2018 Medica with CHI Health Bronze Copay Plan Details - HealthPocket

Medica with CHI Health Bronze Copay

$436.10/mo

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Zip Code68104
Applicant10/15/1983 Male
Coverage Start10/16/2018
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Benefits & Coverage

Insurance TypeACA (Obamacare)
Plan NameMedica with CHI Health Bronze Copay
Plan IDqhp-20305NE0020005
Plan Year2018
Insurance ProviderMedica
Metal LevelBronze
Plan TypePPO
Deductible$6,850
Out-of-Pocket Maximum$7,350
Plan Highlights

Costs for Medical Care

Primary Care Visit to Treat an Injury or Illness$80 Copay
Specialist Visit$150 Copay
Deductible - Family$13700
Out-of-Pocket Maximum - Family$14700

Prescription drug coverage

Generic Drugs$20 Copay
Preferred Brand Drugs50% Coinsurance after deductible
Non-Preferred Brand Drugs70% Coinsurance after deductible
Specialty Drugs30% 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)50% Coinsurance after deductible
Inpatient Physician and Surgical Services50% Coinsurance after deductible
PremiumPlan NameDeductible
from $484
Medica Insure Bronze Copay
$6,850.00Select
from $633
Medica Insure Bronze Copay
$6,850.00Select
from $813
Medica with CHI Health Bronze Copay
$6,850.00Select
  • 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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