Anthem HealthKeepers Gold X DED 1500 Standard - 88380VA0720047 Health Insurance Plan

HealthKeepers, Inc. health insurance plan with the Plan ID 88380VA0720047. The plan is called Anthem HealthKeepers Gold X DED 1500 Standard.

Based on the data of Health Plan Issuer, this plan has an actuarial value of 100.00% (the percentage of total average costs for covered benefits that a plan will cover). So, on average, you would be responsible for 0.00% of the costs of all covered benefits (according to the Issuer).

Based on the AV Calculator by CMS.gov, the plan has an actuarial value of 100.00% (we converted the output of AV Calculator to percentage to compare with data provided by Issuer, it shows the percentage of total average costs for covered benefits that a plan will cover). So, on average, you would be responsible for 0.00% of the costs of all covered benefits (according to the AV Calculator by CMS.gov). More information about AV Calculator methodology.

Health Insurance Plan ID 88380VA0720047
Health Insurance Plan Year 2024
State Virginia
Health Insurance Issuer HealthKeepers, Inc.
Health Insurance Plan Variant 88380VA0720047-02
Provider Network(s) ['VAN001']
In Network Doctors

*The data available in our database based on Health Insurance Company Open Data (update: Tue, 24 Dec 2024 06:21 GMT).

Providers Virginia All US States
All N/A N/A
PCP N/A N/A
Allergy N/A N/A
OB/GYN N/A N/A
Dentists N/A N/A
Available Variants of the Health Plan

Standard On Exchange Plan - 88380VA0720047-01

Open to Indians below 300% FPL - 88380VA0720047-02

Open to Indians above 300% FPL - 88380VA0720047-03

Last Plan Update Date Mon, 12 Feb 2024 00:00 GMT
Last Import Date Tue, 24 Dec 2024 06:21 GMT

Anthem HealthKeepers Gold X Standard AI Health Insurance Plan Variant 88380VA0720047-02 Attributes

Plan Attribute Value
AV Calculator Output Number 1
Business Year 2024
Child-Only Offering Allows Adult and Child-Only
Composite Rating Offered No
CSR Variation Type Zero Cost Sharing Plan Variation
Dental Only Plan No
Design Type Design 1
Disease Management Programs Offered High Blood Pressure & High Cholesterol, Pain Management, Depression, Low Back Pain, Diabetes, Heart Disease, Asthma
EHB Percent of Total Premium 100%
First Tier Utilization 100%
Formulary ID VAF111
HIOS Product ID 88380VA072
Import Date 2/12/2024
HSA Eligible No
IsItANewPlan Existing
Notice Required for Pregnancy No
Is a Referral Required for Specialist? No
Issuer Actuarial Value 100.00%
Issuer ID 88380
Market Coverage Individual
Medical Drug Deductibles Integrated Yes
Medical Drug Maximum Out of Pocket Integrated Yes
Metal Level Gold
Multiple In Network Tiers No
National Network No
Network ID VAN001
Out of Country Coverage No
Out of Country Coverage Description Urgent/Emergency Coverage Only
Out of Service Area Coverage No
Out of Service Area Coverage Description TRAD/PAR network
Plan Effective Date 1/1/2024
Plan Expiration Date 12/31/2024
Plan ID (Standard Component ID with Variant) 88380VA0720047-02
Plan Marketing Name Anthem HealthKeepers Gold X DED 1500 Standard
Plan Type HMO
Plan Variant Marketing Name Anthem HealthKeepers Gold X Standard AI
QHP/Non QHP Both
SBC Scenario, Having a Baby, Coinsurance $0
SBC Scenario, Having a Baby, Copayment $0
SBC Scenario, Having a Baby, Deductible $0
SBC Scenario, Having a Baby, Limit $60
SBC Scenario, Having Diabetes, Coinsurance $0
SBC Scenario, Having Diabetes, Copayment $0
SBC Scenario, Having Diabetes, Deductible $0
SBC Scenario, Having Diabetes, Limit $20
SBC Scenario, Treatment of a Simple Fracture, Coinsurance $0
SBC Scenario, Treatment of a Simple Fracture, Copayment $0
SBC Scenario, Treatment of a Simple Fracture, Deductible $0
SBC Scenario, Treatment of a Simple Fracture, Limit $0
Service Area ID VAS003
Source Name SERFF
Plan ID 88380VA0720047
State Code VA
Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Combined In/Out Network, Family per person not applicable | per group not applicable
Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Combined In/Out Network, Individual Not Applicable
Combined Medical and Drug EHB Deductible, Combined In/Out of Network, Family per person not applicable | per group not applicable
Combined Medical and Drug EHB Deductible, Combined In/Out of Network, Individual Not Applicable
Combined Medical and Drug EHB Deductible, In Network (Tier 1), Default Coinsurance 0.00%
Combined Medical and Drug EHB Deductible, In Network (Tier 1), Family $0 per person | $0 per group
Combined Medical and Drug EHB Deductible, In Network (Tier 1), Individual $0
TEHBDedOutofNetFamily per person not applicable | per group not applicable
Combined Medical and Drug EHB Deductible, Out of Network, Individual Not Applicable
Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), In Network (Tier 1), Family $0 per person | $0 per group
Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), In Network (Tier 1), Individual $0
Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Out of Network, Family per person not applicable | per group not applicable
Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Out of Network, Individual Not Applicable
Unique Plan Design Yes
Version Number 1
Wellness Program Offered No

Copay & Coinsurance of Anthem HealthKeepers Gold X DED 1500 Standard Health Insurance Plan, 88380VA0720047

Drug Tier Pharmacy Type Copay amount Copay option Coinsurance rate Coinsurance option Mail Order

Frequently Asked Questions(FAQ) about Anthem HealthKeepers Gold X DED 1500 Standard, 88380VA0720047 Health Insurance Plan, 88380VA0720047

  • Does Anthem HealthKeepers Gold X DED 1500 Standard Health Insurance Plan, 88380VA0720047 support Mail Ordering?

    Unfortunately, this health insurance plan does not support mail ordering or the plan data in not available.

  • Does (88380VA0720047) Health Insurance Plan, Variant (88380VA0720047-02) offer Disease Management Programs?

    Yes, and here is the list of available programs: High Blood Pressure & High Cholesterol, Pain Management, Depression, Low Back Pain, Diabetes, Heart Disease, Asthma

    Does (88380VA0720047) Health Insurance Plan, Variant (88380VA0720047-02) have Out Of Country Coverage?

    No, unfortunately there is no Out Of Country Coverage for this Health Insurance Plan (variant of plan). Details: Urgent/Emergency Coverage Only

    Does (88380VA0720047) Health Insurance Plan, Variant (88380VA0720047-02) have Out of Service Area Coverage?

    No, unfortunately there is no Out of Service Area Coverage for this Health Insurance Plan (variant of plan). Details: TRAD/PAR network

    Does (88380VA0720047) Health Insurance Plan, Variant (88380VA0720047-02) offer Disease Management Programs?

    Yes, and here is the list of available programs: High Blood Pressure & High Cholesterol, Pain Management, Depression, Low Back Pain, Diabetes, Heart Disease, Asthma

    Does Anthem HealthKeepers Gold X Standard AI Health Insurance Plan, Variant (88380VA0720047-02) offer Disease Management Programs for Asthma?

    Yes, the Anthem HealthKeepers Gold X Standard AI Health Insurance Plan Variant 88380VA0720047-02 offers Disease Management Program for Asthma.

    Does Anthem HealthKeepers Gold X Standard AI Health Insurance Plan, Variant (88380VA0720047-02) offer Disease Management Programs for Heart disease?

    Yes, the Anthem HealthKeepers Gold X Standard AI Health Insurance Plan Variant 88380VA0720047-02 offers Disease Management Program for Heart disease.

    Does Anthem HealthKeepers Gold X Standard AI Health Insurance Plan, Variant (88380VA0720047-02) offer Disease Management Programs for Depression?

    Yes, the Anthem HealthKeepers Gold X Standard AI Health Insurance Plan Variant 88380VA0720047-02 offers Disease Management Program for Depression.

    Does Anthem HealthKeepers Gold X Standard AI Health Insurance Plan, Variant (88380VA0720047-02) offer Disease Management Programs for Diabetes?

    Yes, the Anthem HealthKeepers Gold X Standard AI Health Insurance Plan Variant 88380VA0720047-02 offers Disease Management Program for Diabetes.

    Does Anthem HealthKeepers Gold X Standard AI Health Insurance Plan, Variant (88380VA0720047-02) offer Disease Management Programs for High blood pressure & high cholesterol?

    Yes, the Anthem HealthKeepers Gold X Standard AI Health Insurance Plan Variant 88380VA0720047-02 offers Disease Management Program for High blood pressure & high cholesterol.

    Does Anthem HealthKeepers Gold X Standard AI Health Insurance Plan, Variant (88380VA0720047-02) offer Disease Management Programs for Low back pain?

    Yes, the Anthem HealthKeepers Gold X Standard AI Health Insurance Plan Variant 88380VA0720047-02 offers Disease Management Program for Low back pain.

 

Disclaimer: This is based on the import(Date: Tue, 24 Dec 2024 06:21 GMT) of the data from Healthcare Issuers listed by CMS. While we make every effort to ensure that data is accurate, you should assume all results are unvalidated. Source: CMS.gov, HealthPorta HEALTHCARE MRF API