Colorado HSA Plans

HSA plans are available through Anthem Blue Cross, and are easily identifiable since they are in the name of the plan themselves.

Check out our HSA guide for more information about how health savings accounts can help you save money.

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  Anthem Bronze Pathway X HMO 6300 for HSA (1G0S)
Anthem Bronze Pathway X HMO 5000 for HSA (1G0U)
Network name Pathway X Pathway X
Plan includes out-of-network coverage? No No
Individual deductible $6,300 $5,000
Individual out-of-pocket limit $6,550 $6,550
Coinsurance(percentage may vary for some covered services) 0% 25%
Preventive care1 No additional cost to you.
No additional cost to you.
Office visit: primary care physician (PCP)2 (Other office services may be subject to deductible and plan coinsurance) Deductible, then 0% coinsurance
Deductible, then 25% coinsurance
Office visit: specialist(Other office services may be subject to deductible and plan coinsurance) Deductible, then 0% coinsurance
Deductible, then 25% coinsurance
Outpatient diagnostic tests(Ex. X-ray, EKG) Deductible, then 0% coinsurance
Deductible, then 25% coinsurance
Outpatient advanced diagnostic tests(Ex. MRI, CT scan) Deductible, then $200 copay
Deductible, then $250 copay and 25% coinsurance
Urgent care Deductible, then 0% coinsurance
Deductible, then $50 copay and 25% coinsurance
Emergency room care(Copay waived if admitted into the hospital from the emergency room.) Deductible, then 0% coinsurance
Deductible, then $500 copay and 25% coinsurance
Hospital: inpatient admission(includes maternity, mental health / substance use) Deductible, then 0% coinsurance
Deductible, then 25% coinsurance
Hospital: outpatient surgery hospital facility
(includes maternity, mental health / substance use)
Deductible, then 0% coinsurance
Deductible, then 25% coinsurance
     
Pharmacy deductible(for tiers with deductible, cost share applies after deductible) Level 1 / Level 2 Pharmacy
Tier 1, 2, 3, 4: Medical deductible applies
Level 1 / Level 2 Pharmacy
Tier 1, 2, 3, 4: Medical deductible applies
Retail pharmacy tier 13: level 1 / level 2 0% coinsurance / 10% coinsurance
25% coinsurance / 35% coinsurance
Retail pharmacy tier 23: level 1 / level 2 0% coinsurance / 10% coinsurance
25% coinsurance / 35% coinsurance
Retail pharmacy tier 33: level 1 / level 2 0% coinsurance / 50% coinsurance
25% coinsurance / 50% coinsurance
Retail pharmacy tier 4: level 1 / level 2 0% coinsurance / 50% coinsurance
25% coinsurance / 50% coinsurance
Physical and occupational therapy4 (limits apply) Deductible, then 0% coinsurance
Deductible, then 25% coinsurance
Speech therapy4 (limits apply) Deductible, then 0% coinsurance
Deductible, then 25% coinsurance