Health First GYM ACCESS Bronze HMO 50 1796

Individual Health Insurance (Obamacare)

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Health First GYM ACCESS Bronze HMO 50 1796

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Monthly Cost

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Benefits & Coverage

Plan Name
Health First GYM ACCESS Bronze HMO 50 1796
Plan Year
2018
Insurance Type
Individual Health Insurance (Obamacare)
Insurance Provider
Metal Level
Bronze
Out-of-Pocket Maximum
Plan Highlights

Costs for Medical Care

Primary Care Visit to Treat an Injury or Illness
50% Coinsurance after deductible
Specialist Visit
50% Coinsurance after deductible
Deductible - Family
$13800
Out-of-Pocket Maximum - Family
$14300

Prescription drug coverage

Generic Drugs
$35 Copay
Preferred Brand Drugs
35% Coinsurance after deductible
Non-Preferred Brand Drugs
40% Coinsurance after deductible
Specialty Drugs
45% Coinsurance after deductible

Access to doctors and hospitals

Provider directory URL
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Hospital services

Emergency Room Services
50% Coinsurance after deductible
Inpatient Hospital Services (e.g., Hospital Stay)
50% Coinsurance after deductible
Inpatient Physician and Surgical Services
50% 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

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Bronze plan frequently asked questions (FAQ)

  • What is a bronze plan?

    Bronze Plan is a type of Metal Plan on the Health Insurance Marketplace. Bronze Plans qualify for Tax Credits and have low premiums. Generally speaking, a Bronze Plan is intended to have the lowest premium of the 4 new categories of health plans under the Affordable Care Act but charge the highest out-of-pocket costs for healthcare services.

  • How are Bronze 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 Bronze Plan pays 60% of the covered medical costs among its enrollees while the other Obamacare health plans pay a higher percentage of these costs.

  • How much does a Bronze Plan cost?

    The monthly premium for a Bronze 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 Bronze Plan premiums in your area. Another important factor to remember is Advanced Premium Tax Credits which can subsidize bronze plan premiums if an individual meets eligibility criteria.

  • When Can I Enroll in a Bronze Plan?

    The annual enrollment period for the 2016 plan year will begin on November 1, 2015 and continue through January 31, 2016.

    In 2015 there had been a Special Enrollment Period for many facing the uninsured penalty on their 2014 tax return. There is no guarantee that a similar Special Enrollment Period will be granted in 2016. See our Open Enrollment article for more information.

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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.

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