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Florida Hospital Bronze HMO 100 1776
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Florida Hospital Bronze HMO 100 1776

Overview
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Florida Hospital Bronze HMO 100 1776 is an individual health health plan issued by Health First Commercial Plans, Inc. 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 Flagler county, Florida.

What Type of Health Plan Is This?

This plan is an HMO plan, which is also known as a "Health Maintenance Organization." An HMO is a type of insurance plan that generally limits coverage to care from doctors who contract with the HMO. Out-of-network doctors are usually not covered.

You may be required to live or work in a particular service area in order to be eligible for the HMO's coverage. In an HMO, you will usually need to have a primary care doctor (PCP) and you need referrals in order to see specialists.

Where Can I Buy This Plan?

You can purchase this plan at HealthCare.gov.

About
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Issuer
Health First Commercial Plans, Inc.
Plan ID
36194FL0180004
Coverage area
Flagler County, Florida
Phone
Local Phone: 1-855-443-4735
Toll-Free: 1-855-443-4735
TTY: 1-800-955-8771
Plan type
HMO
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
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) $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 0-14 223
Premium Child Age 18 267
Premium Adult Individual Age 21 292
Premium Adult Individual Age 27 306
Premium Adult Individual Age 30 331
Premium Adult Individual Age 40 373
Premium Adult Individual Age 50 522
Premium Adult Individual Age 60 793
Premium Couple 21 584
Premium Couple 30 663
Premium Couple 40 747
Premium Couple 50 1,044
Premium Couple 60 1,587
Couple+1 child, Age 21 808
Couple+1 child, Age 30 887
Couple+1 child, Age 40 971
Couple+1 child, Age 50 1,268
Couple+2 children, Age 21 1,032
Couple+2 children, Age 30 1,111
Couple+2 children, Age 40 1,195
Couple+2 children, Age 50 1,492
Couple+3 or more Children, Age 21 1,256
Couple+3 or more Children, Age 30 1,335
Couple+3 or more Children, Age 40 1,418
Couple+3 or more Children, Age 50 1,715
Individual+1 child, Age 21 516
Individual+1 child, Age 30 555
Individual+1 child, Age 40 597
Individual+1 child, Age 50 746
Individual+2 children, Age 21 739
Individual+2 children, Age 30 779
Individual+2 children, Age 40 821
Individual+2 children, Age 50 969
Individual+3 or more children, Age 21 963
Individual+3 or more children, Age 30 1,003
Individual+3 or more children, Age 40 1,044
Individual+3 or more children, Age 50 1,193
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