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Bronze HSA
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Bronze HSA

Overview
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Bronze HSA is an individual health health plan issued by Bright Health Insurance Company of Tennessee and is available for the year 2019. This health plan is offered by the federal government through HealthCare.gov and the Affordable Care Act (ACA).

Where Do I Need to Live to Quality for this Plan?

This plan is available for qualifying individuals who live in Haywood county, Tennessee.

What Type of Health Plan Is This?

This plan is an EPO plan, which is also known as an "Exclusive Provider Organization." An EPO is a managed care plan where services are covered so long as the the hospitals, dentists, and other health providers in the plan's network are used.

Where Can I Buy This Plan?

You can purchase this plan at HealthCare.gov.

About
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Issuer
Bright Health Insurance Company of Tennessee
Plan ID
97906TN0010006
Coverage area
Haywood County, Tennessee
Phone
Local Phone:
Toll-Free:
TTY:
Plan type
EPO
Coverage type
Medical deductible
$6,750
Out-of-pocket maximum
$6,750
Generic drug co-pay
No Charge after Deductible
Preferred brand drug co-pay
No Charge after Deductible
Primary care physician visit cost
No Charge after Deductible
Specialist doctor visit cost
No Charge after Deductible
Doctor Visits
Primary Care Visit No Charge after Deductible
Specialist Visit No Charge after Deductible
Emergency Room Visit No Charge after Deductible
Inpatient Facility Visit No Charge after Deductible
Inpatient Physician Visit No Charge after Deductible
Prescription Drugs
Generic Drugs No Charge after Deductible
Preferred Brand Drugs No Charge after Deductible
Non-preferred Brand Drugs No Charge after Deductible
Specialty Drugs No Charge after Deductible
Medical Deductible
Medical Deductible (Individual) $6,750
Medical Maximum Out Of Pocket (Individual) $6,750
Medical Deductible (Family) $13,500
Medical Maximum Out Of Pocket (Family) $13,500
Drug Deductible
Drug Deductible (Individual) Included in Medical
Drug Maximum Out Of Pocket (Individual) Included in Medical
Drug Deductible (Family) Included in Medical
Drug Maximum Out Of Pocket (Family) Included in Medical
Premium Rates
EHB Percent of Total Premium 100.00%
Premium Child Age 0-14 269.18
Premium Child Age 18 321.26
Premium Adult Individual Age 21 351.87
Premium Adult Individual Age 27 368.76
Premium Adult Individual Age 30 399.38
Premium Adult Individual Age 40 449.69
Premium Adult Individual Age 50 628.45
Premium Adult Individual Age 60 954.98
Premium Couple 21 703.74
Premium Couple 30 798.76
Premium Couple 40 899.38
Premium Couple 50 1,256.9
Premium Couple 60 1,909.96
Couple+1 child, Age 21 972.92
Couple+1 child, Age 30 1,067.94
Couple+1 child, Age 40 1,168.56
Couple+1 child, Age 50 1,526.08
Couple+2 children, Age 21 1,242.1
Couple+2 children, Age 30 1,337.12
Couple+2 children, Age 40 1,437.74
Couple+2 children, Age 50 1,795.26
Couple+3 or more Children, Age 21 1,511.28
Couple+3 or more Children, Age 30 1,606.3
Couple+3 or more Children, Age 40 1,706.92
Couple+3 or more Children, Age 50 2,064.44
Individual+1 child, Age 21 621.05
Individual+1 child, Age 30 668.56
Individual+1 child, Age 40 718.87
Individual+1 child, Age 50 897.63
Individual+2 children, Age 21 890.23
Individual+2 children, Age 30 937.74
Individual+2 children, Age 40 988.05
Individual+2 children, Age 50 1,166.81
Individual+3 or more children, Age 21 1,159.41
Individual+3 or more children, Age 30 1,206.92
Individual+3 or more children, Age 40 1,257.23
Individual+3 or more children, Age 50 1,435.99
Reference
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  • HealthCare.gov. U.S. Centers for Medicare and Medicaid. Accessed June 11, 2019. https://www.healthcare.gov
  • The 'metal' categories: Bronze, Silver, Gold & Platinum. U.S. Centers for Medicare and Medicaid. Accessed June 11, 2019. https://www.healthcare.gov/choose-a-plan/plans-categories
  • Health insurance plan & network types: HMOs, PPOs, and more. U.S. Centers for Medicare and Medicaid. Accessed June 11, 2019. https://www.healthcare.gov/choose-a-plan/plan-types