Bronze HSA Plan Details for 2020- HealthPocket

Apply For This Plan

Zip Code37013
Applicant2/17/1985 Male
Apply Now

Benefits & Coverage

Insurance TypeACA (Obamacare)
Plan NameBronze HSA
Plan IDqhp-97906TN0010036
Plan Year2020
Insurance ProviderBright Health
Metal LevelExpanded Bronze
Plan TypeEPO
Deductible$6,850
Out-of-Pocket Maximum$6,850
Plan Highlights

Costs for Medical Care

Primary Care Visit to Treat an Injury or IllnessNo Charge after Deductible
Specialist VisitNo Charge after Deductible
Laboratory Outpatient and Professional ServicesNo Charge after deductible
X-rays and Diagnostic ImagingNo Charge after deductible
Deductible - Family$13700
Out-of-Pocket Maximum - Family$13700

Prescription drug coverage

Generic DrugsNo Charge after Deductible
Preferred Brand DrugsNo Charge after Deductible
Non-Preferred Brand DrugsNo Charge after Deductible
Specialty DrugsNo Charge after Deductible

Access to doctors and hospitals

Provider directory URLhttps://brighthealthplan.com/provider-finder/ifp/tn-utk

Hospital services

Emergency Room ServicesNo Charge after Deductible
Inpatient Hospital Services (e.g., Hospital Stay)No Charge after Deductible
Inpatient Physician and Surgical ServicesNo Charge after Deductible

Maternity

Prenatal and Postnatal CareNo Charge after deductible

Mental Health

Mental/Behavioral Health Outpatient ServicesNo Charge after deductible
Mental/Behavioral Health Inpatient ServicesNo Charge after deductible

Vision Coverage

Routine Eye Exam for ChildrenNot Applicable
Eye Glasses for ChildrenNo Charge after deductible

Exclusions and Limitations

More Included BenefitsOther Practitioner Office Visit (Nurse, Physician Assistant)
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)
Outpatient Surgery Physician/Surgical Services
Hospice Services
Urgent Care Centers or Facilities
Home Health Care Services
Inpatient Physician and Surgical Services
Skilled Nursing Facility
Outpatient Rehabilitation Services
Habilitation Services
Chiropractic Care
Durable Medical Equipment
Hearing Aids
Imaging (CT/PET Scans, MRIs)
Preventive Care/Screening/Immunization
Dental Check-Up for Children
Rehabilitative Speech Therapy
Rehabilitative Occupational and Rehabilitative Physical Therapy
Well Baby Visits and Care
Transplant
Accidental Dental
Dialysis
Allergy Testing
Chemotherapy
Radiation
Diabetes Education
Prosthetic Devices
Infusion Therapy
Treatment for Temporomandibular Joint Disorders
Nutritional Counseling
Reconstructive Surgery
More Excluded BenefitsInfertility Treatment
Long-Term/Custodial Nursing Home Care
Private-Duty Nursing
Bariatric Surgery
Cosmetic Surgery
Routine Foot Care
Acupuncture
Weight Loss Programs
Abortion for Which Public Funding is Prohibited
PremiumPlan NameDeductible
from $293
Cigna Connect 7000
$7,000.00Select
from $331
Ambetter Essential Care 2 HSA (2020)
$6,750.00Select
from $349
Bronze HSA
$6,850.00Select
from $358
Cigna Connect 7000
$7,000.00Select
from $388
Oscar Classic Silver Next
$7,000.00Select
/
Please select the correct zip
William, Leone
View All Details
Stephen, D'amico
View All Details
Total Care Physical Therapy, P.c
View All Details
Lindsey, Wortham
View All Details
Morgan, Taylor
View All Details
Kelly Escandon
View All Details
Johanna, Grose
View All Details
Hannah, Baisley
View All Details
Alex, Neihoff
View All Details
Seven Springs Orthopaedics, Pc
View All Details
Barbara, Laifer
View All Details
Jaclyn, Craddock
View All Details
Jouan, Cox
View All Details
Terisa, Reimschisel
View All Details
Patient Care Llc
View All Details
Chatterbox Speech And Language Theapy
View All Details
Natalie, Butler
View All Details
Kelly, Escandon
View All Details
William Leone, M.D.
View All Details
  • Phone Number
    (615) 941-8501
  • Office Locations
    5801 Crossings Blvd
    Antioch, TN 37013
5801 Crossings Blvd Antioch TN, 37013

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).

Close

Health Plans Found

 

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).