CareSource Marketplace Low Premium Silver Plan Details for 2020- HealthPocket
Close ×

CareSource Marketplace Low Premium Silver

$360.04/mo
View BrochureProduct BenefitsProvider DirectoryList of Covered Drugs

Apply For This Plan

Zip Code43228
Applicant1/28/1985 Male
Apply Now

Benefits & Coverage

Insurance TypeACA (Obamacare)
Plan NameCareSource Marketplace Low Premium Silver
Plan IDqhp-77552OH0010201
Plan Year2020
Insurance ProviderCareSource
Metal LevelSilver
Plan TypeHMO
Deductible$6,800
Out-of-Pocket Maximum$7,300
Plan Highlights

Costs for Medical Care

Primary Care Visit to Treat an Injury or Illness$35 Copay
Specialist Visit$70 Copay
Laboratory Outpatient and Professional Services25.00% Coinsurance after deductible
X-rays and Diagnostic ImagingNot Applicable
Deductible - Family$13600
Out-of-Pocket Maximum - Family$14600

Prescription drug coverage

Generic Drugs$30 Copay
Preferred Brand Drugs$60 Copay
Non-Preferred Brand Drugs25% Coinsurance after deductible
Specialty Drugs25% Coinsurance after deductible

Access to doctors and hospitals

Provider directory URLhttps://www.caresource.com/oh/members/tools-resources/find-a-doctor/marketplace

Hospital services

Emergency Room Services$500 Copay
Inpatient Hospital Services (e.g., Hospital Stay)$500 Copay
Inpatient Physician and Surgical Services$500 Copay

Maternity

Prenatal and Postnatal CareNot Applicable

Mental Health

Mental/Behavioral Health Outpatient ServicesNot Applicable
Mental/Behavioral Health Inpatient ServicesNot Applicable

Vision Coverage

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

Exclusions and Limitations

More Included BenefitsDental 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
Reconstructive Surgery
Other Practitioner Office Visit (Nurse, Physician Assistant)
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)
Outpatient Surgery Physician/Surgical Services
Hospice Services
Infertility Treatment
Private-Duty Nursing
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
Imaging (CT/PET Scans, MRIs)
Preventive Care/Screening/Immunization
Prosthetic Devices
Infusion Therapy
Treatment for Temporomandibular Joint Disorders
Nutritional Counseling
More Excluded BenefitsAcupuncture
Weight Loss Programs
Abortion for Which Public Funding is Prohibited
Long-Term/Custodial Nursing Home Care
Bariatric Surgery
Cosmetic Surgery
Hearing Aids
Routine Foot Care
PremiumPlan NameDeductible
from $212
Ambetter Essential Care 2 HSA (2020)
$6,750.00Select
from $261
Market HMO 6900 HSA - Dayton
$6,900.00Select
from $266
Market HMO 6900 HSA - Mercy
$6,900.00Select
from $272
Market HMO 6900 HSA - NE Ohio
$6,900.00Select
from $274
Market HMO 6900 HSA - OhioHealth
$6,900.00Select
/
Please select the correct zip
Adnan, Khan
View All Details
Patrick, Callender
View All Details
Paul, Harris
View All Details
Aref, Abou-amro
View All Details
Matthew, Brown
View All Details
Womens Health Center
View All Details
Karen, Vincent
View All Details
Allison, Patel
View All Details
Muhammad, Baig
View All Details
Paige, Houghtaling
View All Details
Hayleigh, Tomek
View All Details
Cassondra, Righter
View All Details
Megan, Sugden
View All Details
Emma, Folk
View All Details
Kirstan, Law
View All Details
Tiffany, Pfeil
View All Details
Nina, Henry
View All Details
Fabian, Soto
View All Details
Abigail, Wills
View All Details
Adam, Dennison
View All Details
Jessica, Desalvo
View All Details
Lauren, Lewis
View All Details
Spencer, Hopkins
View All Details
Adnan Khan, M.D.
View All Details
  • Phone Number
    (614) 486-2000
  • Office Locations
    5131 Beacon Hill Rd
    Columbus, OH 43228
5131 Beacon Hill Rd Columbus OH, 43228

  • What Is the Silver Plan?

    ObamaCare’s Silver Plan is a type of Metal Plan on the Health Insurance Marketplace. Silver Plans qualify for both Tax Credits and Cost Sharing subsidies.Silver Plans have lower out-of-pocket costs than Bronze Plans but higher out- of-pocket costs than both Gold and Platinum Plans. All Silver Plans share the same minimum health benefits, but the way they charge out-of-pocket costs can differ significantly.

  • How are Silver 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 Silver Plan pays 70% of covered medical costs for a typical enrollee. Silver Plans are also the only metal plans which offer cost-sharing reduction (CSR) versions to consumers that require financial assistance for out-of-pocket costs.

  • How much does a Silver Plan cost?

    The monthly premium for a Silver 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 the region in which you live. You can use HealthPocket’s comparison tool to compare Silver Plan premiums in your area.

  • When Can I Enroll in a Silver 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.

Read More

Need an affordable short-term option?

Consider temporary coverage through AgileHealthInsurance.com
which covers you for short periods starting at $99/month.See Plans Now!

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).