Chinese Community Bronze 60 HDHP HMO Plan Details for 2020- HealthPocket

Chinese Community Bronze 60 HDHP HMO

$0.00/mo

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Zip Code90011
Applicant12/12/1984 Male
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Benefits & Coverage

Insurance TypeACA (Obamacare)
Plan NameChinese Community Bronze 60 HDHP HMO
Plan IDexch-CA2020ChineseCommunityBronze60HDHPHMO
Plan Year2020
Insurance ProviderChinese Community Health Plan
Metal LevelBronze HMO
Plan TypeHMO
Deductible$6,900
Out-of-Pocket Maximum$6,900
Plan Highlights

Yearly Deductible & Out-of-Pocket

Yearly Deductible - Individual$6900
Yearly Deductible - Family$13800
Out-of-Pocket Max - Individual$6900
Out-of-Pocket Max - Family$13800
Maximum Cost per PrescriptionNot Available

Doctor Visit

Primary Care Visit0% Coinsurance after deductible
Specialist Visit0% Coinsurance after deductible
Other Practitioner Office Visit0% Coinsurance after deductible
Preventive Care/Screening/ImmunizationNo Charge

Tests

Laboratory Tests0% Coinsurance after deductible
X-rays and Diagnostic Imaging0% Coinsurance after deductible
Imaging (CT/PET Scans, MRIs)0% Coinsurance after deductible

Drugs

Tier 1 (Most Generic Drugs)0% Coinsurance after deductible
Tier 2 (Preferred Brand Drugs)0% Coinsurance after deductible
Tier 3 (Non-Preferred Brand Drugs)0% Coinsurance after deductible
Tier 4 (Specialty Drugs)0% Coinsurance after deductible

Outpatient Services

Outpatient Facility Fee0% Coinsurance after deductible
Outpatient Surgery Physician/Surgical Services0% Coinsurance after deductible
Outpatient Services Office Visits0% Coinsurance after deductible

ER & Urgent Care

Emergency Room Facility Fee0% Coinsurance after deductible
Emergency Transportation0% Coinsurance after deductible
Urgent Care0% Coinsurance after deductible
Emergency Room Professional Fee0% Coinsurance after deductible

Hospital

Inpatient Hospital Services0% Coinsurance after deductible
Inpatient Physician and Surgical Services0% Coinsurance after deductible

Mental/Behavioral Health

Mental/Behavioral Health Outpatient Services0% Coinsurance after deductible
Mental/Behavioral Health Inpatient Facility Fee0% Coinsurance after deductible
Mental/Behavioral Health Inpatient Professional Fee0% Coinsurance after deductible
Substance Use Disorder Outpatient Services0% Coinsurance after deductible
Substance Use Disorder Inpatient Facility Fee0% Coinsurance after deductible
Substance Use Disorder Inpatient Professional Fee0% Coinsurance after deductible

Pregnancy

Prenatal CareNo Charge
Delivery and Maternity Care Inpatient Facility Fee0% Coinsurance after deductible
Delivery and Maternity Care Inpatient Professional Fee0% Coinsurance after deductible

Other Special Needs

Home Health Care Services0% Coinsurance after deductible
Outpatient Rehabilitation Services0% Coinsurance after deductible
Habilitation Services0% Coinsurance after deductible
Skilled Nursing Facility0% Coinsurance after deductible
Durable Medical Equipment0% Coinsurance after deductible
Hospice Services0% Coinsurance after deductible
Acupuncture0% Coinsurance after deductible
Rehabilitative Speech Therapy0% Coinsurance after deductible
Rehabilitative Occupational and Rehabilitative Physical Therapy0% Coinsurance after deductible
Well Baby Visits and CareNo Charge
Allergy Testing0% Coinsurance after deductible
Diabetes EducationNo Charge
Nutritional CounselingNot covered

Children's Vision

Eye Exam for ChildrenNo Charge
Eyeglasses for ChildrenNo Charge

Children's Dental

Child Filling - One Surface$25 Copay
Child Dental CheckupNo Charge
Child Root Canal - Molar$300 Copay
Child Medically Necessary Orthodontia$1000 Copay
PremiumPlan NameDeductible
from $0
Anthem Blue Cross Bronze 60 HDHP EPO
$6,900.00Select
from $0
Blue Shield Bronze 60 HDHP PPO
$6,900.00Select
from $0
Health Net Bronze 60 HDHP EnhancedCare PPO
$6,900.00Select
from $0
Kaiser Bronze 60 HDHP HMO
$6,900.00Select
from $0
SHARP Health Plan Bronze 60 HDHP Premier HMO
$6,900.00Select
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  • Phone Number
    (323) 233-0425
  • Office Locations
    4211 Avalon Blvd
    Los Angeles, CA 90011
4211 Avalon Blvd Los Angeles CA, 90011

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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).