2019 Medica Insure Bronze Copay Plan Details - HealthPocket

Medica Insure Bronze Copay

$484.56/mo

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Zip Code68104
Applicant9/17/1984 Male
Coverage Start9/18/2019
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Benefits & Coverage

Insurance TypeACA (Obamacare)
Plan NameMedica Insure Bronze Copay
Plan IDqhp-20305NE0010005
Plan Year2019
Insurance ProviderMedica
Metal LevelBronze
Plan TypePPO
Deductible$6,850
Out-of-Pocket Maximum$7,350
Personal Score

Plan Highlights

Costs for Medical Care

Primary Care Visit to Treat an Injury or Illness$80 Copay
Specialist Visit$150 Copay
Deductible - Family$13700
Out-of-Pocket Maximum - Family$14700

Prescription drug coverage

Generic Drugs$20 Copay
Preferred Brand Drugs50% Coinsurance after deductible
Non-Preferred Brand Drugs70% Coinsurance after deductible
Specialty Drugs30% Coinsurance after deductible

Access to doctors and hospitals

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

Hospital services

Emergency Room Services50% Coinsurance after deductible
Inpatient Hospital Services (e.g., Hospital Stay)50% Coinsurance after deductible
Inpatient Physician and Surgical Services50% Coinsurance after deductible
PremiumPlan NameDeductible
from $369
Medica with CHI Health Bronze Copay
$6,850.00Select
from $374
Elevate by Medica Bronze Copay
$6,850.00Select
from $440
Medica Insure Bronze Copay
$6,850.00Select
from $452
Medica with CHI Health Bronze Copay
$6,850.00Select
from $457
Elevate by Medica Bronze Copay
$6,850.00Select
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  • Phone Number
    (402) 558-8100
  • Office Locations
    6069 Maple St
    Omaha, NE 68104
6069 Maple St Omaha NE, 68104
  • What is a bronze plan?

    Bronze Plan is a type of Metal Plan on the Health Insurance Marketplace. Bronze Plans qualify for Tax Credits and have low premiums. Generally speaking, a Bronze Plan is intended to have the lowest premium of the 4 new categories of health plans under the Affordable Care Act but charge the highest out-of-pocket costs for healthcare services.

  • How are Bronze 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 Bronze Plan pays 60% of the covered medical costs among its enrollees while the other Obamacare health plans pay a higher percentage of these costs.

  • How much does a Bronze Plan cost?

    The monthly premium for a Bronze 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 the region in which you live. You can use HealthPocket’s comparison tool to compare Bronze Plan premiums in your area. Another important factor to remember is Advanced Premium Tax Credits which can subsidize bronze plan premiums if an individual meets eligibility criteria.

  • When Can I Enroll in a Bronze Plan?

    The annual enrollment period for the 2018 plan year will begin on November 1, 2017 and continue through December 15, 2017.

    In 2015 there had been a Special Enrollment Period for many facing the uninsured penalty on their 2014 tax return. There is no guarantee that a similar Special Enrollment Period will be granted in 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, 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)