2018 Gym Access IND Bronze HMO BC 3841 Plan Details - HealthPocket

Gym Access IND Bronze HMO BC 3841

$238.12/mo

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Zip Code33186
Applicant8/19/1983 Male
Coverage Start8/20/2018
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Benefits & Coverage

Insurance TypeACA (Obamacare)
Plan NameGym Access IND Bronze HMO BC 3841
Plan IDqhp-56503FL2530002
Insurance ProviderFlorida Healthcare Plan
Metal LevelExpanded Bronze
Plan TypeHMO
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 Drugs50% Coinsurance after deductible
Specialty Drugs50% Coinsurance after deductible

Access to doctors and hospitals

Provider directory URLComing Soon

Hospital services

Emergency Room Services50% Coinsurance after deductible
Inpatient Hospital Services (e.g., Hospital Stay)$100 Copay
Inpatient Physician and Surgical ServicesNo Charge after Deductible
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