Anthem Blue Cross and Blue Shield Silver DirectAccess, a Multi-State Plan

Individual Health Insurance (Obamacare)

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Anthem Blue Cross and Blue Shield Silver DirectAccess, a Multi-State Plan

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!Please note this plan is only for the plan year 2015 and it is no longer available for enrollment.GO TO 2017 PLANS

Benefits & Coverage

Plan Name
Anthem Blue Cross and Blue Shield Silver DirectAccess, a Multi-State
Plan Year
2015
Insurance Type
Individual Health Insurance (Obamacare)
Insurance Provider
Anthem BCBS
Metal Level
Silver
Out-of-Pocket Maximum
Plan Highlights

Costs for Medical Care

Primary Care Visit to Treat an Injury or Illness
30% Coinsurance after deductible
Specialist Visit
30% Coinsurance after deductible
Deductible - Family
$3000
Out-of-Pocket Maximum - Family
$12000

Prescription drug coverage

Generic Drugs
$15 Copay
Non-Preferred Brand Drugs
30% Coinsurance after deductible

Access to doctors and hospitals

Provider directory URL
https://www.anthem.com/health-insurance/provider-directory/searchcriteria?=brand=abcbs

Hospital services

Emergency Room Services
30% Coinsurance after deductible
Inpatient Hospital Services (e.g., Hospital Stay)
30% Coinsurance after deductible
Inpatient Physician and Surgical Services
30% Coinsurance after deductible

What To Know

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

Physician Directory

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Silver plan frequently asked questions (FAQ)

  • What Is the Silver Plan?

    ObamaCare’s Silver Plan is a type of Metal Plan on the Health Insurance Marketplace. Silver Plans qualify for both Tax Credits and Cost Sharing subsidies.Silver Plans have lower out-of-pocket costs than Bronze Plans but higher out- of-pocket costs than both Gold and Platinum Plans. All Silver Plans share the same minimum health benefits, but the way they charge out-of-pocket costs can differ significantly.

  • How are Silver Plans different than other Obamacare health plans?

    The fundamental difference among the new Obamacare health plans is the percentage of covered medical costs paid by the health plan. The Silver Plan pays 70% of covered medical costs for a typical enrollee. Silver Plans are also the only metal plans which offer cost-sharing reduction (CSR) versions to consumers that require financial assistance for out-of-pocket costs.

  • How much does a Silver Plan cost?

    The monthly premium for a Silver Plan depends on the insurer from whom you purchase the plan, the number of people to be insured by the plan, your age, whether you smoke, and the region in which you live. You can use HealthPocket’s comparison tool to compare Silver Plan premiums in your area.

  • When Can I Enroll in a Silver Plan?

    The Open Enrollment period for the 2016 Affordable Care Act health plans begins November 1, 2015 and ends January 31, 2016. See our Open Enrollment article for more information.

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