Bronze Bronze 60 HDHP
High Deductible Health Plan with HSA eligibility
Cost Overview
Annual Deductible
$6,650
Out-of-Pocket Maximum
$6,650
Standardized Benefits
| Service | You Pay | Notes |
|---|---|---|
| Deductibles | ||
| Individual Deductible (Medical) | $6,650 | |
| Individual Deductible (Pharmacy) | integrated medical and pharmacy deductible | |
| Family Deductible (Medical) | $13,300 | |
| Family Deductible (Pharmacy) | integrated medical and pharmacy deductible | |
| Care Visits | ||
| Preventive Care | 0% | No deductible |
| Primary Care Visit | 0% | Deductible may apply |
| Urgent Care Visit | 0% | |
| Specialty Care Visit | 0% | Deductible may apply |
| Mental/Behavioral Health Visit | 0% | |
| Tests & Therapy | ||
| Other Therapy (PT/OT/Speech) | 0% | |
| Lab Testing | 0% | |
| X-rays & Diagnostic Imaging | 0% | |
| Advanced Imaging (CT/MRI) | 0% | |
| Hospital & Emergency | ||
| Outpatient Surgery | 0% | After deductible |
| Emergency Room | 0% | After deductible |
| Emergency Transport | 0% | |
| Prenatal/Postnatal Care | 0% | |
| Inpatient Hospital Stay | 0% | After deductible |
| Hospital Physician | 0% | |
| Prescription Drugs | ||
| Generic Drugs (Tier 1) | 0% | |
| Preferred Brand Drugs (Tier 2) | 0% | |
| Non-Preferred Brand Drugs (Tier 3) | 0% | |
| Specialty Drugs (Tier 4) | 0% | |
| Out of Pocket Maximums | ||
| Maximum Out of Pocket (Individual) | $6,650 | Annual limit |
| Maximum Out of Pocket (Family) | $13,300 | Annual limit |
Understanding Your Benefits
- Copay: A fixed amount you pay for a covered service.
- Coinsurance: Your share of costs after meeting your deductible (shown as a percentage).
- Deductible: The amount you pay before your insurance starts covering costs.
- Out-of-Pocket Maximum: The most you'll pay in a year for covered services.