Anthem Tier 2 Copay

Posted : admin On 1/29/2022
  • Tier 1 Tier 2 Copay Copay Tier 3 Copay Tier 4 Copay. Up to a 30-day medication supply at participating pharmacies. Anthem Blue Cross and its affiliate.
  • Each drug tier has a set copay or coinsurance cost. Here's an example of how the tiers may work: Tier 1: Preferred Generic. These are usually the lowest cost generic versions of brand-name drugs. Tier 2: Generic. These are usually higher-cost generic drugs. Tier 3: Preferred Brand.

Plan Information:

Anthem Tier 2 Copay
  • Premiums, Deductibles, and Copays vary by state.
  • Deductible is waived for Tier 1 and 2 Prescriptions. Applies to Tier 3-5 medications.

Please reference your personal Rx Report by provided by HTA which shows the plan premium, copays by tier ranking, specific costs and and drug limits or restrictions for your current medication list.

Pharmacies

  • Mail Order Pharmacy Information (click highlighted link to see details).
    • $0 copay on Tier 1 90 day Mail Order Prescriptions
  • Preferred Pharmacy Search:
    • Preferred pharmacies include: Albertsons/Safeway, Bartell Drugs, CVS Pharmacy, Costco, Giant Eagle Pharmacy, Harris Teeter Pharmacy, H-E-B PHARMACY, Kinney Drugs, Kroger, Publix, Roundy‚Äôs, Walmart and more than 5,000 independent pharmacies

Plan Documents

Copay

Tier 1 Copay Tier 2 Copay Tier 3 Copay Up to a 30-day medication supply at participating retail pharmacies $15 $30 The greater of $60 or 20% coinsurance with a $200 prescription maximum Up to a 90-day medication supply delivered to your home $15 $60 The greater of $180 or 20% coinsurance with a $400 prescription maximum.

  • Summary of Benefits- click on your resident state below
  • Carrier Star Ratings

This Anthem Blue Cross plan does offer additional coverage through the gap. H0544-062 Formulary or Drug Coverage. Anthem MediBlue Plus (HMO) formulary is divided into tiers or levels of coverage based on usage and according to the medication costs. Each tier will have a defined copay that you must pay to receive the drug. 5 Home delivery pharmacy cost shares are 3 times the retail copay for Tier 1 drugs and 3 times the retail copay for Tier 2 drugs when the plan has retail pharmacy copays. Anthem Healthkeepers Silver 5300 Online Plus (5JXQ) is only available in the following counties/cities - The counties of Albemarle.

All Medicare Prescription Drug Plans have 4 Stages of Coverage.

Please click on the link for more details and a short video overview on Medicare Prescription Drug Plans and Stages.

Medical Deductible

Individual:
N/A
Family:
N/A
Per Person:
N/A

Drug Deductible

Individual:
N/A
Family:
N/A
Per Person:
N/A

Medical & Drug Deductible

Individual:
$6,250
Family:
$12500
Per Person:
$6250

Medical Max Out-of-Pocket

Individual:
N/A
Family:
N/A
Per Person:
N/A

Drug Max Out-of-Pocket

Individual:
N/A
Family:
N/A
Per Person:
N/A

Medical & Drug Max Out-of-Pocket

Individual:
$8,150
Family:
$16300
Per Person:
$8150

Eligible Locations

What Is My Copay Anthem

County

Anthem Tier 2 Copay

Accomack; Albemarle; Alleghany; Amelia; Amherst; Appomattox; Augusta; Bath; Bedford; Bland; Botetourt; Bristol City; Brunswick; Buchanan; Buckingham; Buena Vista City; Campbell; Caroline; Carroll; Charles City; Charlotte; Charlottesville City; Chesapeake City; Chesterfield; Clarke; Colonial Heights City; Covington City; Craig; Culpeper; Cumberland; Danville City; Dickenson; Dinwiddie; Emporia City; Essex; Fauquier; Floyd; Fluvanna; Franklin City; Franklin; Frederick; Fredericksburg City; Galax City; Giles; Gloucester; Goochland; Grayson; Greene; Greensville; Halifax; Hampton City; Hanover; Harrisonburg City; Henrico; Henry; Highland; Hopewell City; Isle of Wight; James City; King George; King William; King and Queen; Lancaster; Lee; Lexington City; Loudoun; Louisa; Lunenburg; Lynchburg City; Madison; Manassas City; Manassas Park City; Martinsville City; Mathews; Mecklenburg; Middlesex; Montgomery; Nelson; New Kent; Newport News City; Norfolk City; Northampton; Northumberland; Norton City; Nottoway; Orange; Page; Patrick; Petersburg City; Pittsylvania; Poquoson City; Portsmouth City; Powhatan; Prince Edward; Prince George; Prince William; Pulaski; Radford; Rappahannock; Richmond City; Richmond; Roanoke City; Roanoke; Rockbridge; Rockingham; Russell; Salem; Scott; Shenandoah; Smyth; Southampton; Spotsylvania; Stafford; Staunton City; Suffolk City; Surry; Sussex; Tazewell; Virginia Beach City; Warren; Washington; Waynesboro City; Westmoreland; Williamsburg City; Winchester City; Wise; Wythe; York

Va Tier Copay

Valid in these Zip Codes

Anthem Copay Waiver

Fairfax: 22199 , 22183 , 22182 , 22181 , 22180 , 22124 , 22109 , 22108 , 22107 , 22106 , 22103 , 22102 , 22101 , 22096 , 22095 , 22079 , 22067 , 22066 , 22039 , 22035 , 22033 , 22030 , 20196 , 20195 , 20194 , 20192 , 20191 , 20190 , 20172 , 20171 , 20170 , 20153 , 20151 , 20124 , 20122 , 20121 , 20120