Gundersen - Silver HSA $4400 - 0%

Iowa, 2017

  • Plan Type

    POS

  • Metal Tier

    Silver

  • Out of Pocket Maximum

    $4,400

  • Deductible

    $4,400

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

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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) $4,400
Deductible (Family) $8,800
Coinsurance Not applicable
Out of Pocket Maximum (Individual) $4,400
Out of Pocket Maximum (Family) $8,800

Doctor Visits

Primary Care Visit No charge after deductible
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 Not available
Lower Back Pain Not available
Pain Management Not available
Pregnancy Not available
Weight Loss Not available

Other

Mental / Behavioral Health Inpatient No charge after deductible
Mental / Behavioral Health Outpatient No charge 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 No charge after deductible
Preferred Brand Rx No charge after deductible
Non Preferred Brand Rx No charge after deductible
Specialty Drugs No charge after deductible

73% Cost Sharing Benefits

Households with incomes between 200% to 250% of FPL qualify for the following cost sharing benefits for this silver plan. To understand how cost sharing reductions work and how they work for you see our article about Obamacare Cost Sharing Reduction Discounts

Deductibles and Cost Sharing

Deductible (Individual) $3,250
Deductible (Family) $6,500
Out of Pocket Maximum (Individual) $3,250
Out of Pocket Maximum (Family) $6,500

Doctor Visits

Primary Care Physician No charge after deductible
Specialists No charge after deductible
Emergency Room No charge after deductible
Inpatient Facility No charge after deductible
Inpatient Physician No charge after deductible

Prescription Drugs

Generic Rx No charge after deductible
Preferred Brand Rx No charge after deductible
Non Preferred Brand Rx No charge after deductible
Specialty Drugs No charge after deductible

87% Cost Sharing Benefits

Households with incomes between 150% to 200% of FPL qualify for the following cost sharing benefits for this silver plan.

Deductibles and Cost Sharing

Deductible (Individual) $1,250
Deductible (Family) $2,500
Out of Pocket Maximum (Individual) $1,250
Out of Pocket Maximum (Family) $2,500

Doctor Visits

Primary Care Physician No charge after deductible
Specialists No charge after deductible
Emergency Room No charge after deductible
Inpatient Facility No charge after deductible
Inpatient Physician No charge after deductible

Prescription Drugs

Generic Rx No charge after deductible
Preferred Brand Rx No charge after deductible
Non Preferred Brand Rx No charge after deductible
Specialty Drugs No charge after deductible

94% Cost Sharing Benefits

Households with incomes between 138% to 150% of FPL qualify for the following cost sharing benefits for this silver plan.

Deductibles and Cost Sharing

Deductible (Individual) $500
Deductible (Family) $1,000
Out of Pocket Maximum (Individual) $500
Out of Pocket Maximum (Family) $1,000

Doctor Visits

Primary Care Physician No charge after deductible
Specialists No charge after deductible
Emergency Room No charge after deductible
Inpatient Facility No charge after deductible
Inpatient Physician No charge after deductible

Prescription Drugs

Generic Rx No charge after deductible
Preferred Brand Rx No charge after deductible
Non Preferred Brand Rx No charge after deductible
Specialty Drugs No charge after deductible

Other Plans in Iowa

Plan Bronze $6500 - 10% Deductible $6,500 Coinsurance Not applicable Out of Pocket $7,150
Plan Silver HSA $2000 - 50% Deductible $2,000 Coinsurance Not applicable Out of Pocket $4,000
Plan Silver $2500 - 20% Deductible $2,500 Coinsurance Not applicable Out of Pocket $5,000
Plan Platinum $1000 - 0% Deductible $1,000 Coinsurance Not applicable Out of Pocket $1,000
Plan Bronze HSA $6550 - 0% Deductible $6,550 Coinsurance Not applicable Out of Pocket $6,550
Plan Bronze HSA $5750 - 20% Deductible $5,750 Coinsurance Not applicable Out of Pocket $6,550
Plan Silver $2500 - 50% Deductible $2,500 Coinsurance Not applicable Out of Pocket $6,000
Plan Bronze HSA $4400 - 50% Deductible $4,400 Coinsurance Not applicable Out of Pocket $6,550
Plan Bronze $3750 - 50% Deductible $3,750 Coinsurance Not applicable Out of Pocket $7,150
Plan Gold $3500 - 0% Deductible $3,500 Coinsurance Not applicable Out of Pocket $3,500
Plan Platinum $500 - 20% Deductible $500 Coinsurance Not applicable Out of Pocket $1,000
Plan Gold $1750 - 30% Deductible $1,750 Coinsurance Not applicable Out of Pocket $3,250
Plan Silver $4000 - 10% Deductible $4,000 Coinsurance Not applicable Out of Pocket $6,000
Plan Bronze $5000 - 10% Deductible $5,000 Coinsurance Not applicable Out of Pocket $7,150
Plan Catastrophic $7150 - 0% Deductible $7,150 Coinsurance Not applicable Out of Pocket $7,150
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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) $4,400
Deductible (Family) $8,800
Coinsurance Not applicable
Out of Pocket Maximum (Individual) $4,400
Out of Pocket Maximum (Family) $8,800

Doctor Visits

Primary Care Visit No charge after deductible
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 Not available
Lower Back Pain Not available
Pain Management Not available
Pregnancy Not available
Weight Loss Not available

Other

Mental / Behavioral Health Inpatient No charge after deductible
Mental / Behavioral Health Outpatient No charge 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 No charge after deductible
Preferred Brand Rx No charge after deductible
Non Preferred Brand Rx No charge after deductible
Specialty Drugs No charge after deductible

73% Cost Sharing Benefits

Households with incomes between 200% to 250% of FPL qualify for the following cost sharing benefits for this silver plan. To understand how cost sharing reductions work and how they work for you see our article about Obamacare Cost Sharing Reduction Discounts

Deductibles and Cost Sharing

Deductible (Individual) $3,250
Deductible (Family) $6,500
Out of Pocket Maximum (Individual) $3,250
Out of Pocket Maximum (Family) $6,500

Doctor Visits

Primary Care Physician No charge after deductible
Specialists No charge after deductible
Emergency Room No charge after deductible
Inpatient Facility No charge after deductible
Inpatient Physician No charge after deductible

Prescription Drugs

Generic Rx No charge after deductible
Preferred Brand Rx No charge after deductible
Non Preferred Brand Rx No charge after deductible
Specialty Drugs No charge after deductible

87% Cost Sharing Benefits

Households with incomes between 150% to 200% of FPL qualify for the following cost sharing benefits for this silver plan.

Deductibles and Cost Sharing

Deductible (Individual) $1,250
Deductible (Family) $2,500
Out of Pocket Maximum (Individual) $1,250
Out of Pocket Maximum (Family) $2,500

Doctor Visits

Primary Care Physician No charge after deductible
Specialists No charge after deductible
Emergency Room No charge after deductible
Inpatient Facility No charge after deductible
Inpatient Physician No charge after deductible

Prescription Drugs

Generic Rx No charge after deductible
Preferred Brand Rx No charge after deductible
Non Preferred Brand Rx No charge after deductible
Specialty Drugs No charge after deductible

94% Cost Sharing Benefits

Households with incomes between 138% to 150% of FPL qualify for the following cost sharing benefits for this silver plan.

Deductibles and Cost Sharing

Deductible (Individual) $500
Deductible (Family) $1,000
Out of Pocket Maximum (Individual) $500
Out of Pocket Maximum (Family) $1,000

Doctor Visits

Primary Care Physician No charge after deductible
Specialists No charge after deductible
Emergency Room No charge after deductible
Inpatient Facility No charge after deductible
Inpatient Physician No charge after deductible

Prescription Drugs

Generic Rx No charge after deductible
Preferred Brand Rx No charge after deductible
Non Preferred Brand Rx No charge after deductible
Specialty Drugs No charge after deductible

Other Plans in Iowa

Plan Bronze $6500 - 10% Deductible $6,500 Coinsurance Not applicable Out of Pocket $7,150
Plan Silver HSA $2000 - 50% Deductible $2,000 Coinsurance Not applicable Out of Pocket $4,000
Plan Silver $2500 - 20% Deductible $2,500 Coinsurance Not applicable Out of Pocket $5,000
Plan Platinum $1000 - 0% Deductible $1,000 Coinsurance Not applicable Out of Pocket $1,000
Plan Bronze HSA $6550 - 0% Deductible $6,550 Coinsurance Not applicable Out of Pocket $6,550
Plan Bronze HSA $5750 - 20% Deductible $5,750 Coinsurance Not applicable Out of Pocket $6,550
Plan Silver $2500 - 50% Deductible $2,500 Coinsurance Not applicable Out of Pocket $6,000
Plan Bronze HSA $4400 - 50% Deductible $4,400 Coinsurance Not applicable Out of Pocket $6,550
Plan Bronze $3750 - 50% Deductible $3,750 Coinsurance Not applicable Out of Pocket $7,150
Plan Gold $3500 - 0% Deductible $3,500 Coinsurance Not applicable Out of Pocket $3,500
Plan Platinum $500 - 20% Deductible $500 Coinsurance Not applicable Out of Pocket $1,000
Plan Gold $1750 - 30% Deductible $1,750 Coinsurance Not applicable Out of Pocket $3,250
Plan Silver $4000 - 10% Deductible $4,000 Coinsurance Not applicable Out of Pocket $6,000
Plan Bronze $5000 - 10% Deductible $5,000 Coinsurance Not applicable Out of Pocket $7,150
Plan Catastrophic $7150 - 0% Deductible $7,150 Coinsurance Not applicable Out of Pocket $7,150