2019 Medica Insure Bronze HSA Plan Details - HealthPocket

Medica Insure Bronze HSA

$469.19/mo

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Zip Code68104
Applicant12/19/1983 Male
Coverage Start12/20/2018
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Benefits & Coverage

Insurance TypeACA (Obamacare)
Plan NameMedica Insure Bronze HSA
Plan IDqhp-20305NE0040011
Plan Year2019
Insurance ProviderMedica
Metal LevelBronze
Plan TypeEPO
Deductible$6,200
Out-of-Pocket Maximum$6,750
Plan Highlights

Costs for Medical Care

Primary Care Visit to Treat an Injury or Illness20% Coinsurance after deductible
Specialist Visit20% Coinsurance after deductible
Laboratory Outpatient and Professional Services20.00% Coinsurance after deductible
X-rays and Diagnostic Imaging20.00% Coinsurance after deductible
Deductible - Family$12400
Out-of-Pocket Maximum - Family$13500

Prescription drug coverage

Generic Drugs20% Coinsurance after deductible
Preferred Brand Drugs20% Coinsurance after deductible
Non-Preferred Brand Drugs20% Coinsurance after deductible
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

Maternity

Prenatal and Postnatal Care20.00% Coinsurance after deductible

Mental Health

Mental/Behavioral Health Outpatient Services20.00% Coinsurance after deductible
Mental/Behavioral Health Inpatient Services20.00% Coinsurance after deductible

Vision Coverage

Routine Eye Exam for Children20.00% Coinsurance after deductible
Eye Glasses for Children20.00% Coinsurance after deductible

Exclusions and Limitations

More Included BenefitsWell Baby Visits and Care
Transplant
Accidental Dental
Dialysis
Allergy Testing
Chemotherapy
Radiation
Diabetes Education
Other Practitioner Office Visit (Nurse, Physician Assistant)
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)
Outpatient Surgery Physician/Surgical Services
Hospice Services
Urgent Care Centers or Facilities
Home Health Care Services
Inpatient Physician and Surgical Services
Skilled Nursing Facility
Outpatient Rehabilitation Services
Habilitation Services
Chiropractic Care
Durable Medical Equipment
Imaging (CT/PET Scans, MRIs)
Preventive Care/Screening/Immunization
Rehabilitative Speech Therapy
Rehabilitative Occupational and Rehabilitative Physical Therapy
Prosthetic Devices
Infusion Therapy
Treatment for Temporomandibular Joint Disorders
Nutritional Counseling
Reconstructive Surgery
More Excluded BenefitsRoutine Foot Care
Acupuncture
Weight Loss Programs
Abortion for Which Public Funding is Prohibited
Infertility Treatment
Long-Term/Custodial Nursing Home Care
Private-Duty Nursing
Bariatric Surgery
Cosmetic Surgery
Hearing Aids
Dental Check-Up for Children
PremiumPlan NameDeductible
from $394
Medica with CHI Health Bronze HSA
$6,200.00Select
from $398
Elevate by Medica Bronze HSA
$6,200.00Select
from $481
Medica with CHI Health Bronze HSA
$6,200.00Select
from $487
Elevate by Medica Bronze HSA
$6,200.00Select
from $573
Medica Insure Bronze HSA
$6,200.00Select
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York, Glenn
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Zanone, Dana
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Sharma, Sanjeev
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Stoewe, Judith
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Fuglestad Eckmann, Kristen
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Swanson, David
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Wehrmann, Chelsey
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Schantz, Caleb
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Piittmann, Maddie
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Sorensen Care And Rehabilitation Center, Llc
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Wolf, Diane
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Piatt, Erin
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Gorham, Wendy
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Kozeny, Cecilia
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Hilderbrand, Patrick
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Keel, Tess
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Omaha Public Schools
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Pusch, Erin
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Kula, Kristine
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Motwani, Bryan
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Supon, Ryan
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Rosen, Adam
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Duncan, Kamisha
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Sucnayan, Rosemarie
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Glenn York, DPM
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  • Phone Number
    (402) 558-8100
  • Office Locations
    6069 Maple St
    Omaha, NE 68104
6069 Maple St Omaha NE, 68104
  • 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 2018 plan year will begin on November 1, 2017 and continue through December 15, 2017.

    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 2017. 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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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.