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.</br />
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 1: level 1 / level 2 0% coinsurance / 10% coinsurance
25% coinsurance / 35% coinsurance
Retail pharmacy tier 2: level 1 / level 2 0% coinsurance / 10% coinsurance
25% coinsurance / 35% coinsurance
Retail pharmacy tier 3: 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 therapy (limits apply) Deductible, then 0% coinsurance
Deductible, then 25% coinsurance
Speech therapy (limits apply) Deductible, then 0% coinsurance
Deductible, then 25% coinsurance