Anthem HealthKeepers Gold DirectAccess - ccam

Individual Health Insurance (Obamacare)

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Benefits & Coverage

Plan Name
Anthem HealthKeepers Gold DirectAccess - ccam
Plan ID
88380VA0720010
Plan Year
2014
Insurance Type
Individual Health Insurance (Obamacare)
Insurance Provider
Anthem BCBS
Metal Level
Gold
Plan Type
HMO
Deductible
$750
Out-of-Pocket Maximum
$3,500
Plan Highlights

Cost & Coverage

Estimated Monthly Base Rate
Estimated monthly premium starts at $279.76
Deductible
Individual: $750
Family: $1500
In-Network Out-of-Pocket Limit
Individual: $3500
Family: $7000
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
$30 Copay
Specialist
20% Coinsurance after deductible
Hospital facility fee
20% Coinsurance after deductible
Emergency Room
30% Coinsurance after deductible

Drug Services

Generic Drugs
Coverage: $15 Copay
Specialty Drugs
Coverage: 20% Coinsurance after deductible
What drugs are covered in the formulary?

Mental Health or Substance Abuse Services

Service
In Network
Out of Network

Maternity Services

Service
In Network
Out of Network

Coverage Options Summary

Included Benefits
  • Non-preferred brand drugs

What To Know

  • This is an ACA (Obamacare) compliant health plan.
  • This plan is eligible for a tax credit subsidy

Physician Directory

List of doctors that accepts Anthem HealthKeepers Gold DirectAccess - ccam Obamacare Plan in Virginia

/
STERN, KELLY
3432 HOLLAND RD
VIRGINIA BEACH, VA 23452
ELBESHBESHY, TAREK
6632 INDIAN RIVER RD
VIRGINIA BEACH, VA 23464
JAMES T SAUNDERS MD PC
1500 STILL HARBOR LN
VIRGINIA BEACH, VA 23464
ARRINGTON, ELIZABETH
1400 FORDHAM DR
VIRGINIA BEACH, VA 23464
OAKWOOD LIVING CENTER OF VIRGINIA
5520 INDIAN RIVER ROAD
VIRGINIA BEACH, VA 23464
FRANCISCO, REYNALDO
5265 PROVIDENCE RD
VIRGINIA BEACH, VA 23464
PHOCAS, JOHN
5272 FAIRFIELD BLVD
VIRGINIA BEACH, VA 23464
EVANS, JAMES
351 EDWIN DR
VIRGINIA BEACH, VA 23462
FENDERSON, ALLEN
351 EDWIN DR
VIRGINIA BEACH, VA 23462
STROUD, STEPHEN
351 EDWIN DR
VIRGINIA BEACH, VA 23462
EPPLEIN, DIANNE
818 NEWTOWN RD
VIRGINIA BEACH, VA 23462
KELLEIGH, CHRISTINA
1519 PORTSMOUTH PL
WILMINGTON, NC 28411
MCATEE, KATHERINE
818 NEWTOWN RD
VIRGINIA BEACH, VA 23462
STAHL, JANET
818 NEWTOWN RD
VIRGINIA BEACH, VA 23462
THOMS, JAMES
818 NEWTOWN RD
VIRGINIA BEACH, VA 23462
ANDERSON, JUDITH
818 NEWTOWN RD
VIRGINIA BEACH, VA 23462
JOHNSON, APRIL
818 NEWTOWN RD
VIRGINIA BEACH, VA 23462
MCDONOUGH, CATHERINE
818 NEWTOWN RD
VIRGINIA BEACH, VA 23462
LENOX, DAPHNE
134 BUSINESS PARK DR
VIRGINIA BEACH, VA 23462
KATZ, PAUL
225 CLEARFIELD AVE
VIRGINIA BEACH, VA 23462
ROBERT D. LEHMAN, M.D., P.C
200 GRAYSON RD
VIRGINIA BEACH, VA 23462
BASTA, SAMEH
ONE COLUMBUS CENTER, SUITE 600
VIRGINIA BEACH, VA 23462
JACOBS, JOANNE
818 NEWTOWN RD
VIRGINIA BEACH, VA 23462
SAMUELS, GARFIELD
4460 CORPORATION LN
VIRGINIA BEACH, VA 23462
SANTIAGO, LYNETTE
665 NEWTOWN RD
VIRGINIA BEACH, VA 23462
Details
KELLY STERN, M.D.
Phone Number
(757) 468-1855
Office Locations
3432 HOLLAND RD
VIRGINIA BEACH, VA 23452
3432 HOLLAND RD VIRGINIA BEACH VA, 23452

Community Q&A

Do you have questions about this plan?

Get answers from the HealthPocket community.
6 question| 4 answers
Low-T & Narcolepsy: Does HealthKeeper Gold cover anything for these?
Q:I have low-testosterone and narcolepsy, which has impaired me from maintaining a job. Does Anthem's HealthKeeper Gold plan cover anything––at all––for narcolepsy or Low-T? My old Anthem state plan ($3 per month) covered AndroGel and Nuvigil, yet this HealthKeeper Gold plan ($75 per month) has denied me coverage for both.
Asked by bsj773 
Know the Answer? Answer this Question
Payment for plan
Q:I enrolled also and have not yet received a call or been provided a link for payment. How long does it take before I can pay my premium?
Asked by Anonymous 
Know the Answer? Answer this Question
I enrolled in this health plan , when do I pay.
Q:
Asked by Anonymous 

1 answer

Know the Answer? Answer this Question
A: For the initial payment,normally the carrier will charge you upon receipt of the application. The carrier will offer you a site to pay online. As for the ongoing payment, you will be able to choose the payment due date on the online application.
Answered on 1/29/2014 by davina
i need phone no.
Q:
Asked by Manoj 

1 answer

Know the Answer? Answer this Question
A: The phone number and hours of operation is available when you click on 'Select'.
Answered on 4/21/2014 by davina
i need phone no.
Q:
Asked by Anonymous 

1 answer

Know the Answer? Answer this Question
A: The phone number and hours of operation is available when you click on 'Select'.
Answered on 1/29/2014 by davina
I need to know if the meds my doc is about to start prescribing (haven't started yet, will next week) will be covered under this plan. Are any Biologics covered, such as Enbrel, Humira, or Simponi?
Q:These drugs treat rheumatoid arthritis.
Asked by Anonymous 

1 answer

Know the Answer? Answer this Question
A: You may try the Check the Formulary link under the Cost & Coverage Overview section, then you will be able to see whether the drugs you need are covered or not.
Answered on 1/25/2014 by davina

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