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Bronze Plan 1
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Bronze Plan 1

Overview
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Bronze Plan 1 is an individual health health plan issued by USAble Mutual Insurance Company 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 Washington county, Arkansas.

What Type of Health Plan Is This?

This plan is a PPO plan, which is also known as a "Preferred Provider Organization." In this type of insurance plan, you can choose to receive care from doctors, hospitals, and other providers who are in-network or out-of-network. You pay less if you use in-network providers. In a PPO plan, you can visit any doctor without getting a referral.

Where Can I Buy This Plan?

You can purchase this plan at HealthCare.gov.

About
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Issuer
USAble Mutual Insurance Company
Plan ID
75293AR1200007
Coverage area
Washington County, Arkansas
Phone
Local Phone: 1-800-800-4298
Toll-Free: 1-800-800-4298
TTY: 1-800-800-4298
Plan type
PPO
Coverage type
Medical deductible
$6,600
Out-of-pocket maximum
$7,900
Generic drug co-pay
$25
Preferred brand drug co-pay
50% Coinsurance after deductible
Primary care physician visit cost
$40
Specialist doctor visit cost
50% Coinsurance after deductible
Doctor Visits
Primary Care Visit $40
Specialist Visit 50% Coinsurance after deductible
Emergency Room Visit 50% Coinsurance after deductible
Inpatient Facility Visit $500 Copay per Day after deductible
Inpatient Physician Visit 50% Coinsurance after deductible
Prescription Drugs
Generic Drugs $25
Preferred Brand Drugs 50% Coinsurance after deductible
Non-preferred Brand Drugs 50% Coinsurance after deductible
Specialty Drugs 50% Coinsurance after deductible
Medical Deductible
Medical Deductible (Individual) $6,600
Medical Maximum Out Of Pocket (Individual) $7,900
Medical Deductible (Family) $13,200
Medical Maximum Out Of Pocket (Family) $15,800
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 99.59%
Premium Child Age 0-14 196
Premium Child Age 18 233
Premium Adult Individual Age 21 256
Premium Adult Individual Age 27 268
Premium Adult Individual Age 30 290
Premium Adult Individual Age 40 327
Premium Adult Individual Age 50 457
Premium Adult Individual Age 60 695
Premium Couple 21 512
Premium Couple 30 581
Premium Couple 40 654
Premium Couple 50 915
Premium Couple 60 1,390
Couple+1 child, Age 21 708
Couple+1 child, Age 30 777
Couple+1 child, Age 40 851
Couple+1 child, Age 50 1,111
Couple+2 children, Age 21 904
Couple+2 children, Age 30 973
Couple+2 children, Age 40 1,047
Couple+2 children, Age 50 1,307
Couple+3 or more Children, Age 21 1,100
Couple+3 or more Children, Age 30 1,169
Couple+3 or more Children, Age 40 1,243
Couple+3 or more Children, Age 50 1,503
Individual+1 child, Age 21 452
Individual+1 child, Age 30 486
Individual+1 child, Age 40 523
Individual+1 child, Age 50 653
Individual+2 children, Age 21 648
Individual+2 children, Age 30 682
Individual+2 children, Age 40 719
Individual+2 children, Age 50 849
Individual+3 or more children, Age 21 844
Individual+3 or more children, Age 30 878
Individual+3 or more children, Age 40 915
Individual+3 or more children, Age 50 1,045
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