2018 Blue FocusCare Gold 211 Plan Details - HealthPocket

Blue FocusCare Gold 211

$381.84/mo

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Zip Code60629
Applicant8/21/1983 Male
Coverage Start8/22/2018
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Benefits & Coverage

Insurance TypeACA (Obamacare)
Plan NameBlue FocusCare Gold 211
Plan IDqhp-36096IL1000005
Insurance ProviderBlue Cross Blue Shield of Illinois
Metal LevelGold
Plan TypeHMO
Deductible$500
Out-of-Pocket Maximum$7,350
Plan Highlights

Costs for Medical Care

Primary Care Visit to Treat an Injury or Illness$20 Copay
Specialist Visit$40 Copay
Deductible - Family$1500
Out-of-Pocket Maximum - Family$14700

Prescription drug coverage

Generic Drugs10% Coinsurance after deductible
Preferred Brand Drugs20% Coinsurance after deductible
Non-Preferred Brand Drugs30% Coinsurance after deductible
Specialty Drugs40% Coinsurance after deductible

Access to doctors and hospitals

Provider directory URLComing Soon

Hospital services

Emergency Room Services30% Coinsurance after deductible
Inpatient Hospital Services (e.g., Hospital Stay)$750 Copay
Inpatient Physician and Surgical Services30% Coinsurance after deductible
PremiumPlan NameDeductible
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Standard Life Select STM Plan 3 500/30/1M
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Standard Life Select STM Plan 3 500/20/1M
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Standard Life Select STM Plan 3 500/0/1M
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Blue Precision Gold HMO 207
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Blue FocusCare Gold HMO 211
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  • 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.

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