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Molina Marketplace Silver
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Molina Marketplace Silver

Overview
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Molina Marketplace Silver 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
54172FL0010002
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
$5,350
Out-of-pocket maximum
$7,900
Generic drug co-pay
$20
Preferred brand drug co-pay
$60
Primary care physician visit cost
$30
Specialist doctor visit cost
$75
Doctor Visits
Primary Care Visit $30
Specialist Visit $75
Emergency Room Visit 30% Coinsurance after deductible
Inpatient Facility Visit 30% Coinsurance after deductible
Inpatient Physician Visit 30% Coinsurance after deductible
Prescription Drugs
Generic Drugs $20
Preferred Brand Drugs $60
Non-preferred Brand Drugs 40% Coinsurance after deductible
Specialty Drugs 40% Coinsurance after deductible
Medical Deductible
Medical Deductible (Individual) $5,350
Medical Maximum Out Of Pocket (Individual) $7,900
Medical Deductible (Family) $10,700
Medical Maximum Out Of Pocket (Family) $15,800
Drug Deductible
Drug Deductible (Individual) $400
Drug Maximum Out Of Pocket (Individual) Included in Medical
Drug Deductible (Family) $800
Drug Maximum Out Of Pocket (Family) Included in Medical
Premium Rates
EHB Percent of Total Premium 100.00%
Premium Child Age 0-14 339
Premium Child Age 18 405
Premium Adult Individual Age 21 444
Premium Adult Individual Age 27 465
Premium Adult Individual Age 30 504
Premium Adult Individual Age 40 567
Premium Adult Individual Age 50 793
Premium Adult Individual Age 60 1,205
Premium Couple 21 888
Premium Couple 30 1,008
Premium Couple 40 1,135
Premium Couple 50 1,586
Premium Couple 60 2,411
Couple+1 child, Age 21 1,228
Couple+1 child, Age 30 1,348
Couple+1 child, Age 40 1,475
Couple+1 child, Age 50 1,926
Couple+2 children, Age 21 1,568
Couple+2 children, Age 30 1,688
Couple+2 children, Age 40 1,815
Couple+2 children, Age 50 2,266
Couple+3 or more Children, Age 21 1,908
Couple+3 or more Children, Age 30 2,028
Couple+3 or more Children, Age 40 2,155
Couple+3 or more Children, Age 50 2,606
Individual+1 child, Age 21 784
Individual+1 child, Age 30 844
Individual+1 child, Age 40 907
Individual+1 child, Age 50 1,133
Individual+2 children, Age 21 1,124
Individual+2 children, Age 30 1,184
Individual+2 children, Age 40 1,247
Individual+2 children, Age 50 1,473
Individual+3 or more children, Age 21 1,463
Individual+3 or more children, Age 30 1,523
Individual+3 or more children, Age 40 1,587
Individual+3 or more children, Age 50 1,813
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