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Florida Hospital GYM ACCESS Gold HMO 90 HSA 1745
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Florida Hospital GYM ACCESS Gold HMO 90 HSA 1745

Overview
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Florida Hospital GYM ACCESS Gold HMO 90 HSA 1745 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
36194FL0140014
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
$1,500
Out-of-pocket maximum
$3,000
Generic drug co-pay
10% Coinsurance after deductible
Preferred brand drug co-pay
10% Coinsurance after deductible
Primary care physician visit cost
10% Coinsurance after deductible
Specialist doctor visit cost
10% Coinsurance after deductible
Doctor Visits
Primary Care Visit 10% Coinsurance after deductible
Specialist Visit 10% Coinsurance after deductible
Emergency Room Visit 10% Coinsurance after deductible
Inpatient Facility Visit 10% Coinsurance after deductible
Inpatient Physician Visit 10% Coinsurance after deductible
Prescription Drugs
Generic Drugs 10% Coinsurance after deductible
Preferred Brand Drugs 10% Coinsurance after deductible
Non-preferred Brand Drugs 10% Coinsurance after deductible
Specialty Drugs 10% Coinsurance after deductible
Medical Deductible
Medical Deductible (Individual) $1,500
Medical Maximum Out Of Pocket (Individual) $3,000
Medical Deductible (Family) $3,000
Medical Maximum Out Of Pocket (Family) $6,000
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 99.15%
Premium Child Age 0-14 306
Premium Child Age 18 366
Premium Adult Individual Age 21 400
Premium Adult Individual Age 27 420
Premium Adult Individual Age 30 455
Premium Adult Individual Age 40 512
Premium Adult Individual Age 50 716
Premium Adult Individual Age 60 1,088
Premium Couple 21 801
Premium Couple 30 910
Premium Couple 40 1,024
Premium Couple 50 1,432
Premium Couple 60 2,176
Couple+1 child, Age 21 1,108
Couple+1 child, Age 30 1,216
Couple+1 child, Age 40 1,331
Couple+1 child, Age 50 1,738
Couple+2 children, Age 21 1,415
Couple+2 children, Age 30 1,523
Couple+2 children, Age 40 1,638
Couple+2 children, Age 50 2,045
Couple+3 or more Children, Age 21 1,722
Couple+3 or more Children, Age 30 1,830
Couple+3 or more Children, Age 40 1,944
Couple+3 or more Children, Age 50 2,352
Individual+1 child, Age 21 707
Individual+1 child, Age 30 761
Individual+1 child, Age 40 819
Individual+1 child, Age 50 1,022
Individual+2 children, Age 21 1,014
Individual+2 children, Age 30 1,068
Individual+2 children, Age 40 1,125
Individual+2 children, Age 50 1,329
Individual+3 or more children, Age 21 1,321
Individual+3 or more children, Age 30 1,375
Individual+3 or more children, Age 40 1,432
Individual+3 or more children, Age 50 1,636
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