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Catastrophic
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Catastrophic

Overview
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Catastrophic 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 Davidson 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
97906TN0010027
Coverage area
Davidson County, Tennessee
Phone
Local Phone:
Toll-Free:
TTY:
Plan type
EPO
Coverage type
Medical deductible
$7,900
Out-of-pocket maximum
$7,900
Generic drug co-pay
No Charge after Deductible
Preferred brand drug co-pay
No Charge after Deductible
Primary care physician visit cost
$50
Specialist doctor visit cost
No Charge after Deductible
Doctor Visits
Primary Care Visit $50
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) $7,900
Medical Maximum Out Of Pocket (Individual) $7,900
Medical Deductible (Family) $15,800
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 100.00%
Premium Child Age 0-14 195
Premium Child Age 18 232
Premium Adult Individual Age 21 255
Premium Adult Individual Age 27 267
Premium Adult Individual Age 30 289
Premium Adult Individual Age 40 326
Premium Adult Individual Age 50 455
Premium Adult Individual Age 60 692
Premium Couple 21 510
Premium Couple 30 579
Premium Couple 40 652
Premium Couple 50 911
Premium Couple 60 1,384
Couple+1 child, Age 21 705
Couple+1 child, Age 30 774
Couple+1 child, Age 40 847
Couple+1 child, Age 50 1,106
Couple+2 children, Age 21 900
Couple+2 children, Age 30 969
Couple+2 children, Age 40 1,042
Couple+2 children, Age 50 1,301
Couple+3 or more Children, Age 21 1,095
Couple+3 or more Children, Age 30 1,164
Couple+3 or more Children, Age 40 1,237
Couple+3 or more Children, Age 50 1,496
Individual+1 child, Age 21 450
Individual+1 child, Age 30 484
Individual+1 child, Age 40 521
Individual+1 child, Age 50 650
Individual+2 children, Age 21 645
Individual+2 children, Age 30 679
Individual+2 children, Age 40 716
Individual+2 children, Age 50 846
Individual+3 or more children, Age 21 840
Individual+3 or more children, Age 30 875
Individual+3 or more children, Age 40 911
Individual+3 or more children, Age 50 1,041
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