2019 Medica Connect Bronze H S A Plus Plan Details - HealthPocket

Medica Connect Bronze H S A Plus

$392.94/mo

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Zip Code66062
Applicant9/19/1984 Male
Coverage Start9/20/2019
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Benefits & Coverage

Insurance TypeACA (Obamacare)
Plan NameMedica Connect Bronze H S A Plus
Plan IDqhp-39520KS0010023
Plan Year2019
Insurance ProviderMedica
Metal LevelExpanded Bronze
Plan TypePPO
Deductible$2,600
Out-of-Pocket Maximum$6,650
Plan Highlights

Costs for Medical Care

Primary Care Visit to Treat an Injury or Illness40% Coinsurance after deductible
Specialist Visit40% Coinsurance after deductible
Deductible - Family$5200
Out-of-Pocket Maximum - Family$13300

Prescription drug coverage

Generic Drugs40% Coinsurance after deductible
Preferred Brand Drugs40% Coinsurance after deductible
Non-Preferred Brand Drugs40% Coinsurance after deductible
Specialty Drugs30% Coinsurance after deductible

Access to doctors and hospitals

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

Hospital services

Emergency Room Services40% Coinsurance after deductible
Inpatient Hospital Services (e.g., Hospital Stay)40% Coinsurance after deductible
Inpatient Physician and Surgical Services40% Coinsurance after deductible
PremiumPlan NameDeductible
from $153
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BlueCare Signature Select
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from $176
BlueCare Signature Select with pediatric dental
$2,500.00Select
from $181
BlueCare Signature
$2,500.00Select
from $183
Silver Integrated $10 Copay POS Kansas Exchange
$2,500.00Select
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  • Phone Number
    (913) 829-8833
  • Office Locations
    15270 W 119th St
    Olathe, KS 66062
15270 W 119th St Olathe KS, 66062

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)