March 12, 2010

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Anthem – Nevada BluePreferred HSA for Individuals – NEVADA

A comparison of the Nevada BluePreferred HSA for Individuals 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 Nevada BluePreferred HSA for Individuals Application Nevada BluePreferred HSA for Individuals Application
Brochure Nevada BluePreferred HSA for Individuals Brochure Nevada BluePreferred HSA for Individuals Brochure
Copay N/A N/A
Office Visit Nevada BluePreferred HSA for Individuals Nevada BluePreferred HSA for Individuals
Deductible
  • $4,000 Individual.
  • $8,000 Family.
    		•
  • $4,000 Individual.
  • $8,000 Family.
    		•
    Coinsurance Nevada BluePreferred HSA for Individuals Nevada BluePreferred HSA for Individuals
    Coinsurance Limit Nevada BluePreferred HSA for Individuals Nevada BluePreferred HSA for Individuals
    Out-of-Pocket Maximum Nevada BluePreferred HSA for Individuals Nevada BluePreferred HSA for Individuals
    Lifetime Maximum $2,000,000 per member. $2,000,000 per member.
    Prescription Drugs Nevada BluePreferred HSA for Individuals Nevada BluePreferred HSA for Individuals
    Emergency Room Nevada BluePreferred HSA for Individuals Nevada BluePreferred HSA for Individuals
    Adult Preventative Care Nevada BluePreferred HSA for Individuals
  • Includes routine child exam through age 12 and immunizations through age 12.
    		•
    Child Preventative Care
  • Includes routine child exam through age 12 and immunizations through age 12.
    		•
  • Includes routine child exam through age 12 and immunizations through age 12.
    		•
    Lab / X-Ray Nevada BluePreferred HSA for Individuals Nevada BluePreferred HSA for Individuals
    Maternity
  • Benefits are paid for complications of pregnancy only.
  • Routine maternity care is not covered.
    		•  Nevada BluePreferred HSA for Individuals
    Physical Therapy
  • Inpatient benefits are paid up to 45 days per year.
  • Outpatient benefits are paid up to 12 visits for physical therapy, 12 visits for occupational therapy, and 12 visits for speech therapy per calendar year.
    		•  Nevada BluePreferred HSA for Individuals
    Skilled Nursing Nevada BluePreferred HSA for Individuals Nevada BluePreferred HSA for Individuals
    Home Health Care
  • Benefits are limited to 60 visits per calendar year.
    		•
  • Benefits are limited to 60 visits per calendar year.
    		•
    Mental Health
  • Benefits are paid up to 40 inpatient days, 80 partial days (combined).
  • Outpatient services are paid up to 40 visits per calendar year.
    		•
  • Benefits are paid up to 40 inpatient days, 80 partial days (combined).
  • Outpatient services are paid up to 40 visits per calendar year.
    		•
    Hospital Care Nevada BluePreferred HSA for Individuals Nevada BluePreferred HSA for Individuals
    Optional Benefits None None