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Medica Insure Catastrophic
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Medica Insure Catastrophic

Overview
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Medica Insure Catastrophic is an individual health health plan issued by Medica Insurance Company 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 Nance county, Nebraska.

What Type of Health Plan Is This?

This plan is an EPO plan, which is also known as an "Exclusive Provider Organization." An EPO is a managed care plan where services are covered so long as the the hospitals, dentists, and other health providers in the plan's network are used.

Where Can I Buy This Plan?

You can purchase this plan at HealthCare.gov.

About
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Issuer
Medica Insurance Company
Plan ID
20305NE0040013
Coverage area
Nance County, Nebraska
Phone
Local Phone: 1-888-592-8211
Toll-Free: 1-888-592-8211
TTY: 1-800-833-7352
Plan type
EPO
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
$30 Copay with deductible
Specialist doctor visit cost
No Charge after Deductible
Doctor Visits
Primary Care Visit $30 Copay with 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 100.00%
Premium Child Age 0-14 261
Premium Child Age 18 312
Premium Adult Individual Age 21 342
Premium Adult Individual Age 27 358
Premium Adult Individual Age 30 388
Premium Adult Individual Age 40 437
Premium Adult Individual Age 50 611
Premium Adult Individual Age 60 929
Premium Couple 21 684
Premium Couple 30 777
Premium Couple 40 874
Premium Couple 50 1,222
Premium Couple 60 1,858
Couple+1 child, Age 21 946
Couple+1 child, Age 30 1,038
Couple+1 child, Age 40 1,136
Couple+1 child, Age 50 1,484
Couple+2 children, Age 21 1,208
Couple+2 children, Age 30 1,300
Couple+2 children, Age 40 1,398
Couple+2 children, Age 50 1,746
Couple+3 or more Children, Age 21 1,470
Couple+3 or more Children, Age 30 1,562
Couple+3 or more Children, Age 40 1,660
Couple+3 or more Children, Age 50 2,008
Individual+1 child, Age 21 604
Individual+1 child, Age 30 650
Individual+1 child, Age 40 699
Individual+1 child, Age 50 873
Individual+2 children, Age 21 866
Individual+2 children, Age 30 912
Individual+2 children, Age 40 961
Individual+2 children, Age 50 1,135
Individual+3 or more children, Age 21 1,127
Individual+3 or more children, Age 30 1,174
Individual+3 or more children, Age 40 1,223
Individual+3 or more children, Age 50 1,397
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