Gym Access IND Essential Plus Platinum HMO 65, state_name

Gym Access IND Essential Plus Platinum HMO 65 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).

This plan is available for qualifying individuals who live in Flagler county, Florida.

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.

You can purchase this plan at HealthCare.gov.

Issuer

Florida Health Care Plan, Inc.

Plan ID

56503FL1400001

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

Platinum

Medical deductible

Out-of-pocket maximum

$2,000

Generic drug co-pay

Preferred brand drug co-pay

$30

Primary care physician visit cost

$20

Specialist doctor visit cost

$35

Primary Care Visit	$20
Specialist Visit	$35
Emergency Room Visit	$100
Inpatient Facility Visit	$250 Copay per Day
Inpatient Physician Visit	No Charge

Generic Drugs	$3
Preferred Brand Drugs	$30
Non-preferred Brand Drugs	$55
Specialty Drugs	50%

Medical Deductible (Individual)	$0
Medical Maximum Out Of Pocket (Individual)	$2,000
Medical Deductible (Family)	$0
Medical Maximum Out Of Pocket (Family)	$4,000

Drug Deductible (Individual)	$0
Drug Maximum Out Of Pocket (Individual)	$2,000
Drug Deductible (Family)	$0
Drug Maximum Out Of Pocket (Family)	$4,000

EHB Percent of Total Premium	99.80%
Premium Child Age 0-14	405
Premium Child Age 18	483
Premium Adult Individual Age 21	529
Premium Adult Individual Age 27	555
Premium Adult Individual Age 30	601
Premium Adult Individual Age 40	676
Premium Adult Individual Age 50	945
Premium Adult Individual Age 60	1,437
Premium Couple 21	1,059
Premium Couple 30	1,202
Premium Couple 40	1,353
Premium Couple 50	1,891
Premium Couple 60	2,874
Couple+1 child, Age 21	1,464
Couple+1 child, Age 30	1,607
Couple+1 child, Age 40	1,758
Couple+1 child, Age 50	2,296
Couple+2 children, Age 21	1,869
Couple+2 children, Age 30	2,012
Couple+2 children, Age 40	2,164
Couple+2 children, Age 50	2,702
Couple+3 or more Children, Age 21	2,274
Couple+3 or more Children, Age 30	2,417
Couple+3 or more Children, Age 40	2,569
Couple+3 or more Children, Age 50	3,107
Individual+1 child, Age 21	934
Individual+1 child, Age 30	1,006
Individual+1 child, Age 40	1,082
Individual+1 child, Age 50	1,351
Individual+2 children, Age 21	1,339
Individual+2 children, Age 30	1,411
Individual+2 children, Age 40	1,487
Individual+2 children, Age 50	1,756
Individual+3 or more children, Age 21	1,745
Individual+3 or more children, Age 30	1,816
Individual+3 or more children, Age 40	1,892
Individual+3 or more children, Age 50	2,161

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

State:
Georgia
Metal Level:
Bronze
Plan Type:
HMO
Primary Care Visit: No Charge after Deductible
Generic Drugs: No Charge after Deductible
Medical Deductible (Individual): $6,550
Medical Maximum Out Of Pocket (Individual): $6,550