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Molina Marketplace Bronze
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Molina Marketplace Bronze

Overview
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Molina Marketplace Bronze is an individual health health plan issued by Molina Healthcare of Florida, 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 Osceola county, Florida.

What Type of Health Plan Is This?

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.

Where Can I Buy This Plan?

You can purchase this plan at HealthCare.gov.

About
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Issuer
Molina Healthcare of Florida, Inc
Plan ID
54172FL0010003
Coverage area
Osceola County, Florida
Phone
Local Phone: 1-888-560-5716
Toll-Free: 1-888-560-5716
TTY: 1-800-955-8771
Plan type
HMO
Coverage type
Medical deductible
$6,400
Out-of-pocket maximum
$7,900
Generic drug co-pay
$20
Preferred brand drug co-pay
40% Coinsurance after deductible
Primary care physician visit cost
$35
Specialist doctor visit cost
$80 Copay after deductible
Doctor Visits
Primary Care Visit $35
Specialist Visit $80 Copay after deductible
Emergency Room Visit 40% Coinsurance after deductible
Inpatient Facility Visit 40% Coinsurance after deductible
Inpatient Physician Visit 40% Coinsurance after deductible
Prescription Drugs
Generic Drugs $20
Preferred Brand Drugs 40% Coinsurance after deductible
Non-preferred Brand Drugs 50% Coinsurance after deductible
Specialty Drugs 50% Coinsurance after deductible
Medical Deductible
Medical Deductible (Individual) $6,400
Medical Maximum Out Of Pocket (Individual) $7,900
Medical Deductible (Family) $12,800
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 0-14 228
Premium Child Age 18 272
Premium Adult Individual Age 21 298
Premium Adult Individual Age 27 312
Premium Adult Individual Age 30 338
Premium Adult Individual Age 40 381
Premium Adult Individual Age 50 533
Premium Adult Individual Age 60 810
Premium Couple 21 596
Premium Couple 30 677
Premium Couple 40 762
Premium Couple 50 1,066
Premium Couple 60 1,620
Couple+1 child, Age 21 825
Couple+1 child, Age 30 905
Couple+1 child, Age 40 991
Couple+1 child, Age 50 1,294
Couple+2 children, Age 21 1,053
Couple+2 children, Age 30 1,134
Couple+2 children, Age 40 1,219
Couple+2 children, Age 50 1,522
Couple+3 or more Children, Age 21 1,281
Couple+3 or more Children, Age 30 1,362
Couple+3 or more Children, Age 40 1,447
Couple+3 or more Children, Age 50 1,751
Individual+1 child, Age 21 526
Individual+1 child, Age 30 567
Individual+1 child, Age 40 609
Individual+1 child, Age 50 761
Individual+2 children, Age 21 755
Individual+2 children, Age 30 795
Individual+2 children, Age 40 838
Individual+2 children, Age 50 989
Individual+3 or more children, Age 21 983
Individual+3 or more children, Age 30 1,023
Individual+3 or more children, Age 40 1,066
Individual+3 or more children, Age 50 1,218
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