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EPO
Silver
Silver Classic Select EPO
Network: CAN001
Medical & Drug Deductible $1,950
Medical & Drug Out-of-Pocket Maximum $8,250
Primary Care Visit $40
Specialist Visit $80
Urgent Care $75
Inpatient Hospital 35% after ded.
Generic Drugs $17
Preferred Brand Drugs $85 after ded.
EPO
Silver
Silver Simple Select EPO
Network: CAN001
Medical & Drug Deductible $3,500
Medical & Drug Out-of-Pocket Maximum $8,550
Primary Care Visit $30
Specialist Visit $75
Urgent Care $75
Inpatient Hospital 50% after ded.
Generic Drugs $15
Preferred Brand Drugs $50
HMO
Silver
Silver Pathway HMO
Network: Pathway - HMO and Dental Prime
Medical Deductible $0
Medical & Drug Out-of-Pocket Maximum $8,550
Primary Care Visit $50
Specialist Visit $85
Urgent Care $50
Inpatient Hospital $1,500 /Day (x5)
Generic Drugs $18 after ded.
Preferred Brand Drugs $70 after ded.
HMO
HSA
Silver
Silver 70 HDHP HMO 3250/20%
Network: Kaiser Permanente California
Medical & Drug Deductible $3,250
Medical & Drug Out-of-Pocket Maximum $7,000
Primary Care Visit 20% after ded.
Specialist Visit 20% after ded.
Urgent Care 20% after ded.
Inpatient Hospital 20% after ded.
Generic Drugs 20% after ded.
Preferred Brand Drugs 20% after ded.
HMO
Silver
Silver 70 HMO 2500/45
Network: Kaiser Permanente California
Medical Deductible $2,500
Medical & Drug Out-of-Pocket Maximum $8,200
Primary Care Visit $45
Specialist Visit $75
Urgent Care $45
Inpatient Hospital 35% after ded.
Generic Drugs $20
Preferred Brand Drugs $65 after ded.
HMO
Silver
Silver 70 Off Exchange HMO
Network: Pathway - HMO and Dental Prime
Medical Deductible $4,000
Medical & Drug Out-of-Pocket Maximum $8,200
Primary Care Visit $40
Specialist Visit $80
Urgent Care $40
Inpatient Hospital 20% after ded.
Generic Drugs $16 after ded.
Preferred Brand Drugs $60 after ded.
EPO
Silver
Silver 70 Select EPO Off-Exchange
Network: CAN001
Medical Deductible $4,000
Medical & Drug Out-of-Pocket Maximum $8,200
Primary Care Visit $40
Specialist Visit $80
Urgent Care $40
Inpatient Hospital 20% after ded.
Generic Drugs $16 after ded.
Preferred Brand Drugs $60 after ded.
HMO
Silver
Silver 70 HMO Off Exchange
Network: Kaiser Permanente California
Medical Deductible $4,000
Medical & Drug Out-of-Pocket Maximum $8,200
Primary Care Visit $40
Specialist Visit $80
Urgent Care $40
Inpatient Hospital 20% after ded.
Generic Drugs $16 after ded.
Preferred Brand Drugs $60 after ded.
EPO
Silver
Silver Classic Circle EPO
Network: CAN001
Medical & Drug Deductible $1,950
Medical & Drug Out-of-Pocket Maximum $8,250
Primary Care Visit $40
Specialist Visit $80
Urgent Care $75
Inpatient Hospital 35% after ded.
Generic Drugs $17
Preferred Brand Drugs $85 after ded.
10
PPO
HSA
Silver
Silver 2600 HDHP PPO
Network: Exclusive PPO for IFP
Medical & Drug Deductible $2,600
Medical & Drug Out-of-Pocket Maximum $6,850
Primary Care Visit 35% after ded.
Specialist Visit 35% after ded.
Urgent Care 35% after ded.
Inpatient Hospital 35% after ded.
Generic Drugs 35% after ded.
Preferred Brand Drugs 35% after ded.
11
PPO
Silver
Silver 1950 PPO
Network: Exclusive PPO for IFP
Medical Deductible $1,950
Medical & Drug Out-of-Pocket Maximum $8,200
Primary Care Visit $45
Specialist Visit $75
Urgent Care $45
Inpatient Hospital 35% after ded.
Generic Drugs $15 w/ded.
Preferred Brand Drugs $60 w/ded.
12
EPO
Silver
Silver 70 Circle EPO
Network: CAN001
Medical Deductible $4,000
Medical & Drug Out-of-Pocket Maximum $8,200
Primary Care Visit $40
Specialist Visit $80
Urgent Care $40
Inpatient Hospital 20% after ded.
Generic Drugs $16 after ded.
Preferred Brand Drugs $60 after ded.
13
PPO
Silver
Silver 70 Off Exchange PPO
Network: Exclusive PPO for IFP
Medical Deductible $4,000
Medical & Drug Out-of-Pocket Maximum $8,200
Primary Care Visit $40
Specialist Visit $80
Urgent Care $40
Inpatient Hospital 20% after ded.
Generic Drugs $16 after ded.
Preferred Brand Drugs $60 after ded.
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Applicant Gender Age DOB Tobacco Use
Sample Male 54 1/1/1967 No
Jackie Female 20 1/1/2001 No
Joe Male 41 1/1/1980 No
Proposal ID: 45801908-7509800988027913 Proposed Effective Date: 1/1/2021 Email: Steveshorr@cox.net
Zip: 90731 County: Los Angeles State: CA
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Anthem

All medical plans and rates are subject to regulatory approval. We will continue to add to our plan offerings on this site as we obtain regulatory approvals. Please keep checking back.

By state law, you are required to have coverage for all 10 essential health benefits, including Child (Pediatric) Dental. If you have selected a Medical Plan that does not include coverage for the Pediatric Dental essential health benefit, you will be required to purchase the required Pediatric Dental coverage in addition to your selected medical coverage even if you have other dental coverage. The cost of the dental coverage will be in addition to the cost of your selected medical coverage. At this time, the separate Pediatric Dental plan is not available. It will be available on this quoting site in the near future. Until then, you can create a profile and save the medical plan you selected so the application process is faster when the Pediatric Dental plans and application are available.

Catastrophic plans are only available to those under the age of 30 or those who meet the eligibility requirements set forth by the Affordable Care Act. If you don’t meet the requirements, please choose one of our many other plans.

Anthem reserves the right to request additional documentation to confirm eligibility.

Blue Shield

If you are eligible for Medicare, you are not eligible for an Individual and Family commercial plan.

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To purchase this plan contact Steve Shorr at 310-519-1335

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Rates displayed are for your 1st policy. Rates for future policies may differ from the rates displayed below. Please click the premium for any plan to see a complete premium breakdown of all policies.