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Gym Access IND Essential Plus Catastrophic POS 37
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Gym Access IND Essential Plus Catastrophic POS 37

Overview
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Gym Access IND Essential Plus Catastrophic POS 37 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
56503FL1320001
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
$7,900
Out-of-pocket maximum
$7,900
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) $7,900
Medical Maximum Out Of Pocket (Individual) $7,900
Medical Deductible (Family) $15,800
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 0-14 203.32
Premium Child Age 18 242.66
Premium Adult Individual Age 21 265.78
Premium Adult Individual Age 27 278.54
Premium Adult Individual Age 30 301.66
Premium Adult Individual Age 40 339.67
Premium Adult Individual Age 50 474.68
Premium Adult Individual Age 60 721.33
Premium Couple 21 531.56
Premium Couple 30 603.32
Premium Couple 40 679.34
Premium Couple 50 949.36
Premium Couple 60 1,442.66
Couple+1 child, Age 21 734.88
Couple+1 child, Age 30 806.64
Couple+1 child, Age 40 882.66
Couple+1 child, Age 50 1,152.68
Couple+2 children, Age 21 938.2
Couple+2 children, Age 30 1,009.96
Couple+2 children, Age 40 1,085.98
Couple+2 children, Age 50 1356
Couple+3 or more Children, Age 21 1,141.52
Couple+3 or more Children, Age 30 1,213.28
Couple+3 or more Children, Age 40 1,289.3
Couple+3 or more Children, Age 50 1,559.32
Individual+1 child, Age 21 469.1
Individual+1 child, Age 30 504.98
Individual+1 child, Age 40 542.99
Individual+1 child, Age 50 678
Individual+2 children, Age 21 672.42
Individual+2 children, Age 30 708.3
Individual+2 children, Age 40 746.31
Individual+2 children, Age 50 881.32
Individual+3 or more children, Age 21 875.74
Individual+3 or more children, Age 30 911.62
Individual+3 or more children, Age 40 949.63
Individual+3 or more children, Age 50 1,084.64
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