Anthem $3,000 Mid PPO 88F3

In-Network Deductible

(Individual/Family)

$3,500/$7,000

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In-Network Out-of-Pocket Maximum

(Individual/Family)

$6,350/$12,700

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Office Visits (PCP/Specialist)

$30/$50

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Prescription Drugs

Tier 1/Generic: $5-$20

Tier 2/Brand:  $40

Tier 3/Non-Preferred:  $60

Tier 4/Specialty:  30% to $250