Moda Health Oregon Standard Gold (Beacon) Plan Details for 2020- HealthPocket

Moda Health Oregon Standard Gold (Beacon)

$381.00/mo

Apply For This Plan

Zip Code97229
Applicant4/9/1985 Male
Apply Now

Benefits & Coverage

Insurance TypeACA (Obamacare)
Plan NameModa Health Oregon Standard Gold (Beacon)
Plan IDqhp-39424OR1610001
Plan Year2020
Insurance ProviderModa Health
Metal LevelGold
Plan TypeEPO
Deductible$1,000
Out-of-Pocket Maximum$7,300
Plan Highlights

Costs for Medical Care

Primary Care Visit to Treat an Injury or Illness$20 Copay
Specialist Visit$40 Copay
Laboratory Outpatient and Professional Services20.00% Coinsurance after deductible
X-rays and Diagnostic Imaging20.00% Coinsurance after deductible
Deductible - Family$2000
Out-of-Pocket Maximum - Family$14600

Prescription drug coverage

Generic Drugs$10 Copay
Preferred Brand Drugs$30 Copay
Non-Preferred Brand Drugs50% Coinsurance after deductible
Specialty Drugs50% Coinsurance after deductible

Access to doctors and hospitals

Provider directory URLhttps://www.modahealth.com/shop/provider-search/medical/or/Beacon

Hospital services

Emergency Room Services20% Coinsurance after deductible
Inpatient Hospital Services (e.g., Hospital Stay)20% Coinsurance after deductible
Inpatient Physician and Surgical Services20% Coinsurance after deductible

Maternity

Prenatal and Postnatal Care20.00% Coinsurance after deductible

Mental Health

Mental/Behavioral Health Outpatient ServicesNot Applicable
Mental/Behavioral Health Inpatient Services20.00% Coinsurance after deductible

Vision Coverage

Routine Eye Exam for ChildrenNot Applicable
Eye Glasses for ChildrenNot Applicable

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
Cosmetic Surgery
Skilled Nursing Facility
Outpatient Rehabilitation Services
Habilitation Services
Durable Medical Equipment
Hearing Aids
Imaging (CT/PET Scans, MRIs)
Preventive Care/Screening/Immunization
Routine Foot Care
Rehabilitative Speech Therapy
Rehabilitative Occupational and Rehabilitative Physical Therapy
Well Baby Visits and Care
Abortion for Which Public Funding is Prohibited
Transplant
Accidental Dental
Dialysis
Allergy Testing
Chemotherapy
Radiation
Diabetes Education
Prosthetic Devices
Infusion Therapy
Nutritional Counseling
Reconstructive Surgery
More Excluded BenefitsInfertility Treatment
Long-Term/Custodial Nursing Home Care
Private-Duty Nursing
Bariatric Surgery
Chiropractic Care
Acupuncture
Weight Loss Programs
Dental Check-Up for Children
Treatment for Temporomandibular Joint Disorders
PremiumPlan NameDeductible
from $368
KP OR Gold 1000/20
$1,000.00Select
from $381
Moda Health Beacon Gold 1000
$1,000.00Select
from $382
KP Oregon Standard Gold Plan
$1,000.00Select
from $411
PacificSource Oregon Standard Gold Plan NAV
$1,000.00Select
from $429
KP OR Gold 1000/20
$1,000.00Select
/
Please select the correct zip
Marilyn, Webber
View All Details
Barbara, Graham
View All Details
Laura, Hardebeck
View All Details
Gary, Geddes
View All Details
Kari, Cunningham
View All Details
Toni, Kopf
View All Details
Naviatric Llc
View All Details
Tracy, Hill
View All Details
Roberta, Mckenney
View All Details
Ryan, Ross
View All Details
Alexandra, Lodwig
View All Details
Keri-kamryn, Skjei
View All Details
Madeleine, Knutson
View All Details
Mariah, Frank
View All Details
Vernon, Rasmussen
View All Details
Charles, Gregory
View All Details
Amanda, Gangstead
View All Details
April, Henderson
View All Details
Katherine, Rinella
View All Details
Adam, Howrey
View All Details
Ryan, Willoughby
View All Details
Beniamin, Muresan
View All Details
Marilyn Webber, M.D.
View All Details
  • Phone Number
    (503) 629-0237
  • Office Locations
    14223 Nw Spruceridge Ln
    Portland, OR 97229
14223 Nw Spruceridge Ln Portland OR, 97229
  • What is the Gold Plan?

    ObamaCare’s Gold Plan is a type of Metal Plan on the Health Insurance Marketplace. Gold Plans qualify for Tax Credits, have high premiums, and good cost sharing. Gold plans mean higher premiums, less Tax Credits, but much better cost sharing on average than Silver or Bronze.

  • How are Gold 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 Gold Plan typically pays 80% of covered medical costs.

  • How much does a Gold Plan cost?

    The monthly premium for a Gold 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 your geographic region. You can use HealthPocket’s comparison tool to compare Gold Plan premiums in your area.

  • When Can I Enroll in a Gold 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

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).

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 Health Insurance Innovations, Inc. family of companies (NASDAQ: HIIQ).