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Florida Hospital Bronze HMO 100 HSA 1795

Overview
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Florida Hospital Bronze HMO 100 HSA 1795 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
36194FL0180006
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
$6,450
Out-of-pocket maximum
$6,450
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) $6,450
Medical Maximum Out Of Pocket (Individual) $6,450
Medical Deductible (Family) $12,900
Medical Maximum Out Of Pocket (Family) $12,900
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 0-14 234.49
Premium Child Age 18 279.85
Premium Adult Individual Age 21 306.52
Premium Adult Individual Age 27 321.23
Premium Adult Individual Age 30 347.9
Premium Adult Individual Age 40 391.73
Premium Adult Individual Age 50 547.45
Premium Adult Individual Age 60 831.9
Premium Couple 21 613.04
Premium Couple 30 695.8
Premium Couple 40 783.46
Premium Couple 50 1,094.9
Premium Couple 60 1,663.8
Couple+1 child, Age 21 847.53
Couple+1 child, Age 30 930.29
Couple+1 child, Age 40 1,017.95
Couple+1 child, Age 50 1,329.39
Couple+2 children, Age 21 1,082.02
Couple+2 children, Age 30 1,164.78
Couple+2 children, Age 40 1,252.44
Couple+2 children, Age 50 1,563.88
Couple+3 or more Children, Age 21 1,316.51
Couple+3 or more Children, Age 30 1,399.27
Couple+3 or more Children, Age 40 1,486.93
Couple+3 or more Children, Age 50 1,798.37
Individual+1 child, Age 21 541.01
Individual+1 child, Age 30 582.39
Individual+1 child, Age 40 626.22
Individual+1 child, Age 50 781.94
Individual+2 children, Age 21 775.5
Individual+2 children, Age 30 816.88
Individual+2 children, Age 40 860.71
Individual+2 children, Age 50 1,016.43
Individual+3 or more children, Age 21 1,009.99
Individual+3 or more children, Age 30 1,051.37
Individual+3 or more children, Age 40 1,095.2
Individual+3 or more children, Age 50 1,250.92
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