2019 IHC Bronze EPO HSA AmeriHealth Advantage $25/$50 Plan Details - HealthPocket

IHC Bronze EPO HSA AmeriHealth Advantage $25/$50

$217.98/mo

Apply For This Plan

Zip Code08701
Applicant7/16/1984 Male
Coverage Start7/17/2019
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Benefits & Coverage

Insurance TypeACA (Obamacare)
Plan NameIHC Bronze EPO HSA AmeriHealth Advantage $25/$50
Plan IDqhp-91762NJ0070097
Plan Year2019
Insurance ProviderAmeriHealth
Metal LevelExpanded Bronze
Plan TypeEPO
Deductible$3,000
Out-of-Pocket Maximum$6,750
Personal Score

Plan Highlights

Costs for Medical Care

Primary Care Visit to Treat an Injury or Illness$25 Copay
Specialist Visit$50 Copay
Laboratory Outpatient and Professional Services50.00% Coinsurance after deductible
X-rays and Diagnostic Imaging50.00% Coinsurance after deductible
Deductible - Family$6000
Out-of-Pocket Maximum - Family$13500

Prescription drug coverage

Generic Drugs50% Coinsurance after deductible
Preferred Brand Drugs50% Coinsurance after deductible
Non-Preferred Brand Drugs50% Coinsurance after deductible
Specialty Drugs50% Coinsurance after deductible

Access to doctors and hospitals

Provider directory URLComing Soon

Hospital services

Emergency Room Services30% Coinsurance after deductible
Inpatient Hospital Services (e.g., Hospital Stay)30% Coinsurance after deductible
Inpatient Physician and Surgical Services30% Coinsurance after deductible

Maternity

Prenatal and Postnatal CareNot Applicable

Mental Health

Mental/Behavioral Health Outpatient ServicesNot Applicable
Mental/Behavioral Health Inpatient Services30.00% Coinsurance after deductible

Vision Coverage

Routine Eye Exam for ChildrenNot Applicable
Eye Glasses for ChildrenNot Applicable

Exclusions and Limitations

More Included BenefitsNutritional Counseling
Reconstructive Surgery
Diabetes Care Management
Inherited Metabolic Disorder - PKU
Off Label Prescription Drugs
Dental Anesthesia
Mental Health Other
Prescription Drugs Other
Second Opinion
Autism Spectrum Disorders
Cancer Treatments
Domestic Violence Treatment
Infant Formulas
Sickle Cell Anemia
Third Opinion
Treatment of Hemophilia
Wilm's Tumor
Other Practitioner Office Visit (Nurse, Physician Assistant)
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)
Outpatient Surgery Physician/Surgical Services
Hospice Services
Urgent Care Centers or Facilities
Home Health Care Services
Infertility Treatment
Private-Duty Nursing
Inpatient Physician and Surgical Services
Bariatric Surgery
Skilled Nursing Facility
Outpatient Rehabilitation Services
Habilitation Services
Chiropractic Care
Durable Medical Equipment
Hearing Aids
Imaging (CT/PET Scans, MRIs)
Preventive Care/Screening/Immunization
Rehabilitative Speech Therapy
Rehabilitative Occupational and Rehabilitative Physical Therapy
Well Baby Visits and Care
Abortion for Which Public Funding is Prohibited
Transplant
Accidental Dental
Dialysis
Allergy Testing
Chemotherapy
Radiation
Diabetes Education
Prosthetic Devices
Infusion Therapy
Treatment for Temporomandibular Joint Disorders
More Excluded BenefitsLong-Term/Custodial Nursing Home Care
Cosmetic Surgery
Routine Foot Care
Acupuncture
Weight Loss Programs
Dental Check-Up for Children
PremiumPlan NameDeductible
from $231
IHC Bronze EPO HSA AmeriHealth Hospital Advantage $50/$75
$3,000.00Select
from $242
Oscar Classic Bronze
$3,000.00Select
from $266
IHC Bronze EPO HSA AmeriHealth Advantage $25/$50
$3,000.00Select
from $278
OMNIA Bronze HSA
$3,000.00Select
from $282
IHC Bronze EPO HSA AmeriHealth Hospital Advantage $50/$75
$3,000.00Select
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  • Phone Number
    (732) 364-2144
  • Office Locations
    1771 Madison Ave
    Lakewood, NJ 08701
1771 Madison Ave Lakewood NJ, 08701

HealthPocket is a free information source designed to help consumers find medical coverage. Whether you are looking for Medicare, Medicaid or an individual health insurance plan, we will help you find the right healthcare option and save on your out of pocket healthcare costs. We receive our data from government, non-profit and private sources, and you should confirm key provisions of your coverage with your selected health plan. If you select a plan presented on our site, you will be directed (via a click or a call) to one of our partners who can help you with your application. Our website is not a health insurance agency and not affiliated with and does not represent or endorse any health plan. HealthPocket, Inc. is a wholly owned subsidiary of Health Plan Intermediaries Holdings LLC (NASDAQ: HIIQ)

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HealthPocket is a free information source designed to help consumers find medical coverage. Whether you are looking for Medicare, Medicaid or an individual health insurance plan, we will help you find the right healthcare option and save on your out of pocket healthcare costs. We receive our data from government, non-profit and private sources, and you should confirm key provisions of your coverage with your selected health plan. If you select a plan presented on our site, you will be directed (via a click or a call) to one of our partners who can help you with your application. Our website is not a health insurance agency and not affiliated with and does not represent or endorse any health plan. HealthPocket, Inc. is a wholly owned subsidiary of Health Plan Intermediaries Holdings LLC (NASDAQ: HIIQ)