2018 Valley Health Plan Gold 80 HMO Plan Details - HealthPocket

Valley Health Plan Gold 80 HMO

$0.00/mo

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Zip Code90011
Applicant8/22/1983 Male
Coverage Start8/23/2018
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Benefits & Coverage

Insurance TypeACA (Obamacare)
Plan NameValley Health Plan Gold 80 HMO
Plan IDexch-CA2018ValleyHealthPlanGold80HMO
Insurance ProviderValley Health Plan
Metal LevelGold
Plan TypeHMO
Deductible$0
Out-of-Pocket Maximum$6,000
Plan Highlights

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 Drugs20% Coinsurance after deductible

Hospital services

Emergency Room Services$325 Copay
Inpatient Hospital Services (e.g., Hospital Stay)$600 Copay
PremiumPlan NameDeductible
from $322
Gold 80 HMO Trio Mirrored
$0.00Select
from $401
Gold 80 PPO Mirrored
$0.00Select
from $434
Platinum 90 HMO Trio Mirrored
$0.00Select
from $451
Gold 80 HMO Coinsurance
$0.00Select
from $475
Gold 80 HMO
$0.00Select
  • 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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