Benefits & Coverage

Insurance Type
Individual Health Insurance (Obamacare)
Insurance Provider
Anthem BCBS
Metal Level
Silver
Plan Type
HMO
Deductible
$2000
Out-of-Pocket Maximum
$5500
Plan Highlights

Cost & Coverage

Estimated Monthly Base Rate
Estimated monthly premium starts at $261.08
Deductible
Individual: $2000
Family: $4000
In-Network Out-of-Pocket Limit
Individual: $5500
Family: $11000
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
20% Coinsurance after deductible
Specialist
20% Coinsurance after deductible
Hospital facility fee
20% Coinsurance after deductible
Emergency Room
20% 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 Blue Cross and Blue Shield Healthcare of Georgia Silver DirectAccess, a Multi-State Obamacare Plan in Georgia

/
DOUGHERTY, LISA
3315 SUGARLOAF PKWY
LAWRENCEVILLE, GA 30044
ZERIN, SAYEMA
965 OAKLAND RD
LAWRENCEVILLE, GA 30044
GLASSER, STEVEN
4850 SUGARLOAF PKWY
LAWRENCEVILLE, GA 30044
CAMERON, NADIA
212 EDGEWOOD AVE NE
ATLANTA, GA 30303
THEBAUT, MARK
609 BEAVER RUIN RD NW
LILBURN, GA 30047
BASSETT, MARCIA
912 KILLIAN HILL RD SW
LILBURN, GA 30047
FAWOLE, SUNDAY
4145 LAWRENCEVILLE HWY NW
LILBURN, GA 30047
JUDD, CATHARINE
912 KILLIAN HILL RD SW
LILBURN, GA 30047
GUDIPATI, PRAVEEN
3993 LAWRENCEVILLE HWY NW
LILBURN, GA 30047
CARTER-ROBINSON, LETOIYA
609 BEAVER RUIN RD NW STE B
LILBURN, GA 30047
LIPHAM, STEVEN
2107 E WALNUT AVE
DALTON, GA 30721
PALACHERLA, JITHENDRANATH
1567 JANMAR ROAD
SNELLVILLE, GA 30078
NEW LONDON ANESTHESIA & PAIN CONSULTANTS PC
1700 MEDICAL WAY
SNELLVILLE, GA 30078
BRUCE J. SABIN MD, PC
1790 PRESIDENTIAL CIR
SNELLVILLE, GA 30078
YAZDANPANAH, NAVID
2341 HENRY CLOWER BLVD
SNELLVILLE, GA 30078
SIELSKI, JENNIFER
1905 SCENIC HWY N
SNELLVILLE, GA 30078
KRAMER, ANDREW
1600 MEDICAL WAY
SNELLVILLE, GA 30078
NGUYEN, HENRY
1394 INDIAN TRAIL LILBURN RD
NORCROSS, GA 30093
MA, CHUN-TAO
3985 STEVE REYNOLDS BLVD
NORCROSS, GA 30093
LE, THIEN
5430 JIMMY CARTER BLVD
NORCROSS, GA 30093
BETTER HEALTH MEDICAL GROUP
3985 STEVE REYNOLDS BLVD
NORCROSS, GA 30093
NGUYEN, HENRY
4782 JIMMY CARTER BLVD
NORCROSS, GA 30093
LORD, DANIEL
3855 PLEASANT HILL ROAD
DULUTH, GA 30096
AHN, JAY
2550 PLEASANT HILL RD STE 115
DULUTH, GA 30096
BAE, EUNJOO
3840 PEACHTREE INDUSTRIAL BLVD
DULUTH, GA 30096
Details
LISA DOUGHERTY, DPT
Phone Number
(770) 316-0601
Office Locations
3315 SUGARLOAF PKWY
LAWRENCEVILLE, GA 30044
3315 SUGARLOAF PKWY LAWRENCEVILLE GA, 30044

Community Q&A

Do you have questions about this plan?

Get answers from the HealthPocket community.
1 question| 1 answer
doctor directory
Q:can i get list of doctors in chatham county georgia? primary care and obgyn/
Asked by Anonymous 

1 answer

Know the Answer? Answer this Question
A: Currently on our website, we only have the tools for you to locate the network providers, as for Specialty Category, you may try the following links for more details: https://www.anthem.com/providerfinder/main.aspx?ProvDirURL=https://www.geoaccess.com/awp/landing.asp%3Fmp%3Dtrue
Answered on 4/16/2014 by davina

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