2018 Access Care Gold Plan Details - HealthPocket

Access Care Gold

$481.16/mo

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Zip Code59102
Applicant8/18/1983 Male
Coverage Start8/19/2018
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Benefits & Coverage

Insurance TypeACA (Obamacare)
Plan NameAccess Care Gold
Plan IDqhp-32225MT0080001
Insurance ProviderMontana Health CO-OP
Metal LevelGold
Plan TypePPO
Deductible$800
Out-of-Pocket Maximum$5,750
Plan Highlights

Costs for Medical Care

Primary Care Visit to Treat an Injury or Illness$30 Copay
Specialist Visit$40 Copay
Deductible - Family$1600
Out-of-Pocket Maximum - Family$11500

Prescription drug coverage

Generic Drugs10% Coinsurance after deductible
Preferred Brand Drugs25% Coinsurance after deductible
Non-Preferred Brand Drugs35% Coinsurance after deductible
Specialty Drugs45% Coinsurance after deductible

Access to doctors and hospitals

Provider directory URLComing Soon

Hospital services

Emergency Room Services30% Coinsurance after deductible
Inpatient Hospital Services (e.g., Hospital Stay)30% Coinsurance after deductible
Inpatient Physician and Surgical Services30% Coinsurance after deductible
PremiumPlan NameDeductible
from $71
National General 1000/50/3500/250000
$1,000.00Select
from $89
National General 1000/20/2500/1000000
$1,000.00Select
from $438
Connected Care Gold
$750.00Select
from $492
Blue Preferred Silver PPO 203
$1,000.00Select
from $551
Blue Preferred Silver PPO 203
$1,000.00Select
  • 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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