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Molina Marketplace Gold
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Molina Marketplace Gold

Overview
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Molina Marketplace Gold 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
54172FL0010001
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
$2,925
Out-of-pocket maximum
$5,000
Generic drug co-pay
$10
Preferred brand drug co-pay
$50
Primary care physician visit cost
$10
Specialist doctor visit cost
$50
Doctor Visits
Primary Care Visit $10
Specialist Visit $50
Emergency Room Visit 20% Coinsurance after deductible
Inpatient Facility Visit 20% Coinsurance after deductible
Inpatient Physician Visit 20% Coinsurance after deductible
Prescription Drugs
Generic Drugs $10
Preferred Brand Drugs $50
Non-preferred Brand Drugs 30%
Specialty Drugs 30%
Medical Deductible
Medical Deductible (Individual) $2,925
Medical Maximum Out Of Pocket (Individual) $5,000
Medical Deductible (Family) $5,850
Medical Maximum Out Of Pocket (Family) $10,000
Drug Deductible
Drug Deductible (Individual) $0
Drug Maximum Out Of Pocket (Individual) Included in Medical
Drug Deductible (Family) $0
Drug Maximum Out Of Pocket (Family) Included in Medical
Premium Rates
EHB Percent of Total Premium 100.00%
Premium Child Age 0-14 377
Premium Child Age 18 450
Premium Adult Individual Age 21 492
Premium Adult Individual Age 27 516
Premium Adult Individual Age 30 559
Premium Adult Individual Age 40 629
Premium Adult Individual Age 50 880
Premium Adult Individual Age 60 1,337
Premium Couple 21 985
Premium Couple 30 1,118
Premium Couple 40 1,259
Premium Couple 50 1,760
Premium Couple 60 2,675
Couple+1 child, Age 21 1,362
Couple+1 child, Age 30 1,496
Couple+1 child, Age 40 1,637
Couple+1 child, Age 50 2,137
Couple+2 children, Age 21 1,740
Couple+2 children, Age 30 1,873
Couple+2 children, Age 40 2,014
Couple+2 children, Age 50 2,514
Couple+3 or more Children, Age 21 2,117
Couple+3 or more Children, Age 30 2,250
Couple+3 or more Children, Age 40 2,391
Couple+3 or more Children, Age 50 2,891
Individual+1 child, Age 21 870
Individual+1 child, Age 30 936
Individual+1 child, Age 40 1,007
Individual+1 child, Age 50 1,257
Individual+2 children, Age 21 1,247
Individual+2 children, Age 30 1,313
Individual+2 children, Age 40 1,384
Individual+2 children, Age 50 1,634
Individual+3 or more children, Age 21 1,624
Individual+3 or more children, Age 30 1,690
Individual+3 or more children, Age 40 1,761
Individual+3 or more children, Age 50 2,011
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