Silver Plan AWM1, state_name

Silver Plan AWM1 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).

This plan is available for qualifying individuals who live in Washington county, Arkansas.

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.

You can purchase this plan at HealthCare.gov.

Issuer

USAble Mutual Insurance Company

Plan ID

75293AR1210002

Coverage area

Washington 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

Silver

Medical deductible

$2,650

Out-of-pocket maximum

$7,900

Generic drug co-pay

$20 Copay after deductible

Preferred brand drug co-pay

$60 Copay after deductible

Primary care physician visit cost

$35 Copay after deductible

Specialist doctor visit cost

$70 Copay after deductible

Primary Care Visit	$35 Copay after deductible
Specialist Visit	$70 Copay after deductible
Emergency Room Visit	$500 Copay after deductible
Inpatient Facility Visit	$650 Copay per Day after deductible
Inpatient Physician Visit	40% Coinsurance after deductible

Generic Drugs	$20 Copay after deductible
Preferred Brand Drugs	$60 Copay after deductible
Non-preferred Brand Drugs	$150 Copay after deductible
Specialty Drugs	$300 Copay after deductible

Medical Deductible (Individual)	$2,650
Medical Maximum Out Of Pocket (Individual)	$7,900
Medical Deductible (Family)	$5,300
Medical Maximum Out Of Pocket (Family)	$15,800

Drug Deductible (Individual)	$650
Drug Maximum Out Of Pocket (Individual)	Included in Medical
Drug Deductible (Family)	$1,300
Drug Maximum Out Of Pocket (Family)	Included in Medical

EHB Percent of Total Premium	99.85%
Premium Child Age 0-14	231
Premium Child Age 18	275
Premium Adult Individual Age 21	302
Premium Adult Individual Age 27	316
Premium Adult Individual Age 30	342
Premium Adult Individual Age 40	386
Premium Adult Individual Age 50	539
Premium Adult Individual Age 60	820
Premium Couple 21	604
Premium Couple 30	685
Premium Couple 40	772
Premium Couple 50	1,079
Premium Couple 60	1,640
Couple+1 child, Age 21	835
Couple+1 child, Age 30	917
Couple+1 child, Age 40	1,003
Couple+1 child, Age 50	1,310
Couple+2 children, Age 21	1,066
Couple+2 children, Age 30	1,148
Couple+2 children, Age 40	1,234
Couple+2 children, Age 50	1,541
Couple+3 or more Children, Age 21	1,297
Couple+3 or more Children, Age 30	1,379
Couple+3 or more Children, Age 40	1,465
Couple+3 or more Children, Age 50	1,772
Individual+1 child, Age 21	533
Individual+1 child, Age 30	574
Individual+1 child, Age 40	617
Individual+1 child, Age 50	770
Individual+2 children, Age 21	764
Individual+2 children, Age 30	805
Individual+2 children, Age 40	848
Individual+2 children, Age 50	1,002
Individual+3 or more children, Age 21	995
Individual+3 or more children, Age 30	1,036
Individual+3 or more children, Age 40	1,079
Individual+3 or more children, Age 50	1,233

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

State:
South Dakota
Metal Level:
Silver
Plan Type:
PPO
Primary Care Visit: 30% Coinsurance after deductible
Generic Drugs: 30% Coinsurance after deductible
Medical Deductible (Individual): $2,750
Medical Maximum Out Of Pocket (Individual): $7,100

Avera 2750

State:
South Dakota
Metal Level:
Bronze
Plan Type:
PPO
Primary Care Visit: $40 Copay with deductible and 40% Coinsurance after deductible
Generic Drugs: $20 Copay with deductible
Medical Deductible (Individual): $5,500
Medical Maximum Out Of Pocket (Individual): $7,900

Avera 5500

State:
Illinois
Metal Level:
Catastrophic
Plan Type:
PPO
Primary Care Visit: $20
Generic Drugs: No Charge after Deductible
Medical Deductible (Individual): $7,900
Medical Maximum Out Of Pocket (Individual): $7,900

Blue Choice Preferred Security PPO 200

State:
Pennsylvania
Metal Level:
Gold
Plan Type:
PPO
Primary Care Visit: $20
Generic Drugs: $10
Medical Deductible (Individual): $2,000
Medical Maximum Out Of Pocket (Individual): $7,350

Gold PPO 2000/10/20

State:
Arkansas
Metal Level:
Silver
Plan Type:
PPO
Primary Care Visit: $35 Copay after deductible
Generic Drugs: $20 Copay after deductible
Medical Deductible (Individual): $2,650
Medical Maximum Out Of Pocket (Individual): $7,900

Silver Plan AWM1

State:
Arkansas
Metal Level:
Bronze
Plan Type:
PPO
Primary Care Visit: 40% Coinsurance after deductible
Generic Drugs: $25
Medical Deductible (Individual): $5,650
Medical Maximum Out Of Pocket (Individual): $7,650

Ambetter Essential Care 6 (2019)

State:
Ohio
Metal Level:
Silver
Plan Type:
PPO
Primary Care Visit: $10 Copay with deductible
Generic Drugs: $10
Medical Deductible (Individual): $6,850
Medical Maximum Out Of Pocket (Individual): $6,850

AultCare Silver 6850

State:
North Carolina
Metal Level:
Expanded Bronze
Plan Type:
PPO
Primary Care Visit: $35
Generic Drugs: $10 Copay after deductible
Medical Deductible (Individual): $7,000
Medical Maximum Out Of Pocket (Individual): $7,900

Blue Advantage Bronze 7000 (broad network)

State:
Wisconsin
Metal Level:
Expanded Bronze
Plan Type:
PPO
Primary Care Visit: $30 Copay with deductible and 20% Coinsurance after deductible
Generic Drugs: $25
Medical Deductible (Individual): $6,000
Medical Maximum Out Of Pocket (Individual): $7,900