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Gym Access IND Platinum POS 4000
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Gym Access IND Platinum POS 4000

Overview
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Gym Access IND Platinum POS 4000 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
56503FL1990001
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
$0
Out-of-pocket maximum
$4,000
Generic drug co-pay
$3
Preferred brand drug co-pay
$30
Primary care physician visit cost
$20
Specialist doctor visit cost
$40
Doctor Visits
Primary Care Visit $20
Specialist Visit $40
Emergency Room Visit $150
Inpatient Facility Visit $250 Copay per Day
Inpatient Physician Visit No Charge
Prescription Drugs
Generic Drugs $3
Preferred Brand Drugs $30
Non-preferred Brand Drugs $55
Specialty Drugs 50%
Medical Deductible
Medical Deductible (Individual) $0
Medical Maximum Out Of Pocket (Individual) $4,000
Medical Deductible (Family) $0
Medical Maximum Out Of Pocket (Family) $8,000
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 0-14 436
Premium Child Age 18 520
Premium Adult Individual Age 21 570
Premium Adult Individual Age 27 597
Premium Adult Individual Age 30 647
Premium Adult Individual Age 40 728
Premium Adult Individual Age 50 1,018
Premium Adult Individual Age 60 1,547
Premium Couple 21 1,140
Premium Couple 30 1,294
Premium Couple 40 1,457
Premium Couple 50 2,036
Premium Couple 60 3,094
Couple+1 child, Age 21 1,576
Couple+1 child, Age 30 1,730
Couple+1 child, Age 40 1,893
Couple+1 child, Age 50 2,472
Couple+2 children, Age 21 2,012
Couple+2 children, Age 30 2,166
Couple+2 children, Age 40 2,329
Couple+2 children, Age 50 2,908
Couple+3 or more Children, Age 21 2,448
Couple+3 or more Children, Age 30 2,602
Couple+3 or more Children, Age 40 2,765
Couple+3 or more Children, Age 50 3,345
Individual+1 child, Age 21 1,006
Individual+1 child, Age 30 1,083
Individual+1 child, Age 40 1,164
Individual+1 child, Age 50 1,454
Individual+2 children, Age 21 1,442
Individual+2 children, Age 30 1,519
Individual+2 children, Age 40 1,600
Individual+2 children, Age 50 1,890
Individual+3 or more children, Age 21 1,878
Individual+3 or more children, Age 30 1,955
Individual+3 or more children, Age 40 2,037
Individual+3 or more children, Age 50 2,326
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