>> Choose a suitable plan <<
Insurance companies provide four coverage options: Bronze, Silver, Gold and Platinum.
Bronze
Bronze plans typically have the lowest monthly premiums but the highest costs when you get care.
The first three non-preventive doctor visits are not subject to a deductible.
Silver
On-exchange: Silver Comes in Four Varieties: 70, 73, 87 and 94. Which one you qualify for depends on your household income. Use the Shop and Compare Tool to see if you can get extra savings with Silver 73, 87 and 94.
It has lower premium and moderate Out-of-Pocket
Gold
No surprises or deductibles. Count on set prices from day one.
All plans in the Gold level have the same benefits. Compare plans on things like price and hospital location with the peace of mind that benefits are guaranteed.
Platinum
No deductibles and the lowest prices on services — two great reasons to go Platinum.
90%of costs paid by your insurance company
Bronze Plan*All information shown are for illustration propose only. Actual product may vary due to plan’s Summary of Benefit and Coverage form. |
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| Out Of Pocket | Medical Deductible | Pharmacy Deductible | |
|---|---|---|---|
| Individual | $8200 | $6300 | $500 |
| Family | $16,400 | $12,600 | $1,000 |
Free Preventive Care |
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| FREE Wllness Visits |
FREE Screenings and Immunizations |
FREE Prenatal |
FREE Screening and Counseling for Children |
Doctor Visits |
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| $65* Doctor Visit |
$95* Specialist Visits |
$65* Mental Health Outpatient Visits and Service |
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| *Price is for any combination of visits (doctor, specialist, mental health, urgent care) for the first three visits. After three visits, future visits will be at full cost until deductible is met. | |||
Emergency Care |
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| 40% of bill* Ambulance Trip |
40% of bill* Emergency Room Visit |
$65** Urgent Care Visit |
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| *After deductible is met. Never more than the $8,200 individual out-of-pocket maximum. **Price is for any combination of visits (doctor, specialist, mental health, urgent care) for the first three visits. After three visits, future visits will be at full cost until deductible is met. |
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Follow-Up Care |
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| Home Health* 40% Per Visit |
Durable Medical Equipment 40% of bill |
Skilled Nursing Care* 40% of bill |
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| *Full price until deductible is met, if applicable. Never more than $8,200 per year for an individual | |||
Pediatric Care |
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| Eye Exam FREE One Per Year |
Glasses FREE One Pair Per Year |
Dental Cleanings FREE Once Every 6 Months |
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Other Services |
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| $40 | 40% of bill | 10% to 20% of bill | |
| Lab Visit | X-rays and Diagnostic Imaging, including CT/PET scans, MRIs* | Hospital Facility Fee* | |
| * Full price until deductible is met, if applicable. Never more than $8,200 per year for an individual. | |||
Silver Plan*All information shown are for illustration propose only. Actual product may vary due to plan’s Summary of Benefit and Coverage form. |
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| Out Of Pocket | Medical Deductible | Pharmacy Deductible | |
|---|---|---|---|
| Individual | $1000 to $8000 | $75 to $4000 | $0 to $300 |
| Family | $2,000 to $16,400 | $150 to $8,000 | $0 to $600 |
Free Preventive Care |
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| FREE Wllness Visits |
FREE Screenings and Immunizations |
FREE Prenatal |
FREE Screening and Counseling for Children |
Doctor Visits |
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| $5 to $40 Doctor Visit |
$8 to $80 Specialist Visits |
$5 to $40 Mental Health Outpatient Visits and Service |
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Emergency Care |
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| $30 to $250 Ambulance Trip |
$50 to $400 Emergency Room Visit |
$5 to $40 Urgent Care Visit |
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Follow-Up Care |
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| Home Health $3 to $45 Per Visit |
Durable Medical Equipment 10% to 20% of bill |
Skilled Nursing Care* 10% to 20% of bill |
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| *Full price until deductible is met, if applicable. Never more than $8,200 per year for an individual | |||
Pediatric Care |
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| Eye Exam FREE One Per Year |
Glasses FREE One Pair Per Year |
Dental Cleanings FREE Once Every 6 Months |
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Other Services |
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| $8 to $40 | $8 to $85 | $50 to $325 | 10% to 20% of bill |
| Lab Test | X-rays and Diagnostic Imaging | Imaging (CT/PET scans, MRIs) | Hospital Facility Fee* |
| * Full price until deductible is met, if applicable. Never more than $8,200 per year for an individual. | |||
Gold Plan*All information shown are for illustration propose only. Actual product may vary due to plan’s Summary of Benefit and Coverage form. |
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| Out Of Pocket | Medical Deductible | Pharmacy Deductible | |
|---|---|---|---|
| Individual | $8,200 | $0 | $0 |
| Family | $16,400 | $0 | $0 |
Free Preventive Care |
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| FREE Wllness Visits |
FREE Screenings and Immunizations |
FREE Prenatal |
FREE Screening and Counseling for Children |
Doctor Visits |
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| $35 Doctor Visit |
$65 Specialist Visits |
$35 Mental Health Outpatient Visits and Service |
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Emergency Care |
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| $250 Ambulance Trip |
$350 Emergency Room Visit |
$35 Urgent Care Visit |
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Follow-Up Care |
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| Home Health $30 Per Visit |
Durable Medical Equipment 20% of bill |
Skilled Nursing Care $300 per day up to 5 days |
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Pediatric Care |
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| Eye Exam FREE One Per Year |
Glasses FREE One Pair Per Year |
Dental Cleanings FREE Once Every 6 Months |
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Other Services |
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| $40 | $75 | $150 | $600 per day up to 5 days |
| Lab Test | X-rays and Diagnostic Imaging | Imaging (CT/PET scans, MRIs) | Hospital Facility Fee |
Platinum Plan*All information shown are for illustration propose only. Actual product may vary due to plan’s Summary of Benefit and Coverage form. |
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| Out Of Pocket | Medical Deductible | Pharmacy Deductible | |
|---|---|---|---|
| Individual | $4,500 | $0 | $0 |
| Family | $9,000 | $0 | $0 |
Free Preventive Care |
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| FREE Wllness Visits |
FREE Screenings and Immunizations |
FREE Prenatal |
FREE Screening and Counseling for Children |
Doctor Visits |
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| $15 Doctor Visit |
$630 Specialist Visits |
$15 Mental Health Outpatient Visits and Service |
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Emergency Care |
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| $150 Ambulance Trip |
$150 Emergency Room Visit |
$15 Urgent Care Visit |
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Follow-Up Care |
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| Home Health $20 Per Visit |
Durable Medical Equipment 10% of bill |
Skilled Nursing Care $150 per day up to 5 days |
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Pediatric Care |
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| Eye Exam FREE One Per Year |
Glasses FREE One Pair Per Year |
Dental Cleanings FREE Once Every 6 Months |
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Other Services |
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| $15 | $30 | $75 | $250 per day up to 5 days |
| Lab Test | X-rays and Diagnostic Imaging | Imaging (CT/PET scans, MRIs) | Hospital Facility Fee |
