Benefits & Coverage

Insurance Type
Individual Health Insurance (Obamacare)
Insurance Provider
Anthem BCBS
Metal Level
Catastrophic
Plan Type
HMO
Deductible
$6350
Out-of-Pocket Maximum
$6350
Plan Highlights

Cost & Coverage

Estimated Monthly Base Rate
Estimated monthly premium starts at $211.69
Deductible
Individual: $6350
Family: $12700
In-Network Out-of-Pocket Limit
Individual: $6350
Family: $12700
What is included in the in-network out-of-pocket limit?
Deductible + Coinsurance + Co-pay
Is this plan Health Savings Account (HSA) eligible?
No
How can I find a doctor in this plan's network?
Plan Type
HMO

Health Services Options

Service
In Network
Out of Network
Primary care physician office visit
0% Coinsurance after deductible
Not Covered
Specialist
0% Coinsurance after deductible
Not Covered
Diagnostic Test (X-ray, blood work)
0% Coinsurance after deductible
Not Covered
Outpatient Facility Fee
0% Coinsurance after deductible
Not Covered
Outpatient Physician/Surgeon Fee
0% Coinsurance after deductible
Not Covered
Hospital facility fee
0% Coinsurance after deductible
0% Coinsurance after deductible
Hospital physician/surgeon fee
0% Coinsurance after deductible
Not Covered
Emergency Room
0% Coinsurance after deductible
0% Coinsurance after deductible

Drug Services

Generic Drugs
Coverage: 0% Coinsurance after deductible
Preferred Brand Drugs
Coverage: 0% Coinsurance after deductible
Specialty Drugs
Coverage: 0% Coinsurance after deductible
What drugs are covered in the formulary?

Mental Health or Substance Abuse Services

Service
In Network
Out of Network
Mental/behavioral health outpatient services
0% Coinsurance after deductible
Not Covered
Mental/behavioral health inpatient services
0% Coinsurance after deductible
Not Covered
Substance use disorder inpatient services
0% Coinsurance after deductible
Not Covered
Substance use disorder outpatient services
0% Coinsurance after deductible
Not Covered

Maternity Services

Service
In Network
Out of Network
Prenatal/postnatal care
0% Coinsurance after deductible
Not Covered
Delivery and all inpatient services for maternity care
0% Coinsurance after deductible
Not Covered

Coverage Options Summary

Included Benefits
  • Durable medical equipment
  • Emergency Transportation
  • Eye glasses children
  • Habilitation
  • Home health care
  • Hospice
  • Imaging (CT/PET scans, MRIs)
  • Inpatient rehabilitation
  • Non-preferred brand drugs
  • Skilled nursing care
  • Other practitioner office visit
  • Outpatient rehabilitation
  • Preventive care, screening, immunization
  • Routine eye exam children
  • Urgent Care
Excluded Benefits
  • Acupuncture
  • Bariatric surgery
  • Cosmetic surgery
  • Dental care adult
  • Dental check up children
  • Eye exam adult
  • Long Term Care
  • Non-emergency care outside U.S.
  • Weight loss program
Limited Benefits
  • Chiropractic
  • Hearing Aid
  • Infertility treatment
  • Private duty nursing
  • Routine foot care
  • Routine hearing tests

What To Know

  • This is an ACA (Obamacare) compliant health plan.

Physician Directory

List of doctors that accepts Anthem Catastrophic DirectAccess Obamacare Plan in Nevada

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MANFRA, DOUGLAS
4500 E BONANZA RD
LAS VEGAS, NV 89110
LIM, JEROME
650 N NELLIS BLVD
LAS VEGAS, NV 89110
JACKSON, KELLY
650 N NELLIS BLVD
LAS VEGAS, NV 89110
TALLEY, JEANIENE
650 N NELLIS
LAS VEGAS, NV 89110
GUPTA, RACHNA
731 N NELLIS BLVD
LAS VEGAS, NV 89110
SEPULVEDA, MIGUEL
63 N NELLIS BLVD
LAS VEGAS, NV 89110
SATARAY, JUSTO
220 N LAMB BLVD
LAS VEGAS, NV 89110
OKUDA, CODY
4800 E BONANZA RD
LAS VEGAS, NV 89110
GLAZE, SEBASTIAN
5001 E BONANZA RD
LAS VEGAS, NV 89110
MOORE, DENNIS
650 N NELLIS BLVD
LAS VEGAS, NV 89110
SCHALLER, ROBERT
5001 E BONANZA RD STE 160
LAS VEGAS, NV 89110
PO, GREGORY
5001 E BONANZA RD
LAS VEGAS, NV 89110
SAAB, AHMAD
650 N NELLIS BLVD
LAS VEGAS, NV 89110
LEE, ROBIN
5001 E BONANZA RD
LAS VEGAS, NV 89110
NGUYEN, HAI
650 N NELLIS BLVD
LAS VEGAS, NV 89110
MCCONNELL, RACHEL
653 TOWN CENTER DR
LAS VEGAS, NV 89142
PHAN, DAWNA
5061 E SAHARA AVE
LAS VEGAS, NV 89142
JORGENSON, CRAIG
9975 S EASTERN AVE STE 110
LAS VEGAS, NV 89183
TOLEDO, ROBERT
9775 S. MARYLAND PKWY.
LAS VEGAS, NV 89183
ADAOAG, AARON
9816 GILESPIE ST
LAS VEGAS, NV 89183
CRUZ, RAFAEL
9975 S EASTERN AVE
LAS VEGAS, NV 89183
NGUYEN, BRIAN
450 E SILVERADO RANCH BLVD STE 105
LAS VEGAS, NV 89183
LIPPMANN, FREDERICK
5412 BOULDER HIGHWAY
LAS VEGAS, NV 89122
SANKARAN, SUNDAR
2425 N LAMB BLVD
LAS VEGAS, NV 89115
DRAKE, LAWRENCE
3603 LAS VEGAS BLVD N
LAS VEGAS, NV 89115
Details
DOUGLAS MANFRA, D.C.
Phone Number
(702) 388-0599
Office Locations
4500 E BONANZA RD
LAS VEGAS, NV 89110
4500 E BONANZA RD LAS VEGAS NV, 89110

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