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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LIM, JEROME
650 N NELLIS BLVD
LAS VEGAS, NV 89110
SAAB, AHMAD
650 N NELLIS BLVD
LAS VEGAS, NV 89110
JACKSON, KELLY
650 N NELLIS BLVD
LAS VEGAS, NV 89110
GUPTA, RACHNA
731 N NELLIS BLVD
LAS VEGAS, NV 89110
SEPULVEDA, MIGUEL
63 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
OKUDA, CODY
4800 E BONANZA RD
LAS VEGAS, NV 89110
GLAZE, SEBASTIAN
5001 E BONANZA RD
LAS VEGAS, NV 89110
SATARAY, JUSTO
220 N LAMB BLVD
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
TALLEY, JEANIENE
650 N NELLIS
LAS VEGAS, NV 89110
MCCONNELL, RACHEL
653 TOWN CENTER DR
LAS VEGAS, NV 89142
PHAN, DAWNA
5061 E SAHARA AVE
LAS VEGAS, NV 89142
CRUZ, RAFAEL
9975 S EASTERN AVE
LAS VEGAS, NV 89183
NGUYEN, BRIAN
450 E SILVERADO RANCH BLVD STE 105
LAS VEGAS, NV 89183
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
LIPPMANN, FREDERICK
5412 BOULDER HIGHWAY
LAS VEGAS, NV 89122
YU, RUI
2425 N LAMB BLVD STE 120
LAS VEGAS, NV 89115
SANKARAN, SUNDAR
2425 N LAMB BLVD
LAS VEGAS, NV 89115
DRAKE, LAWRENCE
3603 LAS VEGAS BLVD N
LAS VEGAS, NV 89115
Details
JEROME LIM, DO
Phone Number
(702) 459-7424
Office Locations
650 N NELLIS BLVD
LAS VEGAS, NV 89110
650 N NELLIS BLVD LAS VEGAS NV, 89110

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