PLATINUM GOLD SILVER BRONZE VANTAGE HEALTH PLAN HEALTH INSURANCE MARKETPLACE PLAN FINDER HEALTH PLAN

Similar documents
Check What Matters Most.

Marketplace Plan Finder. Silver Cost Share Reduction Plans for Individuals and Families

Marketplace Plan Finder. Freedom, Essential, and Savings Plans for Small Groups

Marketplace Plan Finder. Freedom, Essential, and Savings Plans for Individuals and Families

You must pay all of the costs for these services up to the specific deductible amount before this plan begins to pay for these services.

Deductible Options A 2 x Par Deductible Options A 2 x Par OOP OOP. Maximum Options B

Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services IA Inspire by Medica Gold Copay

Maine's Choice Pemaquid Silver HMO Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services

Important Questions Answers Why this Matters: $100 Member/$200 Family for PCP Benefit level. $250 Member/$500 Family for Self-Referred Benefit level.

Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services MN Applause Gold Copay

Important Questions Answers Why this Matters:

Coverage for: Individual/Family Plan Type: PPO

2016 BCBS of WNY Benefit Comparison for Individuals

01/01/ /31/2019 UMR: WAICU BENEFITS CONSORTIUM INC:

You can see the specialist you choose without permission from this plan.

$6,000 person/$18,000 family. $9,000 person/$27,000 family

Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services Coverage Period: 01/01/ /31/2019

Best Buy HSA PPO FLEX Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services

Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services EMI Health: Tx 5000

limit. The chart starting on page 2 describes any limits on what the plan will pay for specific covered services, such as office visits.

01/01/ /31/2018 UMR: COLE COUNTY COMMISSION:

Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services EMI Health: Tx 5000 QHDHP

$0 See the chart starting on page 2 for your costs for services this plan covers.

You don t have to meet deductibles for specific services.

Regence BlueCross BlueShield of Oregon: Regence Oregon Standard Silver Plan Coverage Period: Beginning on or after 01/01/2014

Summary of Benefits. Allwell Medicare (PPO) Hamilton, Howard and Marion counties, Indiana H

Medical Mutual : PPO Plan 1

HUMANA INSURANCE COMPANY:

Important Questions Answers Why this Matters:

Summary of Benefits and Coverage: What This Plan Covers & What You Pay for Covered Services 01/01/ /31/2019.

Medtronic HRA Plan Coverage Period: Beginning on or after

Important Questions Answers Why this Matters: In-Network: $500 Individual $1,000 Family Out-of-Network:

Important Questions Answers Why this Matters:

Coverage for: Individual/Family Plan Type: PPO

HealthKeepers Anthem HealthKeepers 20/20/500 POS / $10/$30/$50 or 20% with $150 Ded Coverage Period: 11/01/ /31/2014

2019 MEDICARE. summary of benefits. advantage plan. Serving Members in Douglas County

Galesburg CUSD #205 Medical Reimbursement Plan (MRP) & Affordable Care Plan ACP Coverage Period: 09/01/ /31/2018

Type of Care/Plan Benefits In-Network Out-of-Network Annual deductible None None Annual out-of-pocket

Not applicable because there s no out-of-pocket limit on your expenses. The plan does not require a referral to see a specialist.

limit. The chart starting on page 2 describes any limits on what the plan will pay for specific covered services, such as office visits.

You don t have to meet deductibles for specific services.

PreferredOne. Are there other deductibles for specific services? Is there an out-ofpocket. There are no other specific deductibles.

Important Questions Answers Why this Matters:

2019 Summary of Benefits Eon Silver (HMO SNP) and Eon Gold (PPO SNP) GEORGIA / SOUTH CAROLINA

Coverage Period: 01/01/ /31/2019 A nonprofit independent licensee of the BlueCross BlueShield Association

Important Questions Answers Why this Matters:

Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services

Important Questions Answers Why this Matters:

Medical Mutual : Diocese of Toledo Standard Plan

Important Questions Answers Why this Matters: Network: $500 Individual $1,000 Family Non-Network: $1,500 Individual $3,000 Family

Important Questions Answers Why this Matters:

HealthPartners. Are there other deductibles for specific services? Is there an out-ofpocket. There are no other specific deductibles.

limit. The chart starting on page 2 describes any limits on what the plan will pay for specific covered services, such as office visits.

Important Questions Answers Why this Matters:

limit. The chart starting on page 2 describes any limits on what the plan will pay for specific covered services, such as office visits.

Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services Coverage Period: 01/01/ /31/2018

You don't have to meet deductibles for specific services, but see the chart starting on page 2 for other costs for services this plan covers.

Important Questions Answers Why this Matters: For in-network providers, $2,600 individual / $5,000 family For out-of-network providers,

HUMANA INSURANCE COMPANY:

What is the overall deductible? Are there other deductibles for specific services? Is there an out-ofpocket

You don t have to meet deductibles for specific services.

PreferredOne. Are there other deductibles for specific services? Is there an out-ofpocket. There are no other specific deductibles.

Highmark Health Insurance Company: Alliance Flex Blue PPO 1000 ONX (Base Plan)

BlueCross BlueShield of North Carolina: Blue Value Bronze 5500 (limited network, HSA eligible)

07/01/ /30/2019 UMR: THE HERTZ CORPORATION:

07/01/ /30/2019 UMR: THE HERTZ CORPORATION:

07/01/ /30/2019 UMR: THE HERTZ CORPORATION:

Anthem: Self-Funded PPO Plan Coverage Period: 01/01/ /31/2015

BlueCross BlueShield of North Carolina: Blue Advantage Silver 2800

Regence BlueCross BlueShield of Oregon: Preferred Coverage Period: 01/01/ /31/2016

BlueCross BlueShield of North Carolina: Blue Local Silver 3000 (local network with Carolinas HealthCare System)

Coverage for: Individual/Family Plan Type: PPO. In-network $0 person / $0 family. Out-ofnetwork $0 person / $0 family.

Administered by Capital BlueCross 1

Important Questions Answers Why this Matters: In-network: $4,100 person /

01/01/ /31/2018 HMO HDHP

Important Questions Answers Why this Matters:

Important Questions Answers Why this Matters:

2019 Summary of Benefits Eon Select (HMO) and Eon Choice (PPO) GEORGIA / SOUTH CAROLINA

Coverage for: Individual + Family Plan Type: NPOS-HDHP

Are there services covered before you meet your deductible?

You don t have to meet deductibles for specific services.

limit. The chart starting on page 2 describes any limits on what the plan will pay for specific covered services, such as office visits.

You don t have to meet deductibles for specific services.

You don t have to meet deductibles for specific services.

Bronze 60 HDHP HMO. Individual & Family Plan Summary of Benefits and Coverage

Small Group Benefit Comparison

Important Questions Answers Why this Matters:

Summary of Benefits. Allwell Medicare (PPO) Allen, Elkhart, and St. Joseph Counties, Indiana H

You don t have to meet deductibles for specific services.

Important Questions Answers Why this Matters:

You don t have to meet deductibles for specific services.

Important Questions Answers Why this Matters:

You don t have to meet deductibles for specific services.

IU Health Plans: IU Health Traditional PPO Medical Plan OOA Coverage Period: 01/01/ /31/2016 Summary of Benefits and Coverage:

Important Questions Answers Why this Matters: What is the overall deductible?

$1,000 individual/$2,000 family innetwork. $3,000 individual/$6,000 family out-of-network.

Important Questions Answers Why this Matters:

You don t have to meet deductibles for specific services.

You don t have to meet deductibles for specific services.

What is the overall deductible?

Transcription:

PLATINUM GOLD SILVER BRONZE VANTAGE HEALTH PLAN HEALTH INSURANCE MARKETPLACE PLAN FINDER HEALTH PLAN

PICK YOUR PLAN Thanks, Vantage, for making it so easy! Vantage Platinum No deductibles and lowest copay amounts Vantage Gold with a medical-only deductible Vantage Silver Great plan for comprehensive coverage with reasonable out-ofpocket costs Vantage Bronze Pay nothing after you have met your deductible

2013 VANTAGE MARKETPLACE PLAN Finder BENEFITS VANTAGE MARKETPLACE PLATINUM (AAA011) Deductible None Medical Home Primary Care Physician (MH-PCP) $10 copay per visit $40 copay per visit Inpatient Hospital Radiologist / Anesthesiologist Outpatient Surgery Services Emergency Room Major Diagnostic Test (MRI, CT Scan, Stress Test, Bone Density Scan, Pet Scan and Others) X-Rays Home Health & Hospice Radiation & Chemotherapy Flu Shots Prescription Drugs Out-of-Pocket Maximum Dental Vision $750 copay per day for days 1-3 Covered 100% $500 copay $100 copay $100 copay per test 100% coinsurance up to $100 per day 20% coinsurance 20% coinsurance Covered 100% No Rx deductible No separate premium Low-Cost Generics: $3 copay Non-Preferred Generics: $15 copay Preferred Brand: $45 copay Non-Preferred Brand: $95 copay Specialty Drugs: 33% coinsurance $5,850 Individual; $11,700 Family This comparison is not a complete comparison.

VANTAGE MARKETPLACE GOLD (AAA012) VANTAGE MARKETPLACE SILVER (AAA013) $1,000 Individual; $2,000 Family $1,800 Individual; $3,600 Family $15 copay per visit $25 copay per visit $55 copay per visit $75 copay per visit $1,000 copay per day for days 1-3 $1,500 copay per day for days 1-3 Covered 100% Covered 100% $750 copay $1,000 copay $200 copay $300 copay $200 copay per test $300 copay per test 100% coinsurance up to $200 per day 100% coinsurance up to $300 per day 20% coinsurance 20% coinsurance 20% coinsurance 20% coinsurance Covered 100% Covered 100% No Rx deductible No separate premium Low-Cost Generics: $3 copay Non-Preferred Generics: $15 copay Preferred Brand: $45 copay Non-Preferred Brand: $95 copay Specialty Drugs: 33% coinsurance No Rx deductible No separate premium Low-Cost Generics: $3 copay Non-Preferred Generics: $15 copay Preferred Brand: $45 copay Non-Preferred Brand: $95 copay Specialty Drugs: 33% coinsurance $5,850 Individual; $11,700 Family $5,350 Individual; $10,700 Family

$4,350 Individual; $8,700 Family $60 copay per visit $90 copay per visit VANTAGE MARKETPLACE BRONZE (AAA014) VANTAGE VISION & DENTAL BENEFITS INCLUDED IN ALL PLANS Platinum, Gold and Silver Plans Specialist copay for one routine eye exam per year Children - 50% coinsurance for 12 pairs of contacts or 1 pair of glasses per year $100 for 12 pairs of contacts or 1 pair of glasses per year Bronze Plan Specialist copay for one routine eye exam per year Children - for 12 pairs of contacts or 1 pair of glasses per year Adults - 100% coverage for 12 pairs of contacts or 1 pair Platinum, Gold and Silver Plans 100% coverage for routine dental exams, 1 exam every 6 months (excludes cleaning) Children - Basic Dental Services (including cleaning and bitewing x-rays) and Major Dental Services - 50% coinsurance after applicable deductible Covered 100% Adults - 100% coverage for bitewing x-rays, 1 set of Bronze Plan 100% coinsurance up to $2,000 prescription drug out-of-pocket maximum $4,350 Individual; $8,700 Family 100% coverage for routine dental exams, 1 exam every 6 months (excludes cleaning) Children - Basic Dental Services (including cleaning and bitewing x-rays) and Major Dental Services - 0% coinsurance after deductible Adults - 100% coverage for bitewing x-rays, 1 set of

NEED MORE INFORMATION? Call us at 1-888-823-1910 or TTY at 1-866-524-5144 (for the hearing impaired) Ask a Vantage representative about a one-on-one home visit Visit our website at www.vantagehealthplan.com/marketplace CONTACT DETAILS Phone & Website Toll-free: (888) 823-1910 TTY (866) 524-5144 (for the hearing impaired) www.vantagehealthplan.com/marketplace Monroe Location 130 DeSiard Street, Suite 300 Monroe, LA 71201 Shreveport Location 855 Pierremont Road, Suite 109 Shreveport, LA 71106 Vantage Health Plan, Inc. has entered into an agreement with CMS to HEALTH PLAN the Health Insurance Marketplace. VHP721 R091913

2024 © estatedocbox.com Privacy Policy | Terms of Service | Feedback