2019 Simplicity $1,500 Plan Details - HealthPocket

Simplicity $1,500

$289.97/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 NameSimplicity $1,500
Plan IDqhp-31195SD0080001
Plan Year2019
Insurance ProviderSanford Health Plan
Metal LevelGold
Plan TypeHMO
Deductible$1,500
Out-of-Pocket Maximum$3,000
Plan Highlights

Costs for Medical Care

Primary Care Visit to Treat an Injury or Illness$25 Copay
Specialist Visit$50 Copay
Deductible - Family$3000
Out-of-Pocket Maximum - Family$6000

Prescription drug coverage

Generic Drugs$20 Copay
Preferred Brand Drugs$50 Copay
Non-Preferred Brand Drugs$80 Copay
Specialty Drugs40% Coinsurance after deductible

Access to doctors and hospitals

Provider directory URLhttps://www.viiad.com/shp/provider_search_main.asp

Hospital services

Emergency Room Services$300 Copay
Inpatient Hospital Services (e.g., Hospital Stay)20% Coinsurance after deductible
Inpatient Physician and Surgical Services20% Coinsurance after deductible
PremiumPlan NameDeductible
from $230
Avera MyPlan $1,500 / 30% Coinsurance
$1,500.00Select
from $244
Avera MyPlan $1,500 / 20% Coinsurance
$1,500.00Select
from $354
Black 1500
$1,500.00Select
from $363
Blue 1500
$1,500.00Select
from $370
Red 1500
$1,500.00Select
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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
  • 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).