2018 Florida Hospital GYM ACCESS Silver POS 80 1700 Plan Details - HealthPocket

Florida Hospital GYM ACCESS Silver POS 80 1700


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Zip Code33186
Applicant10/18/1983 Male
Coverage Start10/20/2018
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Benefits & Coverage

Insurance TypeACA (Obamacare)
Plan NameFlorida Hospital GYM ACCESS Silver POS 80 1700
Plan IDqhp-36194FL0150002
Plan Year2018
Insurance ProviderHealth First Commercial Plans, Inc.
Metal LevelSilver
Plan TypePOS
Out-of-Pocket Maximum$6,050
Plan Highlights

Costs for Medical Care

Primary Care Visit to Treat an Injury or Illness20% Coinsurance after deductible
Specialist Visit20% Coinsurance after deductible
Deductible - Family$6200
Out-of-Pocket Maximum - Family$12100

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 Services20% Coinsurance after deductible
Inpatient Hospital Services (e.g., Hospital Stay)20% Coinsurance after deductible
Inpatient Physician and Surgical Services20% Coinsurance after deductible
PremiumPlan NameDeductible
from $335
Ambetter Balanced Care 3 (2018)
from $338
Ambetter Balanced Care 3 (2018) + Vision
from $347
Ambetter Balanced Care 3 (2018) + Vision + Adult Dental
from $366
myBlue Silver 1811
from $384
Ambetter Balanced Care 3 (2018)
  • What Is the Silver Plan?

    ObamaCare’s Silver Plan is a type of Metal Plan on the Health Insurance Marketplace. Silver Plans qualify for both Tax Credits and Cost Sharing subsidies.Silver Plans have lower out-of-pocket costs than Bronze Plans but higher out- of-pocket costs than both Gold and Platinum Plans. All Silver Plans share the same minimum health benefits, but the way they charge out-of-pocket costs can differ significantly.

  • How are Silver Plans different than other Obamacare health plans?

    The fundamental difference among the new Obamacare health plans is the percentage of covered medical costs paid by the health plan. The Silver Plan pays 70% of covered medical costs for a typical enrollee. Silver Plans are also the only metal plans which offer cost-sharing reduction (CSR) versions to consumers that require financial assistance for out-of-pocket costs.

  • How much does a Silver Plan cost?

    The monthly premium for a Silver Plan depends on the insurer from whom you purchase the plan, the number of people to be insured by the plan, your age, whether you smoke, and the region in which you live. You can use HealthPocket’s comparison tool to compare Silver Plan premiums in your area.

  • When Can I Enroll in a Silver Plan?

    The Open Enrollment period for the 2018 Affordable Care Act health plans begins November 1, 2017 and ends December 15, 2017. See our Open Enrollment article for more information.

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