|Applicant||10/15/1983 Male |
|Insurance Type||ACA (Obamacare)|
|Plan Name||Oscar Gold 80 EPO|
Costs for Medical Care
|Primary Care Visit to Treat an Injury or Illness||$25 Copay|
|Specialist Visit||$55 Copay|
|Laboratory Outpatient and Professional Services||$35 Copay|
|X-rays and Diagnostic Imaging||$55 Copay|
|Deductible - Family||$0|
|Out-of-Pocket Maximum - Family||$12000|
Prescription drug coverage
|Generic Drugs||$15 Copay|
|Preferred Brand Drugs||$55 Copay|
|Non-Preferred Brand Drugs||$75 Copay|
|Specialty Drugs||20% Coinsurance after deductible|
|Emergency Room Services||$325 Copay|
|Inpatient Hospital Services (e.g., Hospital Stay)||$600 Copay|
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.
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.
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.
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.
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.