Anthem Blue Cross and Blue Shield

Anthem Bronze Essential 11700 HSA ($0 Select Drugs + Incentives)

Plan ID17575IN0990010
Plan year2027Sold on HealthCare.gov
Plan typeHMONo referral needed
Metal levelExpanded BronzeWorks with an HSA
Sold in85 countiesof 92 in Indiana
Deductible$11,700$23,400 family
Out-of-pocket max$11,700$23,400 family
Primary care visitFree after deductiblein network
Generic drugs0% after deductibleper prescription

19,209 Indiana doctors and facilities in this plan's network · Directory updated Nov 5, 2026 · Monthly premiums are not shown: they depend on age, county and income. NPI Profile does not sell insurance; HealthCare.gov lists premiums and handles enrollment.

Find a doctor in this plan

Where do you want to see a doctor?

What you pay with this plan

In-network costs for one person, from the CMS plan files for 2027. "After deductible" means you pay the full cost until you reach the $11,700 deductible.

Doctor visits

Primary care visit
Free after deductible
Specialist visit
Free after deductible
Nurse practitioner or PA visit
Free after deductible
Preventive care and vaccines
Free
Urgent care
Free after deductible

Prescription drugs

Generic drugs
0% after deductible
Preferred brand drugs
0% after deductible
Non-preferred brand drugs
0% after deductible
Specialty drugs
0% after deductible

Tests and imaging

Lab work
Free after deductible
X-rays
Free after deductible
MRI, CT and PET scans
Free after deductible

Emergencies and hospital

Emergency room
Free after deductible
Ambulance
Free after deductible
Hospital stay
Free after deductible
Outpatient surgery (facility)
Free after deductible

Mental health

Therapy and counseling visits
Free after deductible
Inpatient mental health care
Free after deductible

Pregnancy

Prenatal and postnatal care
Free after deductible
Delivery and hospital stay
Free after deductible

Other care

Physical and occupational therapyLimit: 40 visits a year
Free after deductible
Chiropractic careLimit: 12 visits a year
Free after deductible
Eye exam for childrenLimit: 1 visit a benefit period
Free
Glasses for childrenLimit: 1 item a year
Free
Adult dental
Not covered
$11,760Having a baby (CMS example)
$5,420Managing type 2 diabetes for a year
$2,800A simple fracture
Every service in the plan file (68)
ServiceYou payLimits and notes
Abortion for Which Public Funding is ProhibitedNot covered
Accidental DentalFree after deductible$3,000 a episode
AcupunctureNot covered
Allergy TestingFree after deductible
Bariatric SurgeryNot covered
Basic Dental Care - AdultNot covered
Basic Dental Care - ChildNot covered
ChemotherapyFree after deductible
Chiropractic CareFree after deductible12 visits a year
Cosmetic SurgeryNot covered
Delivery and All Inpatient Services for Maternity CareFree after deductible
Dental AnesthesiaFree after deductible
Dental Check-Up for ChildrenNot covered
Diabetes EducationFree after deductible
DialysisFree after deductible
Durable Medical EquipmentFree after deductible
Emergency Room ServicesFree after deductible
Emergency Transportation/AmbulanceFree after deductible
Eye Glasses for ChildrenFree1 item a year
Generic Drugs0% after deductible
Habilitation ServicesFree after deductible60 visits a year
Hearing AidsNot covered
Home Health Care ServicesFree after deductible100 visits a year
Hospice ServicesFree after deductible
Imaging (CT/PET Scans, MRIs)Free after deductible
Infertility TreatmentNot covered
Infusion TherapyFree after deductible
Inpatient Hospital Services (e.g., Hospital Stay)Free after deductible
Inpatient Physician and Surgical ServicesFree after deductible
Laboratory Outpatient and Professional ServicesFree after deductible
Long-Term/Custodial Nursing Home CareNot covered
Major Dental Care - AdultNot covered
Major Dental Care - ChildNot covered
Mental/Behavioral Health Inpatient ServicesFree after deductible
Mental/Behavioral Health Outpatient ServicesFree after deductible
Non-Preferred Brand Drugs0% after deductible
Nutritional CounselingFree after deductible
Orthodontia - AdultNot covered
Orthodontia - ChildNot covered
Other Practitioner Office Visit (Nurse, Physician Assistant)Free after deductible
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)Free after deductible
Outpatient Rehabilitation ServicesFree after deductible60 visits a year
Outpatient Surgery Physician/Surgical ServicesFree after deductible
Preferred Brand Drugs0% after deductible
Prenatal and Postnatal CareFree after deductible
Preventive Care/Screening/ImmunizationFree
Primary Care Visit to Treat an Injury or IllnessFree after deductible
Private-Duty NursingFree after deductible82 visits a year
Prosthetic DevicesFree after deductible
RadiationFree after deductible
Reconstructive SurgeryFree after deductible
Rehabilitative Occupational and Rehabilitative Physical TherapyFree after deductible40 visits a year
Rehabilitative Speech TherapyFree after deductible20 visits a year
Routine Dental Services (Adult)Not covered
Routine Eye Exam (Adult)Not covered
Routine Eye Exam for ChildrenFree1 visit a benefit period
Routine Foot CareNot covered
Skilled Nursing FacilityFree after deductible90 days a year
Specialist VisitFree after deductible
Specialty Drugs0% after deductible
Substance Abuse Disorder Inpatient ServicesFree after deductible
Substance Abuse Disorder Outpatient ServicesFree after deductible
TransplantFree after deductible
Treatment for Temporomandibular Joint DisordersFree after deductible
Urgent Care Centers or FacilitiesFree after deductible
Weight Loss ProgramsNot covered
Well Baby Visits and CareFree
X-rays and Diagnostic ImagingFree after deductible

How this plan works

HMO: You pick a primary care doctor in the network, and most specialists need a referral from them. Care outside the network is not covered, except emergencies.

Referral for specialists
Not required
Coinsurance
None after the deductible
Works with an HSA
Yes
Network
Anthem Essential and Rx Choice Tiered Network (INN010)
Sold in
85 Indiana countiesEvery county except Clark County, Crawford County, Floyd County, Harrison County, Jefferson County, Scott County, Washington County

Other Anthem Blue Cross and Blue Shield plans on the same network

The same doctors and hospitals, with different costs.

Questions about Anthem Bronze Essential 11700 HSA ($0 Select Drugs + Incentives)

Does Anthem Bronze Essential 11700 HSA ($0 Select Drugs + Incentives) cover my doctor?
Use "Find a doctor in this plan" on this page: choose the city, then the kind of doctor. The list shows providers Anthem Blue Cross and Blue Shield lists in this plan's network for 2027. Directories can be out of date, so call the office to confirm before your visit.
What kind of plan is Anthem Bronze Essential 11700 HSA ($0 Select Drugs + Incentives)?
It is an HMO plan: you pick a primary care doctor in the network, and most specialists need a referral from them. Care outside the network is not covered, except emergencies. It is a Expanded Bronze plan and works with a health savings account (HSA).
How much is a doctor visit with Anthem Bronze Essential 11700 HSA ($0 Select Drugs + Incentives)?
A primary care visit costs Free after deductible. A specialist visit costs Free after deductible. These are in-network costs for one person. "After deductible" means you pay the full cost until you reach the $11,700 deductible.
Where is Anthem Bronze Essential 11700 HSA ($0 Select Drugs + Incentives) sold?
It is sold to people who live in 85 Indiana counties, through HealthCare.gov. Every county except Clark County, Crawford County, Floyd County, Harrison County, Jefferson County, Scott County, Washington County. Anthem Blue Cross and Blue Shield's directory can also list providers outside these counties, such as pharmacies and specialists, but the plan itself is only for people who live in its area.
Why is there no monthly premium on this page?
Premiums depend on your age, county, household size and income, and most people get a subsidy, so a single price would mislead. HealthCare.gov shows the price for your household.

About this data

NPI Profile is not an insurance company, agent or broker, and it does not sell insurance or enroll anyone in a plan. It is a free reference tool built on public files that CMS and insurers publish, to help you compare Marketplace plans and check whether your current or future doctor is in a plan's network. It is not affiliated with CMS, HealthCare.gov, any state exchange or any insurer. Confirm costs and networks with the insurer and the doctor's office, and enroll on HealthCare.gov.

SourceWhat it provides hereSource date
CMS Marketplace public use files (Plan Attributes, Benefits and Cost Sharing, Service Area)This plan's costs, covered services, coverage examples and the counties where it is soldPlan year 2027
Anthem Blue Cross and Blue Shield's provider directoryThe doctors and facilities listed in this plan's network. Only providers with an address in Indiana are counted.Updated November 5, 2026
NPPES NPI registryProvider names, practice addresses and primary specialtiesMatched November 8, 2026
  • Costs are for the standard version of the plan, for one person, in network. People who qualify for cost-sharing reductions pay less.
  • Monthly premiums are not shown: they depend on age, county, household and income. HealthCare.gov lists them for your household.
  • Confirm costs in the plan documents and with the insurer, and confirm with the doctor's office that they take this plan.