Oscar Bronze Classic Next ($3 Prescription List + Free 24/7 Vir Plan Details for 2021- HealthPocket

Oscar Bronze Classic Next ($3 Prescription List + Free 24/7 Vir

$354.09/mo

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Zip Code33186
Applicant1/22/1986 Male
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Benefits & Coverage

Insurance TypeACA (Obamacare)
Plan NameOscar Bronze Classic Next ($3 Prescription List + Free 24/7 Vir
Plan IDhhs-40572FL0070005
Plan Year2021
Insurance ProviderOscar
Metal LevelExpanded Bronze
Plan TypeEPO
Deductible$0
Out-of-Pocket Maximum$8,550
Plan Highlights

Costs for Medical Care

Primary Care Visit to Treat an Injury or Illness$35 Copay
Specialist Visit$100 Copay
Laboratory Outpatient and Professional Services$50 Copay
X-rays and Diagnostic Imaging$95 Copay
Diagnostic Imaging such as MRIs, CT, and PET scans$375 Copay
Deductible - Family$0 per group
Out-of-Pocket Maximum - Family$17100 per group

Prescription drug coverage

Generic Drugs$3 Copay
Preferred Brand Drugs$200 Copay
Non-Preferred Brand Drugs50.00% Coinsurance after deductible
Specialty Drugs50.00% Coinsurance after deductible

Access to doctors and hospitals

Provider directory URLhttps://www.hioscar.com/search
Does this plan have access to a national provider network?No
Is a referral required to see a Specialist?Not Covered
Does this plan cover services outside plan service area?Yes - Emergency and Urgent Services only.
Does this plan cover services outside the country?Yes - Emergency Services only.

Hospital services

Emergency Room Services$1150 Copay
Inpatient Hospital Services (e.g., Hospital Stay)$3000 Copay per Day
Inpatient Physician and Surgical Services$300 Copay
Emergency Transportation or Ambulance Service$1150 Copay

Maternity

Prenatal and Postnatal CareNot Applicable
Delivery and all inpatient services for maternity care$3000 Copay

Mental Health

Mental/Behavioral Health Outpatient Services$35 Copay
Mental/Behavioral Health Inpatient Services$3000 Copay per Day
Substance use disorder outpatient services$35 Copay
Substance use disorder inpatient services$3000 Copay per Day

Medical Management Programs

Does this plan offer disease managment programs?Asthma, Depression, Diabetes, Heart Disease, High Blood Pressure & High Cholesterol, Low Back Pain, Pain Management, Pregnancy, Weight Loss Programs
Does this plan offer a wellness program?Not Covered

Vision Coverage

Routine Eye Exam for ChildrenIncluded
Eye Glasses for ChildrenIncluded
Routine Eye Exam for AdultsNot Covered

Child Dental Coverage

Child Dental Coverage - Routine Dental CareIncluded
Child Dental Coverage - Basic Dental CareIncluded
Child Dental Coverage - OrthodontiaIncluded
Child Dental Coverage - Major Dental CareIncluded

Adult Dental Coverage

Adult Dental Coverage - Routine Dental CareNot Covered
Adult Dental Coverage - Basic Dental CareNot Covered
Adult Dental Coverage - OrthodontiaNot Covered
Adult Dental Coverage - Major Dental CareNot Covered

Exclusions and Limitations

More Included BenefitsOther Practitioner Office Visit (Nurse, Physician Assistant)
Preventive Care/Screening/Immunization
Imaging (CT/PET Scans, MRIs)
Outpatient Surgery Physician/Surgical Services
Urgent Care Centers or Facilities
Inpatient Physician and Surgical Services
Habilitation Services
Durable Medical Equipment
Hospice Services
Dental Check-Up for Children
Accidental Dental
Allergy Testing
Chemotherapy
Diabetes Education
Dialysis
Infusion Therapy
Laboratory Outpatient and Professional Services
Nutritional Counseling
Prosthetic Devices
Radiation
Reconstructive Surgery
Transplant
Treatment for Temporomandibular Joint Disorders
Well Baby Visits and Care
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)
More Limited BenefitsSkilled Nursing Facility
Home Health Care Services
Outpatient Rehabilitation Services
Chiropractic Care
Rehabilitative Occupational and Rehabilitative Physical Therapy
Rehabilitative Speech Therapy
More Excluded BenefitsAcupuncture
Bariatric Surgery
Cosmetic Surgery
Hearing Aids
Infertility Treatment
Private-Duty Nursing
Weight Loss Programs
Routine Foot Care
Abortion for Which Public Funding is Prohibited
Long-Term/Custodial Nursing Home Care
PremiumPlan NameDeductible
from $354Oscar Bronze Classic Next 2 ($3 Prescription List + Free 24/7 V$0.00Select
from $369Ambetter Balanced Care 207 (2021)$0.00Select
from $384Ambetter Balanced Care 207 (2021) + Vision + Adult Dental$0.00Select
from $393Gym Access IND Silver HMO OA 0227$0.00Select
from $401Oscar Silver Classic $0 Ded ($3 Prescription List + Free 24/7 V$0.00Select
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  • Phone Number
    (305) 380-6773
  • Office Locations
    9000 Sw 137th Ave
    Miami, FL 33186
9000 Sw 137th Ave Miami FL, 33186

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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 Benefytt Technologies, Inc. family of companies.