2018 Horizon Advantage EPO Bronze Plan Details - HealthPocket

Horizon Advantage EPO Bronze

$376.26/mo

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Zip Code08701
Applicant8/17/1983 Male
Coverage Start8/18/2018
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Benefits & Coverage

Insurance TypeACA (Obamacare)
Plan NameHorizon Advantage EPO Bronze
Plan IDqhp-91661NJ2270002
Insurance ProviderHorizon Blue Cross Blue Shield of New Jersey
Metal LevelExpanded Bronze
Plan TypeEPO
Deductible$3,000
Out-of-Pocket Maximum$7,350
Plan Highlights

Costs for Medical Care

Primary Care Visit to Treat an Injury or Illness$30 Copay
Specialist Visit50% Coinsurance after deductible
Deductible - Family$6000
Out-of-Pocket Maximum - Family$14700

Prescription drug coverage

Generic Drugs50% Coinsurance after deductible
Preferred Brand Drugs50% 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 Services50% Coinsurance after deductible
Inpatient Hospital Services (e.g., Hospital Stay)$500 Copay
Inpatient Physician and Surgical ServicesNo Charge after Deductible
PremiumPlan NameDeductible
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Classic Bronze
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OMNIA Bronze HSA
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