March 14, 2010

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Anthem – Nevada BluePreferred for Individuals – NEVADA

A comparison of the Nevada BluePreferred 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 for Individuals Application Nevada BluePreferred for Individuals Application
Brochure Nevada BluePreferred for Individuals Brochure Nevada BluePreferred for Individuals Brochure
Copay N/A N/A
Office Visit You pay 30% You pay 50%
Deductible Single: $3,000, Family: 9,000 Single: $6,000, Family: 18,000
Coinsurance 70% 50%
Coinsurance Limit Single: $7,500, Family: $18,000 Single: $15,000, Family: $36,000
Out-of-Pocket Maximum Single: $7,500, Family: $18,000 Single: $15,000, Family: $36,000
Lifetime Maximum $2,000,000 per person $2,000,000 per person
Prescription Drugs Prescription Drug Benefits:
  • Generic: $15
  • Brand Formulary: $40
  • Non-formulary: $60
Not covered
Emergency Room You pay 30% You pay 50%
Adult Preventative Care Limited to the following services: $75 maximum for routine pap smear; $85 maximum for routine mammogram; $65 maximum for prostate screening You pay 50%, deductible waived to age 13
Child Preventative Care You pay 30%, deductible waived to age 13 You pay 50%, deductible waived to age 13
Lab / X-Ray You pay 30% You pay 50%
Maternity Not covered Not covered
Physical Therapy Nevada BluePreferred for Individuals Nevada BluePreferred for Individuals
Skilled Nursing Nevada BluePreferred for Individuals Nevada BluePreferred for Individuals
Home Health Care Nevada BluePreferred for Individuals Nevada BluePreferred for Individuals
Mental Health Nevada BluePreferred for Individuals Nevada BluePreferred for Individuals
Hospital Care
  • Hospital Inpatient Services: You pay 30%
  • Outpatient Services: You pay 30%
  • Hospital Inpatient Services: You pay 50%
  • Outpatient Services: You pay 50%
  • Optional Benefits N/A N/A