2018 Medica Insure Gold Copay Plus Plan Details - HealthPocket

Medica Insure Gold Copay Plus

$705.59/mo

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Zip Code68104
Applicant8/14/1983 Male
Coverage Start8/15/2018
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Benefits & Coverage

Insurance TypeACA (Obamacare)
Plan NameMedica Insure Gold Copay Plus
Plan IDqhp-20305NE0010019
Insurance ProviderMedica
Metal LevelGold
Plan TypePPO
Deductible$1,000
Out-of-Pocket Maximum$5,000
Plan Highlights

Costs for Medical Care

Primary Care Visit to Treat an Injury or Illness$30 Copay
Specialist Visit$30 Copay
Deductible - Family$3000
Out-of-Pocket Maximum - Family$10000

Prescription drug coverage

Generic Drugs$5 Copay
Preferred Brand Drugs$35 Copay
Non-Preferred Brand Drugs$150 Copay
Specialty Drugs$250 Copay

Access to doctors and hospitals

Provider directory URLComing Soon

Hospital services

Emergency Room Services$150 Copay
Inpatient Hospital Services (e.g., Hospital Stay)$250 Copay
Inpatient Physician and Surgical Services30% Coinsurance after deductible
PremiumPlan NameDeductible
from $74
Everest 1000/20/5000/250000
$1,000.00Select
from $75
Everest 1000/20/4000/250000
$1,000.00Select
from $77
Everest 1000/20/3000/250000
$1,000.00Select
from $82
Everest 1000/20/5000/1000000
$1,000.00Select
from $84
Everest 1000/20/4000/1000000
$1,000.00Select
  • What is the Gold Plan?

    ObamaCare’s Gold Plan is a type of Metal Plan on the Health Insurance Marketplace. Gold Plans qualify for Tax Credits, have high premiums, and good cost sharing. Gold plans mean higher premiums, less Tax Credits, but much better cost sharing on average than Silver or Bronze.

  • How are Gold 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 Gold Plan typically pays 80% of covered medical costs.

  • How much does a Gold Plan cost?

    The monthly premium for a Gold 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 your geographic region. You can use HealthPocket’s comparison tool to compare Gold Plan premiums in your area.

  • When Can I Enroll in a Gold 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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