2018 Maine's Choice HSA HMO 5000 Plan Details - HealthPocket

Maine's Choice HSA HMO 5000

$313.01/mo

Apply For This Plan

Zip Code04401
Applicant1/22/1984 Male
Coverage Start1/24/2019

Benefits & Coverage

Insurance TypeACA (Obamacare)
Plan NameMaine's Choice HSA HMO 5000
Plan IDqhp-96667ME0260018
Plan Year2018
Insurance ProviderHarvard Pilgrim
Metal LevelExpanded Bronze
Plan TypeHMO
Deductible$5,000
Out-of-Pocket Maximum$6,550
Plan Highlights

Costs for Medical Care

Primary Care Visit to Treat an Injury or Illness30% Coinsurance after deductible
Specialist Visit30% Coinsurance after deductible
Deductible - Family$10000
Out-of-Pocket Maximum - Family$13100

Prescription drug coverage

Generic Drugs$15 Copay
Preferred Brand Drugs30% Coinsurance after deductible
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 Services30% Coinsurance after deductible
Inpatient Hospital Services (e.g., Hospital Stay)30% Coinsurance after deductible
Inpatient Physician and Surgical Services30% Coinsurance after deductible
PremiumPlan NameDeductible
from $309
Anthem Bronze X HMO 5000 for HSA
$5,000.00Select
from $335
Anthem Bronze X HMO 5000 Online Plus
$5,000.00Select
from $342
Anthem Bronze X HMO 5000 for HSA
$5,000.00Select
from $343
Anthem Bronze HMO 5000 for HSA
$5,000.00Select
from $344
Maines Choice HMO HSA Bronze 5000
$5,000.00Select
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Bruno, Edwin
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Mcguire, D
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Castonguay, Bernard
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Comeau, Stephen
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Phillips, Lewis
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Macduffie, Heather
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Northeast Occupational Exchange, Inc
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Brewer, Heidi
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Neurology Associates Of Eastern Maine
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Jamison, Tyler
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Delusso, Joan
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Winslow, Kelsey
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Lifeworks Of Maine Llc
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Makura, Zvorufura
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Smith, Haley
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Pierce, Jolene
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Arno, Lindsey
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Cyr, Katelyn
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Todd, Katie
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Clifford, Julie
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Soucy, Matthew
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Andrews, Emily
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Davis, Ryan
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Bosse, Stephanie
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Edwin Bruno, D.P.M.
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  • Phone Number
    (207) 942-3988
  • Office Locations
    277 State St
    Bangor, ME 04401
277 State St Bangor ME, 04401

HealthPocket is a free information source designed to help consumers find medical coverage. Whether you are looking for Medicare, Medicaid or an individual 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.

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HealthPocket is a free information source designed to help consumers find medical coverage. Whether you are looking for Medicare, Medicaid or an individual 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.