2018 Molina Platinum 90 HMO Plan Details - HealthPocket

Molina Platinum 90 HMO

$0.00/mo

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Zip Code90011
Applicant8/15/1983 Male
Coverage Start8/16/2018
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Benefits & Coverage

Insurance TypeACA (Obamacare)
Plan NameMolina Platinum 90 HMO
Plan IDexch-CA2018MolinaPlatinum90HMO
Insurance ProviderMolina Healthcare
Metal LevelPlatinum
Plan TypeHMO
Deductible$0
Out-of-Pocket Maximum$3,350
Plan Highlights

Costs for Medical Care

Primary Care Visit to Treat an Injury or Illness$15 Copay
Specialist Visit$30 Copay
Laboratory Outpatient and Professional Services$15 Copay
X-rays and Diagnostic Imaging$30 Copay
Deductible - Family$0
Out-of-Pocket Maximum - Family$6700

Prescription drug coverage

Generic Drugs$5 Copay
Preferred Brand Drugs$15 Copay
Non-Preferred Brand Drugs$25 Copay
Specialty Drugs10% Coinsurance after deductible

Hospital services

Emergency Room Services$150 Copay
Inpatient Hospital Services (e.g., Hospital Stay)10% Coinsurance after deductible
PremiumPlan NameDeductible
from $322
Gold 80 HMO Trio Mirrored
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from $401
Gold 80 PPO Mirrored
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Platinum 90 HMO Trio Mirrored
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from $451
Gold 80 HMO Coinsurance
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from $475
Gold 80 HMO
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  • What is the Platinum Plan?

    ObamaCare’s Platinum Plan is a type of Metal Plan on the Health Insurance Marketplace. Platinum Plans qualify for Tax Credits and have the highest premiums. A Platinum Plan is designed to incur the lowest out-of-pocket expenses for enrollees. A typical platinum plan enrollee pays approximately 10% of the costs of covered healthcare services with the plan paying the remainder. In comparison, a typical Bronze Plan enrollee pays 40% of covered medical expenses.

  • How are Platinum 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 Platinum Plan pays 90% of covered medical costs for a typical enrollee while the other Obamacare health plans pay a lower percentage of these costs.

  • How much does a Platinum Plan cost?

    The monthly premium for a Platinum 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 Platinum Plan premiums in your area.

  • When Can I Enroll in a Platinum 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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