Hawaii - HMSA Bronze PPO 7150

Hawaii, 2017

  • Plan Type

    PPO

  • Metal Tier

    Bronze

  • Out of Pocket Maximum

    $7,150

  • Deductible

    $7,150

Enroll Now
{"state":{"code":"HI","name":"Hawaii","fips":15,"exchangeName":["Hawaii Health Connector"],"exchangeUrl":["http:\/\/www.hawaiihealthconnector.com\/"],"exchangeType":["State"]},"year":"2017","plan":{"name":"Hawaii - HMSA Bronze PPO 7150","planType":"PPO","tier":"Bronze","oopm":"7150.00","deductible":"7150.00","redirectUrl":"https:\/\/www.healthcare.gov"},"phoneNum":"8558665590"}

Call (855) 866-5590 to speak with a licensed agent about a new health plan.

{"onCurrent":true}

Cost Sharing Benefits (In Network)

Policyholders are generally responsible for 100% of costs until the deductible amount is met. After the deductible has been met the policyholder is responsible for the coinsurance / copay until the out of pocket maximum is reached at which point the insurance company assumes 100% of all costs.

Deductible (Individual) $7,150
Deductible (Family) $14,300
Coinsurance Not applicable
Out of Pocket Maximum (Individual) $7,150
Out of Pocket Maximum (Family) $14,300

Doctor Visits

Primary Care Visit Data Not Available
Specialist Visit No charge after deductible
Inpatient Facility No charge after deductible
Inpatient Physician No charge after deductible
Emergency Room Services No charge after deductible

Tests and Imaging

Imaging (CT/PET Scans, MRIs) No charge after deductible
Laboratory Outpatient and Professional Services No charge after deductible
X-Ray and Diagnostic Imaging No charge after deductible

Health Management Programs

Asthma Available
Depression Available
Diabetes Available
Heart Disease Available
High Blood Pressure / High Cholesterol Available
Lower Back Pain Not available
Pain Management Not available
Pregnancy Available
Weight Loss Not available

Other

Mental / Behavioral Health Inpatient No charge after deductible
Mental / Behavioral Health Outpatient 0% Coinsurance after deductible
Rehabilitative Speech Therapy No charge after deductible
Rehabilitative Occupational & Physical Therapy No charge after deductible
Outpatient Facility No charge after deductible
Outpatient Surgery No charge after deductible

Prescription Drugs

Generic Rx Data Not Available
Preferred Brand Rx No charge after deductible
Non Preferred Brand Rx No charge after deductible
Specialty Drugs No charge after deductible

Other Plans in Hawaii

Plan HMSA Gold PPO Deductible $0 Coinsurance Not applicable Out of Pocket $7,150
Plan HMSA Bronze HMO Deductible $6,000 Coinsurance Not applicable Out of Pocket $7,150
Plan HMSA Platinum PPO Deductible $0 Coinsurance Not applicable Out of Pocket $6,850
Plan HMSA Silver PPO 1500 Deductible $1,500 Coinsurance Not applicable Out of Pocket $7,150
Plan HMSA Silver PPO 2500 Deductible $2,500 Coinsurance Not applicable Out of Pocket $7,150
Plan HMSA Silver HMO Deductible $2,500 Coinsurance Not applicable Out of Pocket $7,150
Plan HMSA Platinum HMO Deductible $0 Coinsurance Not applicable Out of Pocket $7,150
Plan HMSA Silver PPO 3500 Deductible $3,500 Coinsurance Not applicable Out of Pocket $7,150
Plan HMSA Gold PPO 1000 Deductible $1,000 Coinsurance Not applicable Out of Pocket $7,150
Plan HMSA Catastrophic Plan Deductible $7,150 Coinsurance Not applicable Out of Pocket $7,150
Plan HMSA Gold HMO Deductible $1,000 Coinsurance Not applicable Out of Pocket $7,150
{"onCurrent":true,"type":"tools"}

Cost Sharing Benefits (In Network)

Policyholders are generally responsible for 100% of costs until the deductible amount is met. After the deductible has been met the policyholder is responsible for the coinsurance / copay until the out of pocket maximum is reached at which point the insurance company assumes 100% of all costs.

Deductible (Individual) $7,150
Deductible (Family) $14,300
Coinsurance Not applicable
Out of Pocket Maximum (Individual) $7,150
Out of Pocket Maximum (Family) $14,300

Doctor Visits

Primary Care Visit Data Not Available
Specialist Visit No charge after deductible
Inpatient Facility No charge after deductible
Inpatient Physician No charge after deductible
Emergency Room Services No charge after deductible

Tests and Imaging

Imaging (CT/PET Scans, MRIs) No charge after deductible
Laboratory Outpatient and Professional Services No charge after deductible
X-Ray and Diagnostic Imaging No charge after deductible

Health Management Programs

Asthma Available
Depression Available
Diabetes Available
Heart Disease Available
High Blood Pressure / High Cholesterol Available
Lower Back Pain Not available
Pain Management Not available
Pregnancy Available
Weight Loss Not available

Other

Mental / Behavioral Health Inpatient No charge after deductible
Mental / Behavioral Health Outpatient 0% Coinsurance after deductible
Rehabilitative Speech Therapy No charge after deductible
Rehabilitative Occupational & Physical Therapy No charge after deductible
Outpatient Facility No charge after deductible
Outpatient Surgery No charge after deductible

Prescription Drugs

Generic Rx Data Not Available
Preferred Brand Rx No charge after deductible
Non Preferred Brand Rx No charge after deductible
Specialty Drugs No charge after deductible

Other Plans in Hawaii

Plan HMSA Gold PPO Deductible $0 Coinsurance Not applicable Out of Pocket $7,150
Plan HMSA Bronze HMO Deductible $6,000 Coinsurance Not applicable Out of Pocket $7,150
Plan HMSA Platinum PPO Deductible $0 Coinsurance Not applicable Out of Pocket $6,850
Plan HMSA Silver PPO 1500 Deductible $1,500 Coinsurance Not applicable Out of Pocket $7,150
Plan HMSA Silver PPO 2500 Deductible $2,500 Coinsurance Not applicable Out of Pocket $7,150
Plan HMSA Silver HMO Deductible $2,500 Coinsurance Not applicable Out of Pocket $7,150
Plan HMSA Platinum HMO Deductible $0 Coinsurance Not applicable Out of Pocket $7,150
Plan HMSA Silver PPO 3500 Deductible $3,500 Coinsurance Not applicable Out of Pocket $7,150
Plan HMSA Gold PPO 1000 Deductible $1,000 Coinsurance Not applicable Out of Pocket $7,150
Plan HMSA Catastrophic Plan Deductible $7,150 Coinsurance Not applicable Out of Pocket $7,150
Plan HMSA Gold HMO Deductible $1,000 Coinsurance Not applicable Out of Pocket $7,150