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Florida Hospital Silver HMO 80 1762
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Florida Hospital Silver HMO 80 1762

Overview
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Florida Hospital Silver HMO 80 1762 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
36194FL0180002
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
$3,900
Out-of-pocket maximum
$7,900
Generic drug co-pay
$15
Preferred brand drug co-pay
$50
Primary care physician visit cost
$30
Specialist doctor visit cost
$65
Doctor Visits
Primary Care Visit $30
Specialist Visit $65
Emergency Room Visit 20% Coinsurance after deductible
Inpatient Facility Visit 20% Coinsurance after deductible
Inpatient Physician Visit 20% Coinsurance after deductible
Prescription Drugs
Generic Drugs $15
Preferred Brand Drugs $50
Non-preferred Brand Drugs $100
Specialty Drugs 40% Coinsurance after deductible
Medical Deductible
Medical Deductible (Individual) $3,900
Medical Maximum Out Of Pocket (Individual) $7,900
Medical Deductible (Family) $7,800
Medical Maximum Out Of Pocket (Family) $15,800
Drug Deductible
Drug Deductible (Individual) $500
Drug Maximum Out Of Pocket (Individual) Included in Medical
Drug Deductible (Family) $1,000
Drug Maximum Out Of Pocket (Family) Included in Medical
Premium Rates
EHB Percent of Total Premium 100.00%
Premium Child Age 0-14 346
Premium Child Age 18 413
Premium Adult Individual Age 21 452
Premium Adult Individual Age 27 474
Premium Adult Individual Age 30 514
Premium Adult Individual Age 40 578
Premium Adult Individual Age 50 808
Premium Adult Individual Age 60 1,229
Premium Couple 21 905
Premium Couple 30 1,028
Premium Couple 40 1,157
Premium Couple 50 1,617
Premium Couple 60 2,458
Couple+1 child, Age 21 1,252
Couple+1 child, Age 30 1,374
Couple+1 child, Age 40 1,503
Couple+1 child, Age 50 1,964
Couple+2 children, Age 21 1,598
Couple+2 children, Age 30 1,720
Couple+2 children, Age 40 1,850
Couple+2 children, Age 50 2,310
Couple+3 or more Children, Age 21 1,945
Couple+3 or more Children, Age 30 2,067
Couple+3 or more Children, Age 40 2,196
Couple+3 or more Children, Age 50 2,657
Individual+1 child, Age 21 799
Individual+1 child, Age 30 860
Individual+1 child, Age 40 925
Individual+1 child, Age 50 1,155
Individual+2 children, Age 21 1,145
Individual+2 children, Age 30 1,206
Individual+2 children, Age 40 1,271
Individual+2 children, Age 50 1,501
Individual+3 or more children, Age 21 1,492
Individual+3 or more children, Age 30 1,553
Individual+3 or more children, Age 40 1,618
Individual+3 or more children, Age 50 1,848
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