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Gym Access IND Bronze POS BC 3841
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Gym Access IND Bronze POS BC 3841

Overview
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Gym Access IND Bronze POS BC 3841 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 a POS plan, or a Point of Service plan. This plan requires you get a referral from your primary care doctor in order to see a specialist doctor. You pay less if you use providers that are in-network and you pay more if you use those that are out-of-network.

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
56503FL2540002
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
POS
Coverage type
Medical deductible
$6,400
Out-of-pocket maximum
$7,900
Generic drug co-pay
$18
Preferred brand drug co-pay
$65 Copay after deductible
Primary care physician visit cost
$35
Specialist doctor visit cost
$65
Doctor Visits
Primary Care Visit $35
Specialist Visit $65
Emergency Room Visit 50% Coinsurance after deductible
Inpatient Facility Visit $100 Copay per Stay after deductible
Inpatient Physician Visit No Charge after Deductible
Prescription Drugs
Generic Drugs $18
Preferred Brand Drugs $65 Copay after deductible
Non-preferred Brand Drugs 50% Coinsurance after deductible
Specialty Drugs 50% Coinsurance after deductible
Medical Deductible
Medical Deductible (Individual) $6,400
Medical Maximum Out Of Pocket (Individual) $7,900
Medical Deductible (Family) $12,800
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 99.80%
Premium Child Age 0-14 249
Premium Child Age 18 297
Premium Adult Individual Age 21 325
Premium Adult Individual Age 27 341
Premium Adult Individual Age 30 369
Premium Adult Individual Age 40 416
Premium Adult Individual Age 50 581
Premium Adult Individual Age 60 883
Premium Couple 21 651
Premium Couple 30 739
Premium Couple 40 832
Premium Couple 50 1,163
Premium Couple 60 1,767
Couple+1 child, Age 21 900
Couple+1 child, Age 30 988
Couple+1 child, Age 40 1,081
Couple+1 child, Age 50 1,412
Couple+2 children, Age 21 1,149
Couple+2 children, Age 30 1,237
Couple+2 children, Age 40 1,330
Couple+2 children, Age 50 1,661
Couple+3 or more Children, Age 21 1,398
Couple+3 or more Children, Age 30 1,486
Couple+3 or more Children, Age 40 1,579
Couple+3 or more Children, Age 50 1,910
Individual+1 child, Age 21 574
Individual+1 child, Age 30 618
Individual+1 child, Age 40 665
Individual+1 child, Age 50 830
Individual+2 children, Age 21 823
Individual+2 children, Age 30 867
Individual+2 children, Age 40 914
Individual+2 children, Age 50 1,079
Individual+3 or more children, Age 21 1,073
Individual+3 or more children, Age 30 1,117
Individual+3 or more children, Age 40 1,163
Individual+3 or more children, Age 50 1,329
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