2018 Molina Marketplace Bronze Plan Plan Details - HealthPocket

Molina Marketplace Bronze Plan


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Zip Code48228
Applicant10/19/1983 Male
Coverage Start10/20/2018
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Benefits & Coverage

Insurance TypeACA (Obamacare)
Plan NameMolina Marketplace Bronze Plan
Plan IDqhp-40047MI0010003
Plan Year2018
Insurance ProviderMolina Healthcare
Metal LevelExpanded Bronze
Plan TypeHMO
Out-of-Pocket Maximum$7,350
Plan Highlights

Costs for Medical Care

Primary Care Visit to Treat an Injury or Illness$35 Copay
Specialist Visit$80 Copay
Deductible - Family$12800
Out-of-Pocket Maximum - Family$14700

Prescription drug coverage

Generic Drugs$20 Copay
Preferred Brand Drugs$60 Copay
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 Services$400 Copay
Inpatient Hospital Services (e.g., Hospital Stay)40% Coinsurance after deductible
Inpatient Physician and Surgical Services40% Coinsurance after deductible
PremiumPlan NameDeductible
from $220
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McLaren HSA Bronze 6550
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Sparrow PHP Bronze 6550 H.S.A. Exclusive
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Sparrow PHP Bronze 6550 H.S.A. HMO

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