2018 Florida Hospital GYM ACCESS Bronze HMO 70 1657 Plan Details - HealthPocket

Florida Hospital GYM ACCESS Bronze HMO 70 1657

$322.63/mo

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Zip Code33186
Applicant10/16/1983 Male
Coverage Start10/18/2018
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Benefits & Coverage

Insurance TypeACA (Obamacare)
Plan NameFlorida Hospital GYM ACCESS Bronze HMO 70 1657
Plan IDqhp-36194FL0140001
Plan Year2018
Insurance ProviderHealth First Commercial Plans, Inc.
Metal LevelExpanded Bronze
Plan TypeHMO
Deductible$6,550
Out-of-Pocket Maximum$7,350
Plan Highlights

Costs for Medical Care

Primary Care Visit to Treat an Injury or Illness30% Coinsurance after deductible
Specialist Visit$160 Copay
Deductible - Family$13100
Out-of-Pocket Maximum - Family$14700

Prescription drug coverage

Generic Drugs$15 Copay
Preferred Brand Drugs$30 Copay
Non-Preferred Brand Drugs$50 Copay
Specialty Drugs30% 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
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