Share
Medicine Status
Florida Hospital GYM ACCESS Catastrophic HMO 1748
Healthcare.gov Individual Medical Plan Finder
Contents
Explore
Search
Medicine Status
More
About Medicine Status
Copyright © 2020 MedicineStatus.com and Spring Launch Media LLC. All Rights Reserved.

All content on this website ("the Site") is the property of Spring Launch Media LLC. The collection and assembly of content on this Site are the exclusive property of Spring Launch Media LLC and are protected by copyright and other intellectual property laws. MedicineStatus.com does not provide medical advice, diagnosis, or treatment, and urges you to consult with a qualified medical provider for diagnosis, treatment, and for answers to your medical questions. MedicineStatus.com does not warrant or assume any legal liability or responsibility for the accuracy, completeness, or usefulness of any information disclosed. MedicineStatus.com does not assume any responsibility for any aspect of medical care administered based on the contents provided on this Site. The contents of MedicineStatus.com, such as text, images, graphics, or other material are solely for informational purposes. MedicineStatus.com does not recommend or endorse any specific provider, opinions, procedures, or other information on the Site. Rely on any information provided by MedicineStatus.com or displayed on this Site solely at your own risk. Consult a healthcare professional before taking any drug, choosing or changing any course of treatment.

Florida Hospital GYM ACCESS Catastrophic HMO 1748

Overview
Back to Top

Florida Hospital GYM ACCESS Catastrophic HMO 1748 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
Back to Top
Issuer
Health First Commercial Plans, Inc.
Plan ID
36194FL0140015
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
$35
Specialist doctor visit cost
No Charge after Deductible
Doctor Visits
Primary Care Visit $35
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 97.50%
Premium Child Age 0-14 141.42
Premium Child Age 18 168.78
Premium Adult Individual Age 21 184.86
Premium Adult Individual Age 27 193.74
Premium Adult Individual Age 30 209.82
Premium Adult Individual Age 40 236.26
Premium Adult Individual Age 50 330.17
Premium Adult Individual Age 60 501.72
Premium Couple 21 369.72
Premium Couple 30 419.64
Premium Couple 40 472.52
Premium Couple 50 660.34
Premium Couple 60 1,003.44
Couple+1 child, Age 21 511.14
Couple+1 child, Age 30 561.06
Couple+1 child, Age 40 613.94
Couple+1 child, Age 50 801.76
Couple+2 children, Age 21 652.56
Couple+2 children, Age 30 702.48
Couple+2 children, Age 40 755.36
Couple+2 children, Age 50 943.18
Couple+3 or more Children, Age 21 793.98
Couple+3 or more Children, Age 30 843.9
Couple+3 or more Children, Age 40 896.78
Couple+3 or more Children, Age 50 1,084.6
Individual+1 child, Age 21 326.28
Individual+1 child, Age 30 351.24
Individual+1 child, Age 40 377.68
Individual+1 child, Age 50 471.59
Individual+2 children, Age 21 467.7
Individual+2 children, Age 30 492.66
Individual+2 children, Age 40 519.1
Individual+2 children, Age 50 613.01
Individual+3 or more children, Age 21 609.12
Individual+3 or more children, Age 30 634.08
Individual+3 or more children, Age 40 660.52
Individual+3 or more children, Age 50 754.43
Reference
Back to Top

  • 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