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Gym Access IND Bronze HMO HSA 6000/6000
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Gym Access IND Bronze HMO HSA 6000/6000

Overview
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Gym Access IND Bronze HMO HSA 6000/6000 is an individual health health plan issued by Florida Health Care Plan, 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
Florida Health Care Plan, Inc.
Plan ID
56503FL2260001
Coverage area
Flagler County, Florida
Phone
Local Phone: 1-386-676-7110
Toll-Free: 1-800-232-0578
TTY: 1-800-955-8771
Plan type
HMO
Coverage type
Medical deductible
$6,000
Out-of-pocket maximum
$6,000
Generic drug co-pay
No Charge after Deductible
Preferred brand drug co-pay
No Charge after Deductible
Primary care physician visit cost
No Charge after Deductible
Specialist doctor visit cost
No Charge after Deductible
Doctor Visits
Primary Care Visit No Charge after Deductible
Specialist Visit No Charge after Deductible
Emergency Room Visit No Charge after Deductible
Inpatient Facility Visit No Charge after Deductible
Inpatient Physician Visit No Charge after Deductible
Prescription Drugs
Generic Drugs No Charge after Deductible
Preferred Brand Drugs No Charge after Deductible
Non-preferred Brand Drugs No Charge after Deductible
Specialty Drugs No Charge after Deductible
Medical Deductible
Medical Deductible (Individual) $6,000
Medical Maximum Out Of Pocket (Individual) $6,000
Medical Deductible (Family) $12,000
Medical Maximum Out Of Pocket (Family) $12,000
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 99.80%
Premium Child Age 0-14 215
Premium Child Age 18 257
Premium Adult Individual Age 21 282
Premium Adult Individual Age 27 295
Premium Adult Individual Age 30 320
Premium Adult Individual Age 40 360
Premium Adult Individual Age 50 504
Premium Adult Individual Age 60 766
Premium Couple 21 564
Premium Couple 30 640
Premium Couple 40 721
Premium Couple 50 1,008
Premium Couple 60 1,532
Couple+1 child, Age 21 780
Couple+1 child, Age 30 856
Couple+1 child, Age 40 937
Couple+1 child, Age 50 1,224
Couple+2 children, Age 21 996
Couple+2 children, Age 30 1,072
Couple+2 children, Age 40 1,153
Couple+2 children, Age 50 1,440
Couple+3 or more Children, Age 21 1,212
Couple+3 or more Children, Age 30 1,288
Couple+3 or more Children, Age 40 1,369
Couple+3 or more Children, Age 50 1,656
Individual+1 child, Age 21 498
Individual+1 child, Age 30 536
Individual+1 child, Age 40 576
Individual+1 child, Age 50 720
Individual+2 children, Age 21 714
Individual+2 children, Age 30 752
Individual+2 children, Age 40 792
Individual+2 children, Age 50 936
Individual+3 or more children, Age 21 930
Individual+3 or more children, Age 30 968
Individual+3 or more children, Age 40 1,008
Individual+3 or more children, Age 50 1,151
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