CareSource Marketplace Bronze Plan Details for 2021- HealthPocket

Apply For This Plan

Zip Code46227
Applicant12/2/1985 Male

Benefits & Coverage

Insurance TypeACA (Obamacare)
Plan NameCareSource Marketplace Bronze
Plan IDqhp-54192IN0010015
Plan Year2020
Insurance ProviderCareSource
Metal LevelExpanded Bronze
Plan TypeHMO
Deductible$7,700
Out-of-Pocket Maximum$8,150
Plan Highlights

Costs for Medical Care

Primary Care Visit to Treat an Injury or Illness$60 Copay
Specialist Visit$120 Copay
Laboratory Outpatient and Professional Services50.00% Coinsurance after deductible
X-rays and Diagnostic ImagingNot Applicable
Deductible - Family$15400
Out-of-Pocket Maximum - Family$16300

Prescription drug coverage

Generic Drugs$40 Copay
Preferred Brand Drugs50% Coinsurance after deductible
Non-Preferred Brand Drugs50% Coinsurance after deductible
Specialty Drugs50% Coinsurance after deductible

Access to doctors and hospitals

Provider directory URLhttps://findadoctor.caresource.com/?programs=Indiana%20-%20Marketplace%20-%20Marketplace

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

Maternity

Prenatal and Postnatal Care0.00%

Mental Health

Mental/Behavioral Health Outpatient Services0.00%
Mental/Behavioral Health Inpatient Services0.00%

Vision Coverage

Routine Eye Exam for Children0.00%
Eye Glasses for Children0.00%

Exclusions and Limitations

More Included BenefitsHome Health Care Services
Inpatient Physician and Surgical Services
Skilled Nursing Facility
Other Practitioner Office Visit (Nurse, Physician Assistant)
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)
Outpatient Surgery Physician/Surgical Services
Hospice Services
Private-Duty Nursing
Urgent Care Centers or Facilities
Outpatient Rehabilitation Services
Habilitation Services
Chiropractic Care
Durable Medical Equipment
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
Non-Preferred Specialty Drugs
More Excluded BenefitsBariatric Surgery
Cosmetic Surgery
Infertility Treatment
Long-Term/Custodial Nursing Home Care
Hearing Aids
Routine Foot Care
Acupuncture
Weight Loss Programs
Abortion for Which Public Funding is Prohibited
PremiumPlan NameDeductible
from $343
CareSource Marketplace Bronze
$7,700.00Select
from $360
CareSource Marketplace Bronze Dental, Vision, & Fitness
$7,700.00Select
/
Please select the correct zip
Jane, Wilson
View All Details
Carol, Johnson
View All Details
Kevin, Julian
View All Details
Karamchand, Paul
View All Details
Bipinchandra, Patel
View All Details
Wynter, Vik
View All Details
Candelaria, Cordova
View All Details
Amanda, Smith
View All Details
Susan, Tanney
View All Details
Mary, Driskell
View All Details
Anna, Lynch
View All Details
Alyssa, Emata
View All Details
Dylan, Wirick
View All Details
Mariesa, Mclean
View All Details
Elise, Birch
View All Details
Zachry, Skinner
View All Details
Katrina, Morgan
View All Details
Lauren, Ferendo
View All Details
Miranda, Mazza
View All Details
Marisa, Kitt
View All Details
Emma, Engdahl
View All Details
Jane Wilson, MD
View All Details
  • Phone Number
    (317) 780-4080
  • Office Locations
    5550 S East St
    Indianapolis, IN 46227
5550 S East St Indianapolis IN, 46227

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.

Health Plans Found

 

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.

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.