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Gold

Overview
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Gold is an individual health health plan issued by Bright Health Insurance Company of Tennessee 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 Jefferson county, Tennessee.

What Type of Health Plan Is This?

This plan is an EPO plan, which is also known as an "Exclusive Provider Organization." An EPO is a managed care plan where services are covered so long as the the hospitals, dentists, and other health providers in the plan's network are used.

Where Can I Buy This Plan?

You can purchase this plan at HealthCare.gov.

About
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Issuer
Bright Health Insurance Company of Tennessee
Plan ID
97906TN0010031
Coverage area
Jefferson County, Tennessee
Phone
Local Phone:
Toll-Free:
TTY:
Plan type
EPO
Coverage type
Medical deductible
$2,300
Out-of-pocket maximum
$7,900
Generic drug co-pay
$10
Preferred brand drug co-pay
$50
Primary care physician visit cost
$25
Specialist doctor visit cost
$50
Doctor Visits
Primary Care Visit $25
Specialist Visit $50
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 $10
Preferred Brand Drugs $50
Non-preferred Brand Drugs 20% Coinsurance after deductible
Specialty Drugs 20% Coinsurance after deductible
Medical Deductible
Medical Deductible (Individual) $2,300
Medical Maximum Out Of Pocket (Individual) $7,900
Medical Deductible (Family) $4,600
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 0-14 585.84
Premium Child Age 18 699.18
Premium Adult Individual Age 21 765.8
Premium Adult Individual Age 27 802.56
Premium Adult Individual Age 30 869.19
Premium Adult Individual Age 40 978.7
Premium Adult Individual Age 50 1,367.72
Premium Adult Individual Age 60 2,078.39
Premium Couple 21 1,531.6
Premium Couple 30 1,738.38
Premium Couple 40 1,957.4
Premium Couple 50 2,735.44
Premium Couple 60 4,156.78
Couple+1 child, Age 21 2,117.44
Couple+1 child, Age 30 2,324.22
Couple+1 child, Age 40 2,543.24
Couple+1 child, Age 50 3,321.28
Couple+2 children, Age 21 2,703.28
Couple+2 children, Age 30 2,910.06
Couple+2 children, Age 40 3,129.08
Couple+2 children, Age 50 3,907.12
Couple+3 or more Children, Age 21 3,289.12
Couple+3 or more Children, Age 30 3,495.9
Couple+3 or more Children, Age 40 3,714.92
Couple+3 or more Children, Age 50 4,492.96
Individual+1 child, Age 21 1,351.64
Individual+1 child, Age 30 1,455.03
Individual+1 child, Age 40 1,564.54
Individual+1 child, Age 50 1,953.56
Individual+2 children, Age 21 1,937.48
Individual+2 children, Age 30 2,040.87
Individual+2 children, Age 40 2,150.38
Individual+2 children, Age 50 2,539.4
Individual+3 or more children, Age 21 2,523.32
Individual+3 or more children, Age 30 2,626.71
Individual+3 or more children, Age 40 2,736.22
Individual+3 or more children, Age 50 3,125.24
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