2018 Molina Marketplace Gold Plan Plan Details - HealthPocket

Molina Marketplace Gold Plan


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Zip Code48228
Applicant10/15/1983 Male
Coverage Start10/16/2018
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Benefits & Coverage

Insurance TypeACA (Obamacare)
Plan NameMolina Marketplace Gold Plan
Plan IDqhp-40047MI0010001
Plan Year2018
Insurance ProviderMolina Healthcare
Metal LevelGold
Plan TypeHMO
Out-of-Pocket Maximum$7,350
Plan Highlights

Costs for Medical Care

Primary Care Visit to Treat an Injury or Illness$10 Copay
Specialist Visit$35 Copay
Deductible - Family$7600
Out-of-Pocket Maximum - Family$14700

Prescription drug coverage

Generic Drugs$10 Copay
Preferred Brand Drugs$50 Copay
Non-Preferred Brand Drugs30% Coinsurance after deductible
Specialty Drugs30% Coinsurance after deductible

Access to doctors and hospitals

Provider directory URLComing Soon

Hospital services

Emergency Room Services$300 Copay
Inpatient Hospital Services (e.g., Hospital Stay)20% Coinsurance after deductible
Inpatient Physician and Surgical Services20% Coinsurance after deductible
PremiumPlan NameDeductible
from $237
Totally You - Complete
from $260
Totally You - Complete
from $278
Sparrow PHP Silver 4000 Exclusive
from $325
Meridian HSA Savings Silver
from $340
Sparrow PHP Silver 4000 Exclusive
  • 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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