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myBlue Silver 1712S
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myBlue Silver 1712S

Overview
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myBlue Silver 1712S is an individual health health plan issued by Health Options, 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
Health Options, Inc.
Plan ID
30252FL0070017
Coverage area
Osceola County, Florida
Phone
Local Phone: 1-800-352-2583
Toll-Free: 1-800-352-2583
TTY: 1-800-955-8771
Plan type
HMO
Coverage type
Medical deductible
$3,500
Out-of-pocket maximum
$7,900
Generic drug co-pay
$15
Preferred brand drug co-pay
$70
Primary care physician visit cost
$30
Specialist doctor visit cost
$65
Doctor Visits
Primary Care Visit $30
Specialist Visit $65
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 $15
Preferred Brand Drugs $70
Non-preferred Brand Drugs 40% Coinsurance after deductible
Specialty Drugs 40% Coinsurance after deductible
Medical Deductible
Medical Deductible (Individual) $3,500
Medical Maximum Out Of Pocket (Individual) $7,900
Medical Deductible (Family) $7,000
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 0-14 322
Premium Child Age 18 385
Premium Adult Individual Age 21 421
Premium Adult Individual Age 27 442
Premium Adult Individual Age 30 478
Premium Adult Individual Age 40 539
Premium Adult Individual Age 50 753
Premium Adult Individual Age 60 1,145
Premium Couple 21 843
Premium Couple 30 957
Premium Couple 40 1,078
Premium Couple 50 1,507
Premium Couple 60 2,290
Couple+1 child, Age 21 1,166
Couple+1 child, Age 30 1,280
Couple+1 child, Age 40 1,401
Couple+1 child, Age 50 1,829
Couple+2 children, Age 21 1,489
Couple+2 children, Age 30 1,603
Couple+2 children, Age 40 1,723
Couple+2 children, Age 50 2,152
Couple+3 or more Children, Age 21 1,812
Couple+3 or more Children, Age 30 1,926
Couple+3 or more Children, Age 40 2,046
Couple+3 or more Children, Age 50 2,475
Individual+1 child, Age 21 744
Individual+1 child, Age 30 801
Individual+1 child, Age 40 861
Individual+1 child, Age 50 1,076
Individual+2 children, Age 21 1,067
Individual+2 children, Age 30 1,124
Individual+2 children, Age 40 1,184
Individual+2 children, Age 50 1,399
Individual+3 or more children, Age 21 1,390
Individual+3 or more children, Age 30 1,447
Individual+3 or more children, Age 40 1,507
Individual+3 or more children, Age 50 1,721
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