Engage by Medica Gold Copay Plus Plan Details for 2020- HealthPocket

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Zip Code53215
Applicant2/28/1985 Male

Benefits & Coverage

Insurance TypeACA (Obamacare)
Plan NameEngage by Medica Gold Copay Plus
Plan IDqhp-57845WI0030019
Plan Year2019
Insurance ProviderMedica
Metal LevelGold
Plan TypePPO
Deductible$1,000
Out-of-Pocket Maximum$5,000
Plan Highlights

Costs for Medical Care

Primary Care Visit to Treat an Injury or Illness$30 Copay
Specialist Visit$30 Copay
Deductible - Family$3000
Out-of-Pocket Maximum - Family$10000

Prescription drug coverage

Generic Drugs$5 Copay
Preferred Brand Drugs$35 Copay
Non-Preferred Brand Drugs$150 Copay
Specialty Drugs$250 Copay

Access to doctors and hospitals

Provider directory URLhttps://www.medica.com/engageproviders

Hospital services

Emergency Room Services$150 Copay
Inpatient Hospital Services (e.g., Hospital Stay)$250 Copay
Inpatient Physician and Surgical Services30% Coinsurance after deductible
PremiumPlan NameDeductible
from $361
Medica Individual Choice Gold Copay
$900.00Select
from $409
Atlas $1000 w/Copay Gold
$1,000.00Select
from $432
Engage by Medica Gold Copay
$900.00Select
from $441
Medica Individual Choice Gold Copay
$900.00Select
from $503
Atlas $1000 w/Copay Gold
$1,000.00Select
/
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  • Phone Number
    (414) 385-3086
  • Office Locations
    2901 W Kinnickinnic River Pkwy
    Milwaukee, WI 53215
2901 W Kinnickinnic River Pkwy Milwaukee WI, 53215
  • What is the Gold Plan?

    ObamaCare’s Gold Plan is a type of Metal Plan on the Health Insurance Marketplace. Gold Plans qualify for Tax Credits, have high premiums, and good cost sharing. Gold plans mean higher premiums, less Tax Credits, but much better cost sharing on average than Silver or Bronze.

  • How are Gold Plans different than other Obamacare health plans?

    The fundamental difference among the new Obamacare health plans is the percentage of covered medical costs paid by the health plan. The Gold Plan typically pays 80% of covered medical costs.

  • How much does a Gold Plan cost?

    The monthly premium for a Gold Plan depends on the insurer from whom you purchase the plan, the number of people to be insured by the plan, your age, whether you smoke, and your geographic region. You can use HealthPocket’s comparison tool to compare Gold Plan premiums in your area.

  • When Can I Enroll in a Gold Plan?

    The Open Enrollment period for the 2018 Affordable Care Act health plans begins November 1, 2017 and ends December 15, 2017. See our Open Enrollment article for more information.

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HealthPocket is a free information source designed to help consumers find medical coverage. Whether you are looking for Medicare, or an individual and family 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 part of the Health Insurance Innovations, Inc. family of companies (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, or an individual and family 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 part of the Health Insurance Innovations, Inc. family of companies (NASDAQ: HIIQ).