HMSA Gold HMO

Individual Health Insurance (Obamacare)

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Benefits & Coverage
Plan Name
HMSA Gold HMO
Plan Year
2016
Insurance Type
Individual Health Insurance (Obamacare)
Insurance Provider
HMSA
Metal Level
Gold
Out-of-Pocket Maximum
Plan Highlights

Costs for Medical Care

Primary Care Visit to Treat an Injury or Illness
$15 Copay
Specialist Visit
$30 Copay
Deductible - Family
$2000
Out-of-Pocket Maximum - Family
$13700

Prescription drug coverage

Generic Drugs
$7 Copay
Preferred Brand Drugs
$30 Copay
Non-Preferred Brand Drugs
$75 Copay
Specialty Drugs
$100 Copay

Access to doctors and hospitals

Provider directory URL
http://www.hmsa.com/search/providers

Hospital services

Emergency Room Services
$250 Copay
Inpatient Hospital Services (e.g., Hospital Stay)
$300 Copay
Inpatient Physician and Surgical Services
20% Coinsurance after deductible

What To Know

  • This is an ACA (Obamacare) compliant health plan.
  • This plan is eligible for a tax credit subsidy
Physician Directory

Enter your ZIP Code to see physicians that accepts HMSA Gold HMO plan in your area.

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