ANTHEM SILVER PLANS

ABOUT ANTHEM SILVER 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 SILVER EPO 40/80

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

PLAN RATES (MONTHLY)

Employee
$1,282.35
Employee/Spouse (DP)
$2,558.75
Employee/Child(ren)
$2,175.83
Family (DP)
$3,643.70

PLAN HIGHLIGHTS

  • PCP/Specialist: $40/$80  
  • Deductible, Coinsurance: $3,350/$6,700, 50%
  • Max OOP: $9,200/$18,400
  • Rx: $25/$75/$90 after $200/member Rx deductible (n/a Tier 1) - Base


ANTHEM SILVER EPO 40/80 G

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

PLAN RATES (MONTHLY)

Employee
$1,242.60
Employee/Spouse (DP)
$2,479.25
Employee/Child(ren)
$2,108.26
Family (DP)
$3,530.41

PLAN HIGHLIGHTS

  • PCP/Specialist: $40/$80  
  • Deductible, Coinsurance: $3,350/$6,700, 50%
  • Max OOP: $9,200/$18,400
  • Rx: $25/$75/$90 after $200/member Rx deductible (n/a Tier 1) - Base


ANTHEM SILVER EPO HSA 4100

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

PLAN RATES (MONTHLY)

Employee
$1,162.12
Employee/Spouse (DP)
$2,318.30
Employee/Child(ren)
$1,971.44
Family (DP)
$3,301.04

PLAN HIGHLIGHTS

  • PCP/Specialist: Deductible then $20/$50
  • Deductible, Coinsurance: $4,100/$8,200, 30%
  • Max OOP: $8,000/$16,000
  • Rx: Deductible then $10/$50/$90 - Base

ANTHEM BLUE ACCESS SILVER EPO 35/75

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

PLAN RATES (MONTHLY)

Employee
$1,172.40
Employee/Spouse (DP)
$2,338.86
Employee/Child(ren)
$1,988.93
Family (DP)
$3,330.34

PLAN HIGHLIGHTS

  • PCP/Specialist: $35/$75
  • Deductible, Coinsurance: $4,650/$9,300, 50%
  • Max OOP: $9,200/$18,400
  • Rx: $25/$75/$90 after $200/member Rx deductible (n/a Tier 1) - Base

ANTHEM BLUE ACCESS SILVER EPO 40/80 G

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

PLAN RATES (MONTHLY)

Employee
$1,143.63
Employee/Spouse (DP)
$2,281.32
Employee/Child(ren)
$1,940.01
Family (DP)
$3,248.35

PLAN HIGHLIGHTS

  • PCP/Specialist: $40/$80  
  • Deductible, Coinsurance: $3,350/$6,700, 50%
  • Max OOP: $9,200/$18,400
  • Rx: $25/$75/$90 after $200/member Rx deductible (n/a Tier 1) - Base



ANTHEM BLUE ACCESS SILVER EPO HSA 3300

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

PLAN RATES (MONTHLY)

Employee
$1,090.54
Employee/Spouse (DP)
$2,175.12
Employee/Child(ren)
$1,849.74
Family (DP)
$3,097.02

PLAN HIGHLIGHTS

  • PCP/Specialist: Deductible then $20/$50
  • Deductible, Coinsurance: $3,300/$6,600, 30%
  • Max OOP: $8,000/$16,000
  • Rx: Deductible then $10/30%/30% - Base

ANTHEM CONNECTION SILVER EPO 40/80

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

PLAN RATES (MONTHLY)

Employee
$1,122.36
Employee/Spouse (DP)
$2,238.78
Employee/Child(ren)
$1,903.86
Family (DP)
$3,187.73

PLAN HIGHLIGHTS

  • PCP/Specialist: $40/$80
  • Deductible, Coinsurance: $3,350/$6,700, 50%
  • Max OOP: $9,200/$18,400
  • Rx: $25/$75/$90 after $200/member Rx deductible (n/a Tier 1) - Advantage

ANTHEM CONNECTION SILVER EPO 40/80 G

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

PLAN RATES (MONTHLY)

Employee
$1,088.04
Employee/Spouse (DP)
$2,170.12
Employee/Child(ren)
$1,845.49
Family (DP)
$3,089.89

PLAN HIGHLIGHTS

PCP/Specialist: $40/$80  
Deductible, Coinsurance: $3,350/$6,700, 50%
Max OOP: $9,200/$18,400
Rx: $25/$75/$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.