Gym Access IND Bronze HMO BC 3841
$238.12/mo
Benefits & Coverage
| Insurance Type | ACA (Obamacare) |
| Plan Name | Gym Access IND Bronze HMO BC 3841 |
| Plan ID | qhp-56503FL2530002 |
| Insurance Provider | Florida Healthcare Plan |
| Metal Level | Expanded Bronze |
| Plan Type | HMO |
| Deductible | $6,400 |
| Out-of-Pocket Maximum | $7,000 |
| Plan Highlights |
Costs for Medical Care | |
|---|---|
| Primary Care Visit to Treat an Injury or Illness | $35 Copay |
| Specialist Visit | $65 Copay |
| Deductible - Family | $12800 |
| Out-of-Pocket Maximum - Family | $14000 |
Prescription drug coverage | |
|---|---|
| Generic Drugs | $18 Copay |
| Preferred Brand Drugs | $65 Copay |
| Non-Preferred Brand Drugs | 50% Coinsurance after deductible |
| Specialty Drugs | 50% Coinsurance after deductible |
Access to doctors and hospitals | |
|---|---|
| Provider directory URL | Coming Soon |
Hospital services | |
|---|---|
| Emergency Room Services | 50% Coinsurance after deductible |
| Inpatient Hospital Services (e.g., Hospital Stay) | $100 Copay |
| Inpatient Physician and Surgical Services | No Charge after Deductible |
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