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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 Grant 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
Grant 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 0-14 267
Premium Child Age 18 318
Premium Adult Individual Age 21 349
Premium Adult Individual Age 27 366
Premium Adult Individual Age 30 396
Premium Adult Individual Age 40 446
Premium Adult Individual Age 50 623
Premium Adult Individual Age 60 947
Premium Couple 21 698
Premium Couple 30 792
Premium Couple 40 892
Premium Couple 50 1,247
Premium Couple 60 1,895
Couple+1 child, Age 21 965
Couple+1 child, Age 30 1,059
Couple+1 child, Age 40 1,159
Couple+1 child, Age 50 1,514
Couple+2 children, Age 21 1,232
Couple+2 children, Age 30 1,327
Couple+2 children, Age 40 1,427
Couple+2 children, Age 50 1,781
Couple+3 or more Children, Age 21 1,500
Couple+3 or more Children, Age 30 1,594
Couple+3 or more Children, Age 40 1,694
Couple+3 or more Children, Age 50 2,049
Individual+1 child, Age 21 616
Individual+1 child, Age 30 663
Individual+1 child, Age 40 713
Individual+1 child, Age 50 890
Individual+2 children, Age 21 883
Individual+2 children, Age 30 930
Individual+2 children, Age 40 980
Individual+2 children, Age 50 1,158
Individual+3 or more children, Age 21 1,150
Individual+3 or more children, Age 30 1,197
Individual+3 or more children, Age 40 1,247
Individual+3 or more children, Age 50 1,425
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