Share
Medicine Status
Gym Access IND Essential Plus Gold HMO 63
Healthcare.gov Individual Medical Plan Finder
Contents
Explore
Search
Medicine Status
More
About Medicine Status
Copyright © 2020 MedicineStatus.com and Spring Launch Media LLC. All Rights Reserved.

All content on this website ("the Site") is the property of Spring Launch Media LLC. The collection and assembly of content on this Site are the exclusive property of Spring Launch Media LLC and are protected by copyright and other intellectual property laws. MedicineStatus.com does not provide medical advice, diagnosis, or treatment, and urges you to consult with a qualified medical provider for diagnosis, treatment, and for answers to your medical questions. MedicineStatus.com does not warrant or assume any legal liability or responsibility for the accuracy, completeness, or usefulness of any information disclosed. MedicineStatus.com does not assume any responsibility for any aspect of medical care administered based on the contents provided on this Site. The contents of MedicineStatus.com, such as text, images, graphics, or other material are solely for informational purposes. MedicineStatus.com does not recommend or endorse any specific provider, opinions, procedures, or other information on the Site. Rely on any information provided by MedicineStatus.com or displayed on this Site solely at your own risk. Consult a healthcare professional before taking any drug, choosing or changing any course of treatment.

Gym Access IND Essential Plus Gold HMO 63

Overview
Back to Top

Gym Access IND Essential Plus Gold HMO 63 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
Back to Top
Issuer
Florida Health Care Plan, Inc.
Plan ID
56503FL1390001
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
$1,400
Out-of-pocket maximum
$5,000
Generic drug co-pay
$10
Preferred brand drug co-pay
$40
Primary care physician visit cost
$20
Specialist doctor visit cost
$50
Doctor Visits
Primary Care Visit $20
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 $40
Non-preferred Brand Drugs $75
Specialty Drugs 30% Coinsurance after deductible
Medical Deductible
Medical Deductible (Individual) $1,400
Medical Maximum Out Of Pocket (Individual) $5,000
Medical Deductible (Family) $2,800
Medical Maximum Out Of Pocket (Family) $10,000
Drug Deductible
Drug Deductible (Individual) $0
Drug Maximum Out Of Pocket (Individual) Included in Medical
Drug Deductible (Family) $0
Drug Maximum Out Of Pocket (Family) Included in Medical
Premium Rates
EHB Percent of Total Premium 99.80%
Premium Child Age 0-14 310
Premium Child Age 18 370
Premium Adult Individual Age 21 405
Premium Adult Individual Age 27 424
Premium Adult Individual Age 30 460
Premium Adult Individual Age 40 518
Premium Adult Individual Age 50 724
Premium Adult Individual Age 60 1,100
Premium Couple 21 810
Premium Couple 30 920
Premium Couple 40 1,036
Premium Couple 50 1,448
Premium Couple 60 2,200
Couple+1 child, Age 21 1,121
Couple+1 child, Age 30 1,230
Couple+1 child, Age 40 1,346
Couple+1 child, Age 50 1,758
Couple+2 children, Age 21 1,431
Couple+2 children, Age 30 1,540
Couple+2 children, Age 40 1,656
Couple+2 children, Age 50 2,068
Couple+3 or more Children, Age 21 1,741
Couple+3 or more Children, Age 30 1,850
Couple+3 or more Children, Age 40 1,966
Couple+3 or more Children, Age 50 2,378
Individual+1 child, Age 21 715
Individual+1 child, Age 30 770
Individual+1 child, Age 40 828
Individual+1 child, Age 50 1,034
Individual+2 children, Age 21 1,025
Individual+2 children, Age 30 1,080
Individual+2 children, Age 40 1,138
Individual+2 children, Age 50 1,344
Individual+3 or more children, Age 21 1,335
Individual+3 or more children, Age 30 1,390
Individual+3 or more children, Age 40 1,448
Individual+3 or more children, Age 50 1,654
Reference
Back to Top

  • 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