Anthem MediBlue Rx Plus (PDP)
Anthem MediBlue Rx Plus (PDP) S5596-057 Plan Details
Anthem MediBlue Rx Plus (PDP) is a plan offered by Anthem Inc..
Plan ID: S5596-057.
$60.20
Monthly Premium
Anthem MediBlue Rx Plus (PDP) is a plan offered by Anthem Inc..
Plan ID: S5596-057.
Wisconsin Counties Served
Adams
Brown
Burnett
Columbia
Green
Kenosha
Ashland
Barron
Bayfield
Buffalo
Calumet
Chippewa
Clark
Crawford
Dane
Dodge
Door
Douglas
Dunn
Eau Claire
Florence
Fond Du Lac
Forest
Gogebic
Grant
Green Lake
Iowa
Iron
Jefferson
Juneau
Kewaunee
La Crosse
Lafayette
Langlade
Lincoln
Manitowoc
Marathon
Marinette
Marquette
Menominee
Milwaukee
Monroe
Oconto
Oneida
Outagamie
Ozaukee
Pepin
Pierce
Polk
Portage
Price
Racine
Richland
Rock
Rusk
Saint Croix
Sauk
Sawyer
Shawano
Sheboygan
Taylor
Trempealeau
Vernon
Vilas
Walworth
Washburn
Washington
Waukesha
Waupaca
Waushara
Winnebago
Wood
Basic Costs and Coverage
| Coverage | Cost |
|---|---|
| Monthly Deductible | $0 |
| Out of Pocket Max |
In-Network: $-1 Out-of-Network: N/A |
| Initial Coverage Limit | $4660 |
| Catastrophic Coverage Limit | $7,400 |
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