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Silver Plan 1
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Silver Plan 1

Overview
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Silver Plan 1 is an individual health health plan issued by USAble Mutual Insurance Company 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 White county, Arkansas.

What Type of Health Plan Is This?

This plan is a PPO plan, which is also known as a "Preferred Provider Organization." In this type of insurance plan, you can choose to receive care from doctors, hospitals, and other providers who are in-network or out-of-network. You pay less if you use in-network providers. In a PPO plan, you can visit any doctor without getting a referral.

Where Can I Buy This Plan?

You can purchase this plan at HealthCare.gov.

About
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Issuer
USAble Mutual Insurance Company
Plan ID
75293AR1200003
Coverage area
White County, Arkansas
Phone
Local Phone: 1-800-800-4298
Toll-Free: 1-800-800-4298
TTY: 1-800-800-4298
Plan type
PPO
Coverage type
Medical deductible
$1,850
Out-of-pocket maximum
$7,900
Generic drug co-pay
$25
Preferred brand drug co-pay
$75 Copay after deductible
Primary care physician visit cost
$30
Specialist doctor visit cost
$75
Doctor Visits
Primary Care Visit $30
Specialist Visit $75
Emergency Room Visit $500 Copay after deductible
Inpatient Facility Visit $650 Copay per Day after deductible
Inpatient Physician Visit 40% Coinsurance after deductible
Prescription Drugs
Generic Drugs $25
Preferred Brand Drugs $75 Copay after deductible
Non-preferred Brand Drugs $150 Copay after deductible
Specialty Drugs 40% Coinsurance after deductible
Medical Deductible
Medical Deductible (Individual) $1,850
Medical Maximum Out Of Pocket (Individual) $7,900
Medical Deductible (Family) $3,700
Medical Maximum Out Of Pocket (Family) $15,800
Drug Deductible
Drug Deductible (Individual) $600
Drug Maximum Out Of Pocket (Individual) Included in Medical
Drug Deductible (Family) $1,200
Drug Maximum Out Of Pocket (Family) Included in Medical
Premium Rates
EHB Percent of Total Premium 99.59%
Premium Child Age 0-14 229
Premium Child Age 18 274
Premium Adult Individual Age 21 300
Premium Adult Individual Age 27 314
Premium Adult Individual Age 30 340
Premium Adult Individual Age 40 383
Premium Adult Individual Age 50 536
Premium Adult Individual Age 60 815
Premium Couple 21 600
Premium Couple 30 681
Premium Couple 40 767
Premium Couple 50 1,072
Premium Couple 60 1,630
Couple+1 child, Age 21 830
Couple+1 child, Age 30 911
Couple+1 child, Age 40 997
Couple+1 child, Age 50 1,302
Couple+2 children, Age 21 1,060
Couple+2 children, Age 30 1,141
Couple+2 children, Age 40 1,227
Couple+2 children, Age 50 1,532
Couple+3 or more Children, Age 21 1,290
Couple+3 or more Children, Age 30 1,371
Couple+3 or more Children, Age 40 1,457
Couple+3 or more Children, Age 50 1,762
Individual+1 child, Age 21 530
Individual+1 child, Age 30 570
Individual+1 child, Age 40 613
Individual+1 child, Age 50 766
Individual+2 children, Age 21 759
Individual+2 children, Age 30 800
Individual+2 children, Age 40 843
Individual+2 children, Age 50 996
Individual+3 or more children, Age 21 989
Individual+3 or more children, Age 30 1,030
Individual+3 or more children, Age 40 1,073
Individual+3 or more children, Age 50 1,225
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