Medica - Medica Applause Bronze Copay

North Dakota, 2017

  • Plan Type

    POS

  • Metal Tier

    Bronze

  • Out of Pocket Maximum

    $7,150

  • Deductible

    $6,850

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) $6,850
Deductible (Family) $13,700
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 Data Not Available
Inpatient Facility $0 Copay per day + 50% Coinsurance after deductible
Inpatient Physician 50% Coinsurance after deductible
Emergency Room Services 50% Coinsurance after deductible

Tests and Imaging

Imaging (CT/PET Scans, MRIs) 50% Coinsurance after deductible
Laboratory Outpatient and Professional Services 50% Coinsurance after deductible
X-Ray and Diagnostic Imaging 50% Coinsurance after deductible

Health Management Programs

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

Other

Mental / Behavioral Health Inpatient $0 Copay per day + 50% Coinsurance after deductible
Mental / Behavioral Health Outpatient Data Not Available
Rehabilitative Speech Therapy 50% Coinsurance after deductible
Rehabilitative Occupational & Physical Therapy 50% Coinsurance after deductible
Outpatient Facility 50% Coinsurance after deductible
Outpatient Surgery 50% Coinsurance after deductible

Prescription Drugs

Generic Rx Data Not Available
Preferred Brand Rx 50% Coinsurance after deductible
Non Preferred Brand Rx 70% Coinsurance after deductible
Specialty Drugs 30% Coinsurance after deductible

Other Plans in North Dakota

Plan Altru Prime by Medica Bronze H S A Deductible $6,400 Coinsurance Not applicable Out of Pocket $6,400
Plan Medica Applause Bronze H S A Deductible $6,400 Coinsurance Not applicable Out of Pocket $6,400
Plan Altru Prime by Medica Gold Copay Deductible $300 Coinsurance Not applicable Out of Pocket $5,000
Plan Medica Applause Gold Copay Deductible $300 Coinsurance Not applicable Out of Pocket $5,000
Plan Altru Prime by Medica Silver H S A Deductible $1,300 Coinsurance Not applicable Out of Pocket $5,500
Plan Medica Applause Silver Copay Deductible $2,600 Coinsurance Not applicable Out of Pocket $5,750
Plan Altru Prime by Medica Bronze Copay Deductible $6,850 Coinsurance Not applicable Out of Pocket $7,150
Plan Medica Applause Silver H S A Deductible $1,300 Coinsurance Not applicable Out of Pocket $5,500
Plan Altru Prime by Medica Silver Copay Deductible $2,600 Coinsurance Not applicable Out of Pocket $5,750
Plan Altru Prime by Medica Gold Copay Plus Deductible $1,000 Coinsurance Not applicable Out of Pocket $4,000
Plan Medica Applause Catastrophic Deductible $7,150 Coinsurance Not applicable Out of Pocket $7,150
Plan Medica Applause Gold Copay Plus Deductible $1,000 Coinsurance Not applicable Out of Pocket $4,000
Plan Altru Prime by Medica Catastrophic 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) $6,850
Deductible (Family) $13,700
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 Data Not Available
Inpatient Facility $0 Copay per day + 50% Coinsurance after deductible
Inpatient Physician 50% Coinsurance after deductible
Emergency Room Services 50% Coinsurance after deductible

Tests and Imaging

Imaging (CT/PET Scans, MRIs) 50% Coinsurance after deductible
Laboratory Outpatient and Professional Services 50% Coinsurance after deductible
X-Ray and Diagnostic Imaging 50% Coinsurance after deductible

Health Management Programs

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

Other

Mental / Behavioral Health Inpatient $0 Copay per day + 50% Coinsurance after deductible
Mental / Behavioral Health Outpatient Data Not Available
Rehabilitative Speech Therapy 50% Coinsurance after deductible
Rehabilitative Occupational & Physical Therapy 50% Coinsurance after deductible
Outpatient Facility 50% Coinsurance after deductible
Outpatient Surgery 50% Coinsurance after deductible

Prescription Drugs

Generic Rx Data Not Available
Preferred Brand Rx 50% Coinsurance after deductible
Non Preferred Brand Rx 70% Coinsurance after deductible
Specialty Drugs 30% Coinsurance after deductible

Other Plans in North Dakota

Plan Altru Prime by Medica Bronze H S A Deductible $6,400 Coinsurance Not applicable Out of Pocket $6,400
Plan Medica Applause Bronze H S A Deductible $6,400 Coinsurance Not applicable Out of Pocket $6,400
Plan Altru Prime by Medica Gold Copay Deductible $300 Coinsurance Not applicable Out of Pocket $5,000
Plan Medica Applause Gold Copay Deductible $300 Coinsurance Not applicable Out of Pocket $5,000
Plan Altru Prime by Medica Silver H S A Deductible $1,300 Coinsurance Not applicable Out of Pocket $5,500
Plan Medica Applause Silver Copay Deductible $2,600 Coinsurance Not applicable Out of Pocket $5,750
Plan Altru Prime by Medica Bronze Copay Deductible $6,850 Coinsurance Not applicable Out of Pocket $7,150
Plan Medica Applause Silver H S A Deductible $1,300 Coinsurance Not applicable Out of Pocket $5,500
Plan Altru Prime by Medica Silver Copay Deductible $2,600 Coinsurance Not applicable Out of Pocket $5,750
Plan Altru Prime by Medica Gold Copay Plus Deductible $1,000 Coinsurance Not applicable Out of Pocket $4,000
Plan Medica Applause Catastrophic Deductible $7,150 Coinsurance Not applicable Out of Pocket $7,150
Plan Medica Applause Gold Copay Plus Deductible $1,000 Coinsurance Not applicable Out of Pocket $4,000
Plan Altru Prime by Medica Catastrophic Deductible $7,150 Coinsurance Not applicable Out of Pocket $7,150