Share
Medicine Status
Silver Plan HSA1
Healthcare.gov Individual Medical Plan Finder
Contents
Explore
Search
Medicine Status
More
About Medicine Status
Copyright © 2020 MedicineStatus.com and Spring Launch Media LLC. All Rights Reserved.

All content on this website ("the Site") is the property of Spring Launch Media LLC. The collection and assembly of content on this Site are the exclusive property of Spring Launch Media LLC and are protected by copyright and other intellectual property laws. MedicineStatus.com does not provide medical advice, diagnosis, or treatment, and urges you to consult with a qualified medical provider for diagnosis, treatment, and for answers to your medical questions. MedicineStatus.com does not warrant or assume any legal liability or responsibility for the accuracy, completeness, or usefulness of any information disclosed. MedicineStatus.com does not assume any responsibility for any aspect of medical care administered based on the contents provided on this Site. The contents of MedicineStatus.com, such as text, images, graphics, or other material are solely for informational purposes. MedicineStatus.com does not recommend or endorse any specific provider, opinions, procedures, or other information on the Site. Rely on any information provided by MedicineStatus.com or displayed on this Site solely at your own risk. Consult a healthcare professional before taking any drug, choosing or changing any course of treatment.

Silver Plan HSA1

Overview
Back to Top

Silver Plan HSA1 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
Back to Top
Issuer
USAble Mutual Insurance Company
Plan ID
75293AR1200006
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
$3,600
Out-of-pocket maximum
$6,650
Generic drug co-pay
$20 Copay after deductible
Preferred brand drug co-pay
$40 Copay after deductible
Primary care physician visit cost
20% Coinsurance after deductible
Specialist doctor visit cost
20% Coinsurance after deductible
Doctor Visits
Primary Care Visit 20% Coinsurance after deductible
Specialist Visit 20% Coinsurance after deductible
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 $20 Copay after deductible
Preferred Brand Drugs $40 Copay after deductible
Non-preferred Brand Drugs $80 Copay after deductible
Specialty Drugs 30% Coinsurance after deductible
Medical Deductible
Medical Deductible (Individual) $3,600
Medical Maximum Out Of Pocket (Individual) $6,650
Medical Deductible (Family) $7,200
Medical Maximum Out Of Pocket (Family) $13,300
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 99.59%
Premium Child Age 0-14 237
Premium Child Age 18 283
Premium Adult Individual Age 21 310
Premium Adult Individual Age 27 325
Premium Adult Individual Age 30 352
Premium Adult Individual Age 40 397
Premium Adult Individual Age 50 554
Premium Adult Individual Age 60 843
Premium Couple 21 621
Premium Couple 30 705
Premium Couple 40 794
Premium Couple 50 1,109
Premium Couple 60 1,686
Couple+1 child, Age 21 859
Couple+1 child, Age 30 942
Couple+1 child, Age 40 1,031
Couple+1 child, Age 50 1,347
Couple+2 children, Age 21 1,096
Couple+2 children, Age 30 1,180
Couple+2 children, Age 40 1,269
Couple+2 children, Age 50 1,585
Couple+3 or more Children, Age 21 1,334
Couple+3 or more Children, Age 30 1,418
Couple+3 or more Children, Age 40 1,507
Couple+3 or more Children, Age 50 1,822
Individual+1 child, Age 21 548
Individual+1 child, Age 30 590
Individual+1 child, Age 40 634
Individual+1 child, Age 50 792
Individual+2 children, Age 21 786
Individual+2 children, Age 30 827
Individual+2 children, Age 40 872
Individual+2 children, Age 50 1,030
Individual+3 or more children, Age 21 1,023
Individual+3 or more children, Age 30 1,065
Individual+3 or more children, Age 40 1,110
Individual+3 or more children, Age 50 1,267
Reference
Back to Top

  • 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