ANCHOR DIAMOND
As seen on
At the point of care
What you'll actually pay
when you use it.
- Preventive careAnnual wellness, screenings, vaccines
- Office visitsYour doctor, in the network
- The same copay every timeDeductible waived on the visit
- Specialist visitsNo referral needed
- No coinsurance on the visitYou pay the copay, not a percentage of the bill
- Emergency room visitA flat $500 copay
- Urgent care is $50Deductible waived. Not an emergency, but it can't wait
This is a PPO plan, so care outside the network is covered too, at a bigger share: you pay 70% after a separate $0 individual / $0 family out-of-network deductible, up to a $14,000 / $28,000 out-of-network maximum.
Emergency room care and urgent care cost the same in or out of network. Out of network, a provider can also bill you for the difference between their charge and what the plan pays, so the team can check your doctors by name before you enroll.
High-cost services
Don’t sweat the big stuff.
70% coverage right away,
100% coverage after your $7,000 max out of pocket.
In network, and subject to plan terms, limitations, exclusions and plan policies. Pre-certification is required on hospital stays, surgery and imaging; a $500 penalty applies when it is not obtained.
Prescription coverage
Simple, flat copays
for your drugs.
- No copayGeneric equivalents on the plan's drug list, deductible waived
- Mail order$0 per prescription
- Flat copayBrand drugs on the plan's preferred list, deductible waived
- Mail order$105 per prescription
- Flat copayBrand drugs outside the preferred list, deductible waived
- Mail order$225 per prescription
Copays apply to covered prescriptions filled at a participating pharmacy. The copays above are retail, 30-day prices; mail-order copays are shown where they differ. Prior authorization may be required on certain drugs. Prescription benefits are subject to the plan formulary, plan terms, limitations and exclusions.
Monthly rates
Straightforward pricing,
No-surprises coverage.
Rates are quoted monthly and remain subject to eligibility, underwriting, plan changes and final approval.
For your records
The Summary of Benefits and Coverage, in writing.
Every copay, every covered service and every limit, in the plan's own words. The Anchor Diamond document is being finalized now and will be posted here. If anything on this page and the plan documents disagree, the plan documents win.
Do your research
Go ahead, look us up.
Three steps, and the plan is yours.
One call, (817) 205-6257. Ask anything, no pressure.
The team walks you through it, right on the phone.
And never on your own. The team sticks with you after you enroll, for every question, every claim, every step.
Quick answers
Asked all the time.
This is a PPO plan, so you can see providers in and out of network, and you pay the least in network. The team can check your doctor, your hospital and your pharmacy by name before you enroll.
Fast. But start dates come with real deadlines, and they vary. The sooner you call, the sooner you're covered.
There is nothing to pay down first. Doctor visits are a flat copay, and on the big stuff the plan pays 70% from the first dollar and you pay 30%, until you reach $7,000 ($14,000 family). Then it is 100%.
ready when you are
Questions about Anchor Diamond?
The team picks up.
Call the team: (817) 205-6257 · thehealthyinsurancedude.com