2019 Sanford Simplicity SIMPLE CHOICE $6,650 Plan Details - HealthPocket

Sanford Simplicity SIMPLE CHOICE $6,650

$367.23/mo

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Zip Code57106
Applicant10/15/1984 Male
Coverage Start10/16/2019
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Benefits & Coverage

Insurance TypeACA (Obamacare)
Plan NameSanford Simplicity SIMPLE CHOICE $6,650
Plan IDqhp-31195SD0080012
Plan Year2019
Insurance ProviderSanford Health Plan
Metal LevelExpanded Bronze
Plan TypeHMO
Deductible$6,650
Out-of-Pocket Maximum$7,350
Plan Highlights

Costs for Medical Care

Primary Care Visit to Treat an Injury or Illness$35 Copay
Specialist Visit$75 Copay
Deductible - Family$13300
Out-of-Pocket Maximum - Family$14700

Prescription drug coverage

Generic Drugs$35 Copay
Preferred Brand Drugs35% Coinsurance after deductible
Non-Preferred Brand Drugs40% Coinsurance after deductible
Specialty Drugs45% Coinsurance after deductible

Access to doctors and hospitals

Provider directory URLhttps://www3.viiad.com/shp/public/default.asp?SelectedPlan=SHPISP

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 $406
Avera 6750
$6,750.00Select
from $406
Avera 6750
$6,750.00Select
from $415
Avera 6500
$6,500.00Select
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  • Phone Number
    (605) 322-5180
  • Office Locations
    2100 S Marion Rd
    Sioux Falls, SD 57106
2100 S Marion Rd Sioux Falls SD, 57106

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).