2018 Oscar Bronze 60 EPO Plan Details - HealthPocket

Oscar Bronze 60 EPO

$0.00/mo

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Zip Code90011
Applicant8/17/1983 Male
Coverage Start8/18/2018
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Benefits & Coverage

Insurance TypeACA (Obamacare)
Plan NameOscar Bronze 60 EPO
Plan IDexch-CA2018OscarBronze60EPO
Insurance ProviderOscar
Metal LevelBronze
Plan TypeEPO
Deductible$6,300
Out-of-Pocket Maximum$7,000
Plan Highlights

Costs for Medical Care

Primary Care Visit to Treat an Injury or Illness$75 Copay
Specialist Visit$105 Copay
Laboratory Outpatient and Professional Services$40 Copay
X-rays and Diagnostic Imaging100% Coinsurance after deductible
Deductible - Family$12600
Out-of-Pocket Maximum - Family$14000

Prescription drug coverage

Generic Drugs100% Coinsurance after deductible
Preferred Brand Drugs100% Coinsurance after deductible
Non-Preferred Brand Drugs100% Coinsurance after deductible
Specialty Drugs100% Coinsurance after deductible

Hospital services

Emergency Room Services100% Coinsurance after deductible
Inpatient Hospital Services (e.g., Hospital Stay)100% Coinsurance after deductible
PremiumPlan NameDeductible
from $255
Bronze 60 PPO Mirrored
$6,300.00Select
from $305
Bronze 60 HMO
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from $317
Bronze 60 D EPO
$6,300.00Select
from $352
Advantage Bronze 6500 HDHP HMO
$6,500.00Select
from $353
Bronze 60 HMO
$6,300.00Select
  • What is a bronze plan?

    Bronze Plan is a type of Metal Plan on the Health Insurance Marketplace. Bronze Plans qualify for Tax Credits and have low premiums. Generally speaking, a Bronze Plan is intended to have the lowest premium of the 4 new categories of health plans under the Affordable Care Act but charge the highest out-of-pocket costs for healthcare services.

  • How are Bronze 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 Bronze Plan pays 60% of the covered medical costs among its enrollees while the other Obamacare health plans pay a higher percentage of these costs.

  • How much does a Bronze Plan cost?

    The monthly premium for a Bronze 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 Bronze Plan premiums in your area. Another important factor to remember is Advanced Premium Tax Credits which can subsidize bronze plan premiums if an individual meets eligibility criteria.

  • When Can I Enroll in a Bronze Plan?

    The annual enrollment period for the 2018 plan year will begin on November 1, 2017 and continue through December 15, 2017.

    In 2015 there had been a Special Enrollment Period for many facing the uninsured penalty on their 2014 tax return. There is no guarantee that a similar Special Enrollment Period will be granted in 2017. See our Open Enrollment article for more information.

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