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Gym Access IND Platinum POS BC 1941
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Gym Access IND Platinum POS BC 1941

Overview
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Gym Access IND Platinum POS BC 1941 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
56503FL2640002
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
$2,000
Generic drug co-pay
$3
Preferred brand drug co-pay
$30
Primary care physician visit cost
$10
Specialist doctor visit cost
$20
Doctor Visits
Primary Care Visit $10
Specialist Visit $20
Emergency Room Visit $125
Inpatient Facility Visit $350 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) $2,000
Medical Deductible (Family) $0
Medical Maximum Out Of Pocket (Family) $4,000
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 0-14 445
Premium Child Age 18 531
Premium Adult Individual Age 21 582
Premium Adult Individual Age 27 610
Premium Adult Individual Age 30 660
Premium Adult Individual Age 40 744
Premium Adult Individual Age 50 1,040
Premium Adult Individual Age 60 1,580
Premium Couple 21 1,164
Premium Couple 30 1,321
Premium Couple 40 1,488
Premium Couple 50 2,080
Premium Couple 60 3,161
Couple+1 child, Age 21 1,610
Couple+1 child, Age 30 1,767
Couple+1 child, Age 40 1,934
Couple+1 child, Age 50 2,525
Couple+2 children, Age 21 2,055
Couple+2 children, Age 30 2,213
Couple+2 children, Age 40 2,379
Couple+2 children, Age 50 2,971
Couple+3 or more Children, Age 21 2,501
Couple+3 or more Children, Age 30 2,658
Couple+3 or more Children, Age 40 2,825
Couple+3 or more Children, Age 50 3,416
Individual+1 child, Age 21 1,027
Individual+1 child, Age 30 1,106
Individual+1 child, Age 40 1,189
Individual+1 child, Age 50 1,485
Individual+2 children, Age 21 1,473
Individual+2 children, Age 30 1,552
Individual+2 children, Age 40 1,635
Individual+2 children, Age 50 1,931
Individual+3 or more children, Age 21 1,918
Individual+3 or more children, Age 30 1,997
Individual+3 or more children, Age 40 2,080
Individual+3 or more children, Age 50 2,376
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