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MyAnthem
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Find a Doctor
Search our provider directory when you need a doctor, hospital, pharmacy or other health care provider.
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360° Health®
A total-health solution that surrounds everyone with the help they need to live healthier, feel better and save money doing it.
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Lumenos® HSA Plan
PW_AD091469
With a Lumenos® Health Savings Account (HSA) plan, the medical plan is compatible with an account called a Health Savings Account, or HSA, which you can use to help pay for prescriptions and other covered eligible medical expenses. Unused dollars are saved from year to year to reduce the amount you may have to pay out-of-pocket in future years. And the money in your HSA is yours to keep – it’s never forfeited, even if you leave the health care plan. The Lumenos HSA plan offers all the benefits of a typical PPO health plan, plus more – including the potential tax advantages for contributions to and withdrawals from your HSA (within IRS limits and requirements).
Our Lumenos site takes you step-by-step through the benefits, provides sample profiles to illustrate how the plans work, includes tools to help you estimate costs, and explains how the HSA plan may provide you with an opportunity for tax savings.
For more about Lumenos plans and benefits, exclusions and limitations, please view the Lumenos brochure (PDF): Lumenos® Brochure. If you need help choosing a plan, we are here to answer your questions. E-mail a Licensed Agent or call 1-866-503-2829, Monday through Thursday from 8:30 to 6:00, and until 4:30 on Friday, or contact your local Anthem Sales Representative. Eligible for Medicare? Please call: 1-800-238-1143.
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Lumenos® HSA Plan
The chart below contains a brief summary of benefits and is not intended to be a full disclosure of benefits.
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Lumenos HSA Plan
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Deductible Choices
(Individual/Family; per covered person, per calendar year; applies to services in-and out-of-network combined)
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$2,000 / $4,000*
$2.500 / $5,000*
$3,500 / $7,000
$5,000 / $10,000
$5,950 / $11,900
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Out-of-State Benefits
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Yes
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Out-of-Network Benefits
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Yes -subject to higher coinsurance
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Lifetime Maximum
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Unlimited In-Network;
$1,000,000 Out-of-Network
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Covered Services
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In-Network
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Preventive Care
(including routine physicals)
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Yes**
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Office Visits
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No charge after deductible*
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Specialist Visits
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No charge after deductible for all these services*
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Lab /X-Rays
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Diagnostic Services
(MRI, MRA, CAT, CTA, PET and SPECT)
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Outpatient Surgery (in a hospital or surgi-center)
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Hospitalization
• Office Visit
• Outpatient Hospital
• Inpatient Hospital
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Emergency Room
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Maternity Care
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Not covered
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Prescription Drugs
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No charge after deductible*
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For More Information
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