ANTHEM GOLD PLANS

ABOUT ANTHEM GOLD PLANS

Anthem is dedicated to delivering better care to our members, providing greater value to their customers and helping improve the health of our communities.

ANTHEM GOLD EPO 30/65 G

Rates are for new and renewing groups effective 4/1/2025 — 6/1/2025

PLAN RATES (MONTHLY)

Employee
$1,423.57
Employee/Spouse (DP)
$2,841.19
Employee/Child(ren)
$2,415.91
Family (DP)
$4,046.17

PLAN HIGHLIGHTS

  • PCP/Specialist: $30/$65
  • Deductible, Coinsurance: $1,500/$3,000, 20%
  • Max OOP: $7,250/$14,500
  • Rx: $10/$50/$90 after $200/member Rx deductible (n/a Tier 1) - Base

ANTHEM BLUE ACCESS GOLD EPO 50/60

Rates are for new and renewing groups effective 4/1/2025 — 6/1/2025

PLAN RATES (MONTHLY)

Employee
$1,372.98
Employee/Spouse (DP)
$2,740.00
Employee/Child(ren)
$2,329.90
Family (DP)
$3,901.98

PLAN HIGHLIGHTS

  • PCP/Specialist: $50/$60
  • Deductible, Coinsurance: $1,100/$2,200, 10%
  • Max OOP: $7,000/$14,000
  • Rx: $10/$45/$85 after $150/member Rx deductible (n/a Tier 1) - Base

ANTHEM BLUE ACCESS GOLD EPO 30/65 G

Rates are for new and renewing groups effective 4/1/2025 — 6/1/2025

PLAN RATES (MONTHLY)

Employee
$1,307.93
Employee/Spouse (DP)
$2,609.92
Employee/Child(ren)
$2,219.32
Family (DP)
$3,716.61

PLAN HIGHLIGHTS

  • PCP/Specialist: $30/$65
  • Deductible, Coinsurance: $1,500/$3,000, 20%
  • Max OOP: $7,250/$14,500
  • Rx: $10/$50/$90 after $200/member Rx deductible (n/a Tier 1) - Base

ANTHEM CONNECTION GOLD EPO 25/50

Rates are for new and renewing groups effective 4/1/2025 — 6/1/2025

PLAN RATES (MONTHLY)

Employee
$1,371.18
Employee/Spouse (DP)
$2,736.40
Employee/Child(ren)
$2,326.84
Family (DP)
$3,896.85

PLAN HIGHLIGHTS

  • PCP/Specialist: $25/$50                                
  • Deductible, Coinsurance: $0/$0, 0%
  • Max OOP: $8,700/$17,400
  • Rx: $10/$65/$95 after $200/member Rx deductible (n/a Tier 1) - Advantage

ANTHEM CONNECTION GOLD EPO 50/60

Rates are for new and renewing groups effective 4/1/2025 — 6/1/2025

PLAN RATES (MONTHLY)

Employee
$1,306.26
Employee/Spouse (DP)
$2,606.56
Employee/Child(ren)
$2,216.47
Family (DP)
$3,711.82

PLAN HIGHLIGHTS

  • PCP/Specialist: $50/$60
  • Deductible, Coinsurance: $1,100/$2,200, 10%
  • Max OOP: $7,000/$14,000
  • Rx: $10/$45/$85 after $150/member Rx deductible (n/a Tier 1) - Advantage

ANTHEM CONNECTION GOLD EPO 30/65 G

Rates are for new and renewing groups effective 4/1/2025 — 6/1/2025

PLAN RATES (MONTHLY)

Employee
$1,244.27
Employee/Spouse (DP)
$2,482.59
Employee/Child(ren)
$2,111.09
Family (DP)
$3,535.16

PLAN HIGHLIGHTS

  • PCP/Specialist: $30/$65
  • Deductible, Coinsurance: $1,500/$3,000, 20%
  • Max OOP: $7,250/$14,500
  • Rx: $10/$50/$90 after $200/member Rx deductible (n/a Tier 1) - Advantage

Carrier rates are subject to NYS Department of Financial Services approval and final verification at enrollment.

All plans above include $5.95 for HealthPass Program Benefits (non-carrier/agent services) and a 2.9% billing and administrative fee.