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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 0-14 306.72
Premium Child Age 18 366.06
Premium Adult Individual Age 21 400.95
Premium Adult Individual Age 27 420.19
Premium Adult Individual Age 30 455.07
Premium Adult Individual Age 40 512.41
Premium Adult Individual Age 50 716.09
Premium Adult Individual Age 60 1,088.17
Premium Couple 21 801.9
Premium Couple 30 910.14
Premium Couple 40 1,024.82
Premium Couple 50 1,432.18
Premium Couple 60 2,176.34
Couple+1 child, Age 21 1,108.62
Couple+1 child, Age 30 1,216.86
Couple+1 child, Age 40 1,331.54
Couple+1 child, Age 50 1,738.9
Couple+2 children, Age 21 1,415.34
Couple+2 children, Age 30 1,523.58
Couple+2 children, Age 40 1,638.26
Couple+2 children, Age 50 2,045.62
Couple+3 or more Children, Age 21 1,722.06
Couple+3 or more Children, Age 30 1,830.3
Couple+3 or more Children, Age 40 1,944.98
Couple+3 or more Children, Age 50 2,352.34
Individual+1 child, Age 21 707.67
Individual+1 child, Age 30 761.79
Individual+1 child, Age 40 819.13
Individual+1 child, Age 50 1,022.81
Individual+2 children, Age 21 1,014.39
Individual+2 children, Age 30 1,068.51
Individual+2 children, Age 40 1,125.85
Individual+2 children, Age 50 1,329.53
Individual+3 or more children, Age 21 1,321.11
Individual+3 or more children, Age 30 1,375.23
Individual+3 or more children, Age 40 1,432.57
Individual+3 or more children, Age 50 1,636.25
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