2018 Access Care Expanded Bronze Plan Details - HealthPocket

Access Care Expanded Bronze


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Zip Code59102
Applicant10/23/1983 Male
Coverage Start10/24/2018
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Benefits & Coverage

Insurance TypeACA (Obamacare)
Plan NameAccess Care Expanded Bronze
Plan IDqhp-32225MT0080005
Plan Year2018
Insurance ProviderMontana Health CO-OP
Metal LevelExpanded Bronze
Plan TypePPO
Out-of-Pocket Maximum$6,800
Plan Highlights

Costs for Medical Care

Primary Care Visit to Treat an Injury or Illness$50 Copay
Specialist Visit$75 Copay
Deductible - Family$10000
Out-of-Pocket Maximum - Family$13600

Prescription drug coverage

Generic Drugs10% Coinsurance after deductible
Preferred Brand Drugs30% Coinsurance after deductible
Non-Preferred Brand Drugs40% Coinsurance after deductible
Specialty Drugs50% Coinsurance after deductible

Access to doctors and hospitals

Provider directory URLComing Soon

Hospital services

Emergency Room Services60% Coinsurance after deductible
Inpatient Hospital Services (e.g., Hospital Stay)60% Coinsurance after deductible
Inpatient Physician and Surgical Services60% Coinsurance after deductible

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