Benefits & Coverage

Insurance Type
Individual Health Insurance (Obamacare)
Insurance Provider
Metal Level
Platinum
Plan Type
POS
Deductible
$NaN
Out-of-Pocket Maximum
$NaN
Plan Highlights

Cost & Coverage

Estimated Monthly Base Rate
Estimated monthly premium starts at $203.94
Deductible
Individual: $NaN
Family: $NaN
In-Network Out-of-Pocket Limit
Individual: $NaN
Family: $NaN
Is this plan Health Savings Account (HSA) eligible?
No
How can I find a doctor in this plan's network?
Plan Type
POS

Health Services Options

Service
In Network
Out of Network
Primary care physician office visit
$10 Copay
Specialist
$50 Copay
Hospital facility fee
$250 Copay per Day
Emergency Room
$200 Copay

Drug Services

Generic Drugs
Coverage: $3 Copay
Specialty Drugs
Coverage: 40% Coinsurance
What drugs are covered in the formulary?

Mental Health or Substance Abuse Services

Service
In Network
Out of Network

Maternity Services

Service
In Network
Out of Network

Coverage Options Summary

Included Benefits
  • Non-preferred brand drugs

What To Know

  • This is an ACA (Obamacare) compliant health plan.
  • This plan is eligible for a tax credit subsidy

Physician Directory

List of doctors that accepts Marketplace Extra 1 Obamacare Plan in Pennsylvania

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