Zip Code | 43228 |
Applicant | 1/28/1986 Male |
Insurance Type | ACA (Obamacare) |
Plan Name | CareSource Marketplace Low Premium Silver |
Plan ID | qhp-77552OH0010201 |
Plan Year | 2020 |
Insurance Provider | CareSource |
Metal Level | Silver |
Plan Type | HMO |
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 Services | 25.00% Coinsurance after deductible |
X-rays and Diagnostic Imaging | Not 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 Drugs | 25% Coinsurance after deductible |
Specialty Drugs | 25% Coinsurance after deductible |
Access to doctors and hospitals | |
---|---|
Provider directory URL | https://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 Care | Not Applicable |
Mental Health | |
---|---|
Mental/Behavioral Health Outpatient Services | Not Applicable |
Mental/Behavioral Health Inpatient Services | Not Applicable |
Vision Coverage | |
---|---|
Routine Eye Exam for Children | 0.00% |
Eye Glasses for Children | 0.00% |
Exclusions and Limitations | |
---|---|
More Included Benefits | 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 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 Benefits | Acupuncture 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 |
Premium | Plan Name | Deductible | |
---|---|---|---|
from $298 | Ambetter Essential Care 2 HSA (2021) + Vision + Adult Dental | $6,900.00 | Select |
from $309 | AultCare Bronze 7000 Select No Pediatric Dental | $7,000.00 | Select |
from $312 | AultCare Bronze 7000 Select | $7,000.00 | Select |
from $338 | MedMutual HMO 7000 HSA - Mercy | $7,000.00 | Select |
from $338 | Market HMO 7000 HSA - Mercy | $7,000.00 | Select |
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.
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.
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.
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.
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.
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.