SAHA Southwest Bronze Connect 8150 Plan Details for 2021- HealthPocket

ZIP Code
County
Applicant Info
Applicant
Date of birth
//
Gender
male
female
Income
$

Apply For This Plan

Zip Code	83709 (edit)
Applicant	1/26/1986 Male (edit)

Insurance Type	ACA (Obamacare)
Plan Name	SAHA Southwest Bronze Connect 8150
Plan ID	hhs-61589ID2360110
Plan Year	2020
Insurance Provider	Blue Cross of Idaho
Metal Level	Expanded Bronze
Plan Type	POS
Deductible	$8,150
Out-of-Pocket Maximum	$8,150
Plan Highlights

Costs for Medical Care
Primary Care Visit to Treat an Injury or Illness	$40 Copay
Specialist Visit	$65 Copay
Laboratory Outpatient and Professional Services	No Charge after deductible
X-rays and Diagnostic Imaging	No Charge after deductible
Diagnostic Imaging such as MRIs, CT, and PET scans	No Charge after deductible
Deductible - Family	$16300 per group
Out-of-Pocket Maximum - Family	$16300 per group

Prescription drug coverage
Generic Drugs	$15 Copay
Preferred Brand Drugs	$35 Copay
Non-Preferred Brand Drugs	$50 Copay
Specialty Drugs	50.00% Coinsurance

Access to doctors and hospitals
Provider directory URL	https://www.bcidaho.com/BCI_V2/prov_directory/prov_dir_criteria.aspx
Does this plan have access to a national provider network?	Yes
Is a referral required to see a Specialist?	Yes - Allergy/Immunology, Audiologist, Cardiology, Cardiothoracic Surgery, Colorectal Surgery, Dermatology, Endocrinology, ENT/Otolaryngology, Gastroenterology, General Surgery, Hand Surgery, Hepatologist, Infectious Disease, Nephrology, Neurology, Neurosurgery, Oncology/Hematology, Oral Surgery, Ophthalmology, Orthopedics, Pain Management, Perinatologist, Plastic Surgery, Podiatry, Proctology, Psychiatry, Pulmonology, Rheumatology, Thoracic Surgery, Urology, Vascular Surgery
Does this plan cover services outside plan service area?	Yes - In these situations, the enrollee may be responsible for the difference between the amount that the non-participating healthcare provider bills and the payment BCI will make for the covered services.
Does this plan cover services outside the country?	Yes - The benefits available under this contract are also available to members traveling or living outside the United States. The inpatient notification and prior authorization requirements will apply.

Hospital services
Emergency Room Services	No Charge after deductible
Inpatient Hospital Services (e.g., Hospital Stay)	No Charge after deductible
Inpatient Physician and Surgical Services	No Charge after deductible
Emergency Transportation or Ambulance Service	No Charge after deductible

Maternity
Prenatal and Postnatal Care	No Charge after deductible
Delivery and all inpatient services for maternity care	No Charge after deductible

Mental Health
Mental/Behavioral Health Outpatient Services	$40 Copay
Mental/Behavioral Health Inpatient Services	No Charge after deductible
Substance use disorder outpatient services	$40 Copay
Substance use disorder inpatient services	No Charge after deductible

Medical Management Programs
Does this plan offer disease managment programs?	Asthma, Depression, Diabetes, Heart Disease, High Blood Pressure & High Cholesterol, Pregnancy, Weight Loss Programs
Does this plan offer a wellness program?	Not Covered

Vision Coverage
Routine Eye Exam for Children	Included
Eye Glasses for Children	Included
Routine Eye Exam for Adults	Not Covered

Child Dental Coverage
Child Dental Coverage - Routine Dental Care	Not Covered
Child Dental Coverage - Basic Dental Care	Not Covered
Child Dental Coverage - Orthodontia	Not Covered
Child Dental Coverage - Major Dental Care	Not Covered

Adult Dental Coverage
Adult Dental Coverage - Routine Dental Care	Not Covered
Adult Dental Coverage - Basic Dental Care	Not Covered
Adult Dental Coverage - Orthodontia	Not Covered
Adult Dental Coverage - Major Dental Care	Not Covered

Exclusions and Limitations
More Included Benefits	Other Practitioner Office Visit (Nurse, Physician Assistant) Preventive Care/Screening/Immunization Imaging (CT/PET Scans, MRIs) Outpatient Facility Fee (e.g., Ambulatory Surgery Center) Outpatient Surgery Physician/Surgical Services Urgent Care Centers or Facilities Inpatient Physician and Surgical Services Home Health Care Services Durable Medical Equipment Hospice Services Accidental Dental Allergy Testing Chemotherapy Diabetes Education Dialysis Infusion Therapy Laboratory Outpatient and Professional Services Prosthetic Devices Radiation Reconstructive Surgery Rehabilitative Occupational and Rehabilitative Physical Therapy Rehabilitative Speech Therapy Transplant Well Baby Visits and Care Outpatient Facility Fee (e.g., Ambulatory Surgery Center)
More Limited Benefits	Skilled Nursing Facility Hearing Aids Outpatient Rehabilitation Services Habilitation Services Chiropractic Care Nutritional Counseling
More Excluded Benefits	Acupuncture Bariatric Surgery Cosmetic Surgery Infertility Treatment Long-Term/Custodial Nursing Home Care Private-Duty Nursing Weight Loss Programs Dental Check-Up for Children Routine Foot Care Abortion for Which Public Funding is Prohibited Treatment for Temporomandibular Joint Disorders

+ See All Coverage Details

Premium	Plan Name	Deductible
from $323	SLHP Bronze Care on Demand 8000	$8,000.00	Select
from $331	IAFN Bronze Care on Demand 8000 POS	$8,000.00	Select
from $367	Bronze Care on Demand 8000	$8,000.00	Select

Last Name

Location/Distance

Please select the correct zip

Scott, Shappard

John, Mohr

Gregory, Lewer

Marnie, Ririe

Nicole, Lafleur

Lisa, Fernandez

Huiling, Qi

Allison, Erdmann

Jayme, Rossow

Lynze, Robison

Brittney, Davis

Thomas, Stinson

Foxtail Speech Services Llc

View All Details

Mobility Systems

View All Details

Vision Quest Medical Center, Pa

View All Details

Elena, Stamm

View All Details

We Are Better Together, Llc

View All Details

Mallory, Barber

View All Details

Maple Grove Eyecare Pc

View All Details

Jason, Detwiler

View All Details

Kimberly Hinrichs Pllc

View All Details

Kathryn, Beckman

View All Details

Scott Shappard, DO

View All Details

Phone Number
(208) 302-5600
Office Locations
10255 W. Overland Rd
Boise, ID 83709

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 Benefytt Technologies, Inc. family of companies.

ZIP Code
County
Applicant Info
Applicant
Date of birth
//
Gender
male
female
Income
$

Health Plans Found

Sort by

We do not have any data on plans available in your area. Please contact www.healthcare.gov.

HealthPocket.com provides information on insurance products. If you choose to obtain a quote or apply for an insurance plan, you may be transferred to a partner website to complete your request. Always review the privacy and terms of use of the partner website.

SAHA Southwest Bronze Connect 8150

Apply For This Plan

Benefits & Coverage

Costs for Medical Care

Prescription drug coverage

Access to doctors and hospitals

Hospital services

Maternity

Mental Health

Medical Management Programs

Vision Coverage

Child Dental Coverage

Adult Dental Coverage

Exclusions and Limitations

Similar Plans

Physician Finder

Related Articles

Related Searches

Apply For This Plan

Health Plans Found