2019 Access Care Expanded Bronze Plan Details - HealthPocket

Access Care Expanded Bronze

$341.42/mo

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Zip Code59102
Applicant2/22/1984 Male
Coverage Start2/23/2019
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Benefits & Coverage

Insurance TypeACA (Obamacare)
Plan NameAccess Care Expanded Bronze
Plan IDqhp-32225MT0080005
Plan Year2019
Insurance ProviderMontana Health CO-OP
Metal LevelExpanded Bronze
Plan TypePPO
Deductible$5,000
Out-of-Pocket Maximum$7,900
Personal Score

Plan Highlights

Costs for Medical Care

Primary Care Visit to Treat an Injury or Illness$50 Copay
Specialist Visit$75 Copay
Laboratory Outpatient and Professional Services60.00% Coinsurance after deductible
X-rays and Diagnostic Imaging60.00% Coinsurance after deductible
Deductible - Family$10000
Out-of-Pocket Maximum - Family$15800

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

Maternity

Prenatal and Postnatal Care60.00% Coinsurance after deductible

Mental Health

Mental/Behavioral Health Outpatient ServicesNot Applicable
Mental/Behavioral Health Inpatient Services60.00% Coinsurance after deductible

Vision Coverage

Routine Eye Exam for ChildrenNot Applicable
Eye Glasses for ChildrenNot Applicable

Exclusions and Limitations

More Included BenefitsOther Practitioner Office Visit (Nurse, Physician Assistant)
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)
Outpatient Surgery Physician/Surgical Services
Hospice Services
Infertility Treatment
Urgent Care Centers or Facilities
Home Health Care Services
Inpatient Physician and Surgical Services
Cosmetic Surgery
Skilled Nursing Facility
Outpatient Rehabilitation Services
Habilitation Services
Chiropractic Care
Durable Medical Equipment
Imaging (CT/PET Scans, MRIs)
Preventive Care/Screening/Immunization
Routine Foot Care
Rehabilitative Speech Therapy
Rehabilitative Occupational and Rehabilitative Physical Therapy
Well Baby Visits and Care
Transplant
Accidental Dental
Dialysis
Allergy Testing
Chemotherapy
Radiation
Diabetes Education
Prosthetic Devices
Infusion Therapy
Nutritional Counseling
Reconstructive Surgery
Mental Health Other
Inherited Metabolic Disorder - PKU
Well Child Care
Diabetes Care Management
More Excluded BenefitsLong-Term/Custodial Nursing Home Care
Private-Duty Nursing
Bariatric Surgery
Dental Check-Up for Children
Hearing Aids
Acupuncture
Weight Loss Programs
Abortion for Which Public Funding is Prohibited
Treatment for Temporomandibular Joint Disorders
PremiumPlan NameDeductible
from $369
Blue Focus Bronze POS 302
$4,900.00Select
from $460
Blue Preferred Bronze PPO 302
$4,900.00Select
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  • Phone Number
    (406) 656-8385
  • Office Locations
    1903 Camden Dr
    Billings, MT 59102
1903 Camden Dr Billings MT, 59102

HealthPocket is a free information source designed to help consumers find medical coverage. Whether you are looking for Medicare, Medicaid or an individual health insurance plan, we will help you find the right healthcare option and save on your out of pocket healthcare costs. We receive our data from government, non-profit and private sources, and you should confirm key provisions of your coverage with your selected health plan. If you select a plan presented on our site, you will be directed (via a click or a call) to one of our partners who can help you with your application. Our website is not a health insurance agency and not affiliated with and does not represent or endorse any health plan.

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HealthPocket is a free information source designed to help consumers find medical coverage. Whether you are looking for Medicare, Medicaid or an individual health insurance plan, we will help you find the right healthcare option and save on your out of pocket healthcare costs. We receive our data from government, non-profit and private sources, and you should confirm key provisions of your coverage with your selected health plan. If you select a plan presented on our site, you will be directed (via a click or a call) to one of our partners who can help you with your application. Our website is not a health insurance agency and not affiliated with and does not represent or endorse any health plan.