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Silver

Overview
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Silver is an individual health health plan issued by Bright Health Insurance Company of Tennessee 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 Fayette county, Tennessee.

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
Bright Health Insurance Company of Tennessee
Plan ID
97906TN0010002
Coverage area
Fayette County, Tennessee
Phone
Local Phone:
Toll-Free:
TTY:
Plan type
EPO
Coverage type
Medical deductible
$5,000
Out-of-pocket maximum
$7,900
Generic drug co-pay
$25
Preferred brand drug co-pay
$100
Primary care physician visit cost
$40
Specialist doctor visit cost
$75
Doctor Visits
Primary Care Visit $40
Specialist Visit $75
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 $25
Preferred Brand Drugs $100
Non-preferred Brand Drugs $180
Specialty Drugs $650
Medical Deductible
Medical Deductible (Individual) $5,000
Medical Maximum Out Of Pocket (Individual) $7,900
Medical Deductible (Family) $10,000
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 0-14 325
Premium Child Age 18 388
Premium Adult Individual Age 21 425
Premium Adult Individual Age 27 446
Premium Adult Individual Age 30 483
Premium Adult Individual Age 40 544
Premium Adult Individual Age 50 760
Premium Adult Individual Age 60 1,155
Premium Couple 21 851
Premium Couple 30 966
Premium Couple 40 1,088
Premium Couple 50 1,520
Premium Couple 60 2,311
Couple+1 child, Age 21 1,177
Couple+1 child, Age 30 1,292
Couple+1 child, Age 40 1,414
Couple+1 child, Age 50 1,846
Couple+2 children, Age 21 1,503
Couple+2 children, Age 30 1,618
Couple+2 children, Age 40 1,739
Couple+2 children, Age 50 2,172
Couple+3 or more Children, Age 21 1,828
Couple+3 or more Children, Age 30 1,943
Couple+3 or more Children, Age 40 2,065
Couple+3 or more Children, Age 50 2,498
Individual+1 child, Age 21 751
Individual+1 child, Age 30 809
Individual+1 child, Age 40 869
Individual+1 child, Age 50 1,086
Individual+2 children, Age 21 1,077
Individual+2 children, Age 30 1,134
Individual+2 children, Age 40 1,195
Individual+2 children, Age 50 1,411
Individual+3 or more children, Age 21 1,403
Individual+3 or more children, Age 30 1,460
Individual+3 or more children, Age 40 1,521
Individual+3 or more children, Age 50 1,737
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