Keep Fit 7500

Individual Health Insurance (Obamacare)

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Benefits & Coverage

Plan Name
Keep Fit 7500
Plan ID
15560MI0310004
Plan Year
2013
Insurance Type
Individual Health Insurance (Obamacare)
Plan Type
PPO
Deductible
$7,500
Out-of-Pocket Maximum
$11,000
Plan Highlights

Cost & Coverage

Estimated Monthly Base Rate
Estimated monthly premium starts at $87.71
How many applications are denied?
0% of the applicants were denied
How accurate is this estimate?
0% of the applicants ended up paying a higher amount than the quoted price
Deductible
Individual: $7500
Family: $15000
In-Network Out-of-Pocket Limit
Individual: $11000
Family: $22000
What is included in the in-network out-of-pocket limit?
Deductible + Coinsurance
Is this plan Health Savings Account (HSA) eligible?
No
How can I find a doctor in this plan's network?
Plan Type
PPO

Health Services Options

Service
In Network
Out of Network
Primary care physician office visit
$40 Copay before deductible
Not Covered
Specialist
$40 Copay
Not Covered
Diagnostic Test (X-ray, blood work)
30% Coinsurance after deductible
50% Coinsurance after deductible
Outpatient Facility Fee
30% Coinsurance after deductible
50% Coinsurance after deductible
Outpatient Physician/Surgeon Fee
30% Coinsurance after deductible
50% Coinsurance after deductible
Hospital facility fee
30% Coinsurance after deductible
50% Coinsurance after deductible
Hospital physician/surgeon fee
30% Coinsurance after deductible
50% Coinsurance after deductible
Emergency Room
30% Coinsurance after deductible
30% Coinsurance after deductible

Drug Services

Generic Drugs
Coverage: $10 Copay
Preferred Brand Drugs
Coverage: 50% Coinsurance after deductible
Specialty Drugs
Coverage: 50% Coinsurance after deductible

Mental Health or Substance Abuse Services

Service
In Network
Out of Network
Mental/behavioral health outpatient services
Not Covered
Not Covered
Mental/behavioral health inpatient services
30% Coinsurance after deductible
50% Coinsurance after deductible
Substance use disorder inpatient services
30% Coinsurance after deductible
Not Covered
Substance use disorder outpatient services
30% Coinsurance after deductible
Not Covered

Maternity Services

Service
In Network
Out of Network
Prenatal/postnatal care
Not Covered
Not Covered
Delivery and all inpatient services for maternity care
Not Covered
Not Covered

Coverage Options Summary

Included Benefits
  • Dental care adult
  • Emergency Transportation
  • Habilitation
  • Home health care
  • Hospice
  • Imaging (CT/PET scans, MRIs)
  • Inpatient rehabilitation
  • Non-preferred brand drugs
  • Skilled nursing care
  • Outpatient rehabilitation
  • Preventive care, screening, immunization
  • Urgent Care
Excluded Benefits
  • Acupuncture
  • Bariatric surgery
  • Chiropractic
  • Cosmetic surgery
  • Dental check up children
  • Durable medical equipment
  • Eye exam adult
  • Eye glasses children
  • Hearing Aid
  • Infertility treatment
  • Long Term Care
  • Non-emergency care outside U.S.
  • Other practitioner office visit
  • Private duty nursing
  • Routine eye exam children
  • Routine foot care
  • Routine hearing tests
  • Weight loss program

What To Know

  • 0%of the applicants were denied
  • 0%of the applicants ended up paying a higher amount than the quoted price

Physician Directory

List of doctors that accepts Keep Fit 7500 Plan in Michigan

/
PRECHEL FAMILY CLINIC, PC
16551 W WARREN AVE
DETROIT, MI 48228
SHAH, SAUMEEN
18311 W WARREN AVE
DETROIT, MI 48228
TAYLOR DIAGNOSTIC IMAGING INC
20524 W WARREN AVE
DETROIT, MI 48228
EUBANKS, PRINCE
20526 PLYMOUTH RD
DETROIT, MI 48228
OBEID, ZAFER
16921 W WARREN AVE
DETROIT, MI 48228
SYED AMOUZEGAR, MD,PLLC
16810 W WARREN AVE
DETROIT, MI 48228
AMOUZEGAR, SYED
16810 W WARREN AVE
DETROIT, MI 48228
SAAD, GEORGE
20526 PLYMOUTH RD STE C
DETROIT, MI 48228
PRECHEL, WILLIAM
16551 W WARREN AVE
DETROIT, MI 48228
FOOT AND ANKLE SPECIALTY CLINIC
5525 SCHAEFER RD
DEARBORN, MI 48126
SAFIEDINE, ALI
7243 CHASE RD
DEARBORN, MI 48126
SY, GUAT
17000 HUBBARD DR
DEARBORN, MI 48126
WALTER, RANDALL
HENRY FORD HEALTH SYSTEM
DEARBORN, MI 48126
ACC - WARREN SITE
13840 W WARREN AVE
DEARBORN, MI 48126
JANEVSKI, PETE
HENRY FORD HEALTH SYSTEM
DEARBORN, MI 48126
BANISTER, SUHAIL
4700 SCHAEFER RD
DEARBORN, MI 48126
HAMMOUD, HASSAN
4945 SCHAEFER RD
DEARBORN, MI 48126
MOHAMED, TAHIR
6050 GREENFIELD RD
DEARBORN, MI 48126
WILLIS, VALARY
4900 MERCURY DRIVE
DEARBORN, MI 48126
GHANI, NESRENE
5245 SCHAEFER RD
DEARBORN, MI 48126
AJROUCHE, HUSSEIN
5245 SCHAEFER RD
DEARBORN, MI 48126
ALOOL, MOHANNAD
6050 GREENFIELD RD
DEARBORN, MI 48126
BIG, CECILIA
4900 MERCURY DR
DEARBORN, MI 48126
DOMMETI, PARIMALA
4900 MERCURY DR
DEARBORN, MI 48126
SATTAR, HAMID
6050 GREENFIELD RD
DEARBORN, MI 48126
Details
PRECHEL FAMILY CLINIC, PC
Phone Number
(313) 584-3624
Office Locations
16551 W WARREN AVE
DETROIT, MI 48228
16551 W WARREN AVE DETROIT MI, 48228

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