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Florida Hospital Silver HMO 65 1810
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Florida Hospital Silver HMO 65 1810

Overview
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Florida Hospital Silver HMO 65 1810 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
36194FL0180008
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
$2,650
Out-of-pocket maximum
$7,900
Generic drug co-pay
30% Coinsurance after deductible
Preferred brand drug co-pay
30% Coinsurance after deductible
Primary care physician visit cost
35% Coinsurance after deductible
Specialist doctor visit cost
35% Coinsurance after deductible
Doctor Visits
Primary Care Visit 35% Coinsurance after deductible
Specialist Visit 35% Coinsurance after deductible
Emergency Room Visit 35% Coinsurance after deductible
Inpatient Facility Visit 35% Coinsurance after deductible
Inpatient Physician Visit 35% Coinsurance after deductible
Prescription Drugs
Generic Drugs 30% Coinsurance after deductible
Preferred Brand Drugs 30% Coinsurance after deductible
Non-preferred Brand Drugs 30% Coinsurance after deductible
Specialty Drugs 30% Coinsurance after deductible
Medical Deductible
Medical Deductible (Individual) $2,650
Medical Maximum Out Of Pocket (Individual) $7,900
Medical Deductible (Family) $5,300
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 0-14 329
Premium Child Age 18 392
Premium Adult Individual Age 21 430
Premium Adult Individual Age 27 450
Premium Adult Individual Age 30 488
Premium Adult Individual Age 40 549
Premium Adult Individual Age 50 768
Premium Adult Individual Age 60 1,167
Premium Couple 21 860
Premium Couple 30 976
Premium Couple 40 1,099
Premium Couple 50 1,536
Premium Couple 60 2,334
Couple+1 child, Age 21 1,189
Couple+1 child, Age 30 1,305
Couple+1 child, Age 40 1,428
Couple+1 child, Age 50 1,865
Couple+2 children, Age 21 1,518
Couple+2 children, Age 30 1,634
Couple+2 children, Age 40 1,757
Couple+2 children, Age 50 2,194
Couple+3 or more Children, Age 21 1,847
Couple+3 or more Children, Age 30 1,963
Couple+3 or more Children, Age 40 2,086
Couple+3 or more Children, Age 50 2,523
Individual+1 child, Age 21 759
Individual+1 child, Age 30 817
Individual+1 child, Age 40 878
Individual+1 child, Age 50 1,097
Individual+2 children, Age 21 1,088
Individual+2 children, Age 30 1,146
Individual+2 children, Age 40 1,207
Individual+2 children, Age 50 1,426
Individual+3 or more children, Age 21 1,417
Individual+3 or more children, Age 30 1,475
Individual+3 or more children, Age 40 1,536
Individual+3 or more children, Age 50 1,755
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