (up to age 13)
  • Subject to deductible and coinsurance.
    		•
    Lab / X-Ray
  • Subject to deductible and coinsurance.
    		•
  • Subject to deductible and coinsurance.
    		•
    Maternity Benefits are paid for complications of pregnancy only, Routine maternity care is not covered. Benefits are paid for complications of pregnancy only, Routine maternity care is not covered.
    Physical Therapy
  • Subject to deductible and coinsurance.
    		•
  • Subject to deductible and coinsurance.
    		•
    Skilled Nursing Not covered Not covered
    Home Health Care
  • Subject to deductible and coinsurance.
    		•
  • Subject to deductible and coinsurance.
    		•
    Mental Health
  • Subject to deductible and coinsurance.
    		•
  • Subject to deductible and coinsurance.
    		•
    Hospital Care
  • Subject to deductible and coinsurance.
    		•
  • Subject to deductible and coinsurance.
    		•
    Optional Benefits Lumenos HIA Lumenos HIA