BridgeSpan - Bronze Essential 7150 RealValue

Oregon, 2017

  • Plan Type

    PPO

  • Metal Tier

    Bronze

  • Out of Pocket Maximum

    $7,150

  • Deductible

    $7,150

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) $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 $60 Copay before deductible + 0% Coinsurance after deductible
Specialist Visit $60 Copay before deductible + 0% Coinsurance after deductible
Inpatient Facility 0% Coinsurance after deductible
Inpatient Physician 0% Coinsurance after deductible
Emergency Room Services 0% Coinsurance after deductible

Tests and Imaging

Imaging (CT/PET Scans, MRIs) 0% Coinsurance after deductible
Laboratory Outpatient and Professional Services 0% Coinsurance after deductible
X-Ray and Diagnostic Imaging 0% Coinsurance 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 Available
Pregnancy Available
Weight Loss Not available

Other

Mental / Behavioral Health Inpatient 0% Coinsurance after deductible
Mental / Behavioral Health Outpatient 0% Coinsurance after deductible
Rehabilitative Speech Therapy 0% Coinsurance after deductible
Rehabilitative Occupational & Physical Therapy 0% Coinsurance after deductible
Outpatient Facility 0% Coinsurance after deductible
Outpatient Surgery 0% Coinsurance after deductible

Prescription Drugs

Generic Rx Data Not Available
Preferred Brand Rx 0% Coinsurance after deductible
Non Preferred Brand Rx 0% Coinsurance after deductible
Specialty Drugs 0% Coinsurance after deductible

Other Plans in Oregon

Plan Bronze HDHP 6000 RealValue Deductible $6,000 Coinsurance Not applicable Out of Pocket $6,550
Plan BridgeSpan Standard Gold Plan RealValue Deductible $1,000 Coinsurance Not applicable Out of Pocket $6,850
Plan Silver Essential 4000 RealValue Deductible $4,000 Coinsurance Not applicable Out of Pocket $6,500
Plan Bronze Essential 7150 EPO RealValue Deductible $7,150 Coinsurance Not applicable Out of Pocket $7,150
Plan Silver HDHP 3000 RealValue Deductible $3,000 Coinsurance Not applicable Out of Pocket $6,550
Plan BridgeSpan Standard Bronze Plan RealValue Deductible $7,150 Coinsurance Not applicable Out of Pocket $7,150
Plan BridgeSpan Standard Silver Plan RealValue Deductible $2,500 Coinsurance Not applicable Out of Pocket $6,850
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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) $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 $60 Copay before deductible + 0% Coinsurance after deductible
Specialist Visit $60 Copay before deductible + 0% Coinsurance after deductible
Inpatient Facility 0% Coinsurance after deductible
Inpatient Physician 0% Coinsurance after deductible
Emergency Room Services 0% Coinsurance after deductible

Tests and Imaging

Imaging (CT/PET Scans, MRIs) 0% Coinsurance after deductible
Laboratory Outpatient and Professional Services 0% Coinsurance after deductible
X-Ray and Diagnostic Imaging 0% Coinsurance 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 Available
Pregnancy Available
Weight Loss Not available

Other

Mental / Behavioral Health Inpatient 0% Coinsurance after deductible
Mental / Behavioral Health Outpatient 0% Coinsurance after deductible
Rehabilitative Speech Therapy 0% Coinsurance after deductible
Rehabilitative Occupational & Physical Therapy 0% Coinsurance after deductible
Outpatient Facility 0% Coinsurance after deductible
Outpatient Surgery 0% Coinsurance after deductible

Prescription Drugs

Generic Rx Data Not Available
Preferred Brand Rx 0% Coinsurance after deductible
Non Preferred Brand Rx 0% Coinsurance after deductible
Specialty Drugs 0% Coinsurance after deductible

Other Plans in Oregon

Plan Bronze HDHP 6000 RealValue Deductible $6,000 Coinsurance Not applicable Out of Pocket $6,550
Plan BridgeSpan Standard Gold Plan RealValue Deductible $1,000 Coinsurance Not applicable Out of Pocket $6,850
Plan Silver Essential 4000 RealValue Deductible $4,000 Coinsurance Not applicable Out of Pocket $6,500
Plan Bronze Essential 7150 EPO RealValue Deductible $7,150 Coinsurance Not applicable Out of Pocket $7,150
Plan Silver HDHP 3000 RealValue Deductible $3,000 Coinsurance Not applicable Out of Pocket $6,550
Plan BridgeSpan Standard Bronze Plan RealValue Deductible $7,150 Coinsurance Not applicable Out of Pocket $7,150
Plan BridgeSpan Standard Silver Plan RealValue Deductible $2,500 Coinsurance Not applicable Out of Pocket $6,850