Health - POS 3500a Elite Silver

Illinois, 2018

  • Plan Type

    POS

  • Metal Tier

    Silver

  • Out of Pocket Maximum

    $7,350

  • Deductible

    $3,500

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) $3,500
Deductible (Family) $7,000
Coinsurance Not applicable
Out of Pocket Maximum (Individual) $7,350
Out of Pocket Maximum (Family) $14,700

Doctor Visits

Primary Care Visit Data Not Available
Specialist Visit Data Not Available
Inpatient Facility 20% Coinsurance after deductible
Inpatient Physician 20% Coinsurance after deductible
Emergency Room Services 20% Coinsurance after deductible

Tests and Imaging

Imaging (CT/PET Scans, MRIs) 20% Coinsurance after deductible
Laboratory Outpatient and Professional Services 20% Coinsurance after deductible
X-Ray and Diagnostic Imaging 20% Coinsurance after deductible

Health Management Programs

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

Other

Mental / Behavioral Health Inpatient 20% Coinsurance after deductible
Mental / Behavioral Health Outpatient Data Not Available
Rehabilitative Speech Therapy 20% Coinsurance after deductible
Rehabilitative Occupational & Physical Therapy 20% Coinsurance after deductible
Outpatient Facility 20% Coinsurance after deductible
Outpatient Surgery 20% Coinsurance after deductible

Prescription Drugs

Generic Rx Data Not Available
Preferred Brand Rx Data Not Available
Non Preferred Brand Rx Data Not Available
Specialty Drugs 40% Coinsurance 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) $3,000
Deductible (Family) $6,000
Out of Pocket Maximum (Individual) $5,850
Out of Pocket Maximum (Family) $11,700

Doctor Visits

Primary Care Physician
Specialists
Emergency Room 20% Coinsurance after deductible
Inpatient Facility 20% Coinsurance after deductible
Inpatient Physician 20% Coinsurance after deductible

Prescription Drugs

Generic Rx
Preferred Brand Rx
Non Preferred Brand Rx
Specialty Drugs 40% Coinsurance 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) $700
Deductible (Family) $1,400
Out of Pocket Maximum (Individual) $2,450
Out of Pocket Maximum (Family) $4,900

Doctor Visits

Primary Care Physician
Specialists
Emergency Room 20% Coinsurance after deductible
Inpatient Facility 20% Coinsurance after deductible
Inpatient Physician 20% Coinsurance after deductible

Prescription Drugs

Generic Rx
Preferred Brand Rx
Non Preferred Brand Rx
Specialty Drugs 30% Coinsurance 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) $250
Deductible (Family) $500
Out of Pocket Maximum (Individual) $1,250
Out of Pocket Maximum (Family) $2,500

Doctor Visits

Primary Care Physician
Specialists
Emergency Room 5% Coinsurance after deductible
Inpatient Facility 5% Coinsurance after deductible
Inpatient Physician 5% Coinsurance after deductible

Prescription Drugs

Generic Rx
Preferred Brand Rx
Non Preferred Brand Rx
Specialty Drugs 25% Coinsurance after deductible

Other Plans in Illinois

Plan HMO 3100 Elite Silver Deductible $3,100 Coinsurance Not applicable Out of Pocket $7,350
Plan HMO 2000 Elite Gold Deductible $2,000 Coinsurance Not applicable Out of Pocket $6,000
Plan HMO HSA 3250 Methodist Silver Deductible $3,250 Coinsurance Not applicable Out of Pocket $5,000
Plan HMO 3800 Methodist Bronze Deductible $3,800 Coinsurance Not applicable Out of Pocket $7,150
Plan POS 3750c Methodist Bronze Deductible $3,750 Coinsurance Not applicable Out of Pocket $7,150
Plan HMO 6650a OSF Bronze Deductible $6,650 Coinsurance Not applicable Out of Pocket $7,350
Plan HMO 2000 OSF Gold Deductible $2,000 Coinsurance Not applicable Out of Pocket $6,000
Plan POS 7350 Methodist Silver Deductible $7,350 Coinsurance Not applicable Out of Pocket $7,350
Plan POS 6650a Elite Bronze Deductible $6,650 Coinsurance Not applicable Out of Pocket $7,350
Plan POS 6300 Methodist Silver Deductible $6,300 Coinsurance Not applicable Out of Pocket $7,350
Plan POS 3750c Elite Bronze Deductible $3,750 Coinsurance Not applicable Out of Pocket $7,150
Plan POS HSA 6550 Methodist Bronze Deductible $6,550 Coinsurance Not applicable Out of Pocket $6,550
Plan HMO 3700 Elite Bronze Deductible $3,700 Coinsurance Not applicable Out of Pocket $7,150
Plan HMO HSA 3250 Elite Silver Deductible $3,250 Coinsurance Not applicable Out of Pocket $5,000
Plan POS HSA 6550 Elite Bronze Deductible $6,550 Coinsurance Not applicable Out of Pocket $6,550
Plan HMO HSA 3250 OSF Silver Deductible $3,250 Coinsurance Not applicable Out of Pocket $5,000
Plan HMO 4000b Methodist Silver Deductible $4,000 Coinsurance Not applicable Out of Pocket $7,350
Plan HMO 4000d OSF Bronze Deductible $4,000 Coinsurance Not applicable Out of Pocket $6,850
Plan POS 6650a OSF Bronze Deductible $6,650 Coinsurance Not applicable Out of Pocket $7,350
Plan POS 3500a OSF Silver Deductible $3,500 Coinsurance Not applicable Out of Pocket $7,350
Plan HMO HSA 6000 OSF Bronze Deductible $6,000 Coinsurance Not applicable Out of Pocket $6,000
Plan HMO 7350 Riverside Silver Deductible $7,350 Coinsurance Not applicable Out of Pocket $7,350
Plan HMO 3100 Methodist Silver Deductible $3,100 Coinsurance Not applicable Out of Pocket $7,350
Plan POS 7350 OSF Silver Deductible $7,350 Coinsurance Not applicable Out of Pocket $7,350
Plan HMO HSA 6000 Elite Bronze Deductible $6,000 Coinsurance Not applicable Out of Pocket $6,000
Plan HMO 3800 OSF Bronze Deductible $3,800 Coinsurance Not applicable Out of Pocket $7,150
Plan POS 3750c OSF Bronze Deductible $3,750 Coinsurance Not applicable Out of Pocket $7,150
Plan POS HSA 6000 Elite Bronze Deductible $6,000 Coinsurance Not applicable Out of Pocket $6,000
Plan HMO 6650a Elite Bronze Deductible $6,650 Coinsurance Not applicable Out of Pocket $7,350
Plan POS 6300 OSF Silver Deductible $6,300 Coinsurance Not applicable Out of Pocket $7,350
Plan HMO 7350 Elite Catastrophic Deductible $7,350 Coinsurance Not applicable Out of Pocket $7,350
Plan HMO 4000b Elite Silver Deductible $4,000 Coinsurance Not applicable Out of Pocket $7,350
Plan HMO 3800 Elite Bronze Deductible $3,800 Coinsurance Not applicable Out of Pocket $7,150
Plan HMO 6650a Methodist Bronze Deductible $6,650 Coinsurance Not applicable Out of Pocket $7,350
Plan HMO 2000 Methodist Gold Deductible $2,000 Coinsurance Not applicable Out of Pocket $6,000
Plan POS 7350 Elite Silver Deductible $7,350 Coinsurance Not applicable Out of Pocket $7,350
Plan HMO 5000c Methodist Silver Deductible $5,000 Coinsurance Not applicable Out of Pocket $6,500
Plan POS 5000a Methodist Bronze Deductible $5,000 Coinsurance Not applicable Out of Pocket $7,150
Plan POS 6650a Methodist Bronze Deductible $6,650 Coinsurance Not applicable Out of Pocket $7,350
Plan HMO 3500a Methodist Silver Deductible $3,500 Coinsurance Not applicable Out of Pocket $7,350
Plan HMO 3700 Methodist Bronze Deductible $3,700 Coinsurance Not applicable Out of Pocket $7,150
Plan POS HSA 6550 OSF Bronze Deductible $6,550 Coinsurance Not applicable Out of Pocket $6,550
Plan HMO 4000b OSF Silver Deductible $4,000 Coinsurance Not applicable Out of Pocket $7,350
Plan POS HSA 6000 OSF Bronze Deductible $6,000 Coinsurance Not applicable Out of Pocket $6,000
Plan HMO 4000d Methodist Bronze Deductible $4,000 Coinsurance Not applicable Out of Pocket $6,850
Plan POS HSA 6000 Methodist Bronze Deductible $6,000 Coinsurance Not applicable Out of Pocket $6,000
Plan POS 6300 Elite Silver Deductible $6,300 Coinsurance Not applicable Out of Pocket $7,350
Plan HMO 3700 OSF Bronze Deductible $3,700 Coinsurance Not applicable Out of Pocket $7,150
Plan POS 7350 Riverside Silver Deductible $7,350 Coinsurance Not applicable Out of Pocket $7,350
Plan HMO 3100 OSF Silver Deductible $3,100 Coinsurance Not applicable Out of Pocket $7,350
Plan HMO HSA 6000 Methodist Bronze Deductible $6,000 Coinsurance Not applicable Out of Pocket $6,000
Plan HMO 5000c OSF Silver Deductible $5,000 Coinsurance Not applicable Out of Pocket $6,500
Plan HMO 3500a OSF Silver Deductible $3,500 Coinsurance Not applicable Out of Pocket $7,350
Plan HMO 3500a Elite Silver Deductible $3,500 Coinsurance Not applicable Out of Pocket $7,350
Plan POS 5000a Elite Bronze Deductible $5,000 Coinsurance Not applicable Out of Pocket $7,150
Plan POS 6300 Riverside Silver Deductible $6,300 Coinsurance Not applicable Out of Pocket $7,350
Plan POS 3500a Methodist Silver Deductible $3,500 Coinsurance Not applicable Out of Pocket $7,350
Plan HMO 4000d Elite Bronze Deductible $4,000 Coinsurance Not applicable Out of Pocket $6,850
Plan HMO 5000c Elite Silver Deductible $5,000 Coinsurance Not applicable Out of Pocket $6,500
Plan POS 5000a OSF Bronze Deductible $5,000 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) $3,500
Deductible (Family) $7,000
Coinsurance Not applicable
Out of Pocket Maximum (Individual) $7,350
Out of Pocket Maximum (Family) $14,700

Doctor Visits

Primary Care Visit Data Not Available
Specialist Visit Data Not Available
Inpatient Facility 20% Coinsurance after deductible
Inpatient Physician 20% Coinsurance after deductible
Emergency Room Services 20% Coinsurance after deductible

Tests and Imaging

Imaging (CT/PET Scans, MRIs) 20% Coinsurance after deductible
Laboratory Outpatient and Professional Services 20% Coinsurance after deductible
X-Ray and Diagnostic Imaging 20% Coinsurance after deductible

Health Management Programs

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

Other

Mental / Behavioral Health Inpatient 20% Coinsurance after deductible
Mental / Behavioral Health Outpatient Data Not Available
Rehabilitative Speech Therapy 20% Coinsurance after deductible
Rehabilitative Occupational & Physical Therapy 20% Coinsurance after deductible
Outpatient Facility 20% Coinsurance after deductible
Outpatient Surgery 20% Coinsurance after deductible

Prescription Drugs

Generic Rx Data Not Available
Preferred Brand Rx Data Not Available
Non Preferred Brand Rx Data Not Available
Specialty Drugs 40% Coinsurance 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) $3,000
Deductible (Family) $6,000
Out of Pocket Maximum (Individual) $5,850
Out of Pocket Maximum (Family) $11,700

Doctor Visits

Primary Care Physician
Specialists
Emergency Room 20% Coinsurance after deductible
Inpatient Facility 20% Coinsurance after deductible
Inpatient Physician 20% Coinsurance after deductible

Prescription Drugs

Generic Rx
Preferred Brand Rx
Non Preferred Brand Rx
Specialty Drugs 40% Coinsurance 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) $700
Deductible (Family) $1,400
Out of Pocket Maximum (Individual) $2,450
Out of Pocket Maximum (Family) $4,900

Doctor Visits

Primary Care Physician
Specialists
Emergency Room 20% Coinsurance after deductible
Inpatient Facility 20% Coinsurance after deductible
Inpatient Physician 20% Coinsurance after deductible

Prescription Drugs

Generic Rx
Preferred Brand Rx
Non Preferred Brand Rx
Specialty Drugs 30% Coinsurance 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) $250
Deductible (Family) $500
Out of Pocket Maximum (Individual) $1,250
Out of Pocket Maximum (Family) $2,500

Doctor Visits

Primary Care Physician
Specialists
Emergency Room 5% Coinsurance after deductible
Inpatient Facility 5% Coinsurance after deductible
Inpatient Physician 5% Coinsurance after deductible

Prescription Drugs

Generic Rx
Preferred Brand Rx
Non Preferred Brand Rx
Specialty Drugs 25% Coinsurance after deductible

Other Plans in Illinois

Plan HMO 3100 Elite Silver Deductible $3,100 Coinsurance Not applicable Out of Pocket $7,350
Plan HMO 2000 Elite Gold Deductible $2,000 Coinsurance Not applicable Out of Pocket $6,000
Plan HMO HSA 3250 Methodist Silver Deductible $3,250 Coinsurance Not applicable Out of Pocket $5,000
Plan HMO 3800 Methodist Bronze Deductible $3,800 Coinsurance Not applicable Out of Pocket $7,150
Plan POS 3750c Methodist Bronze Deductible $3,750 Coinsurance Not applicable Out of Pocket $7,150
Plan HMO 6650a OSF Bronze Deductible $6,650 Coinsurance Not applicable Out of Pocket $7,350
Plan HMO 2000 OSF Gold Deductible $2,000 Coinsurance Not applicable Out of Pocket $6,000
Plan POS 7350 Methodist Silver Deductible $7,350 Coinsurance Not applicable Out of Pocket $7,350
Plan POS 6650a Elite Bronze Deductible $6,650 Coinsurance Not applicable Out of Pocket $7,350
Plan POS 6300 Methodist Silver Deductible $6,300 Coinsurance Not applicable Out of Pocket $7,350
Plan POS 3750c Elite Bronze Deductible $3,750 Coinsurance Not applicable Out of Pocket $7,150
Plan POS HSA 6550 Methodist Bronze Deductible $6,550 Coinsurance Not applicable Out of Pocket $6,550
Plan HMO 3700 Elite Bronze Deductible $3,700 Coinsurance Not applicable Out of Pocket $7,150
Plan HMO HSA 3250 Elite Silver Deductible $3,250 Coinsurance Not applicable Out of Pocket $5,000
Plan POS HSA 6550 Elite Bronze Deductible $6,550 Coinsurance Not applicable Out of Pocket $6,550
Plan HMO HSA 3250 OSF Silver Deductible $3,250 Coinsurance Not applicable Out of Pocket $5,000
Plan HMO 4000b Methodist Silver Deductible $4,000 Coinsurance Not applicable Out of Pocket $7,350
Plan HMO 4000d OSF Bronze Deductible $4,000 Coinsurance Not applicable Out of Pocket $6,850
Plan POS 6650a OSF Bronze Deductible $6,650 Coinsurance Not applicable Out of Pocket $7,350
Plan POS 3500a OSF Silver Deductible $3,500 Coinsurance Not applicable Out of Pocket $7,350
Plan HMO HSA 6000 OSF Bronze Deductible $6,000 Coinsurance Not applicable Out of Pocket $6,000
Plan HMO 7350 Riverside Silver Deductible $7,350 Coinsurance Not applicable Out of Pocket $7,350
Plan HMO 3100 Methodist Silver Deductible $3,100 Coinsurance Not applicable Out of Pocket $7,350
Plan POS 7350 OSF Silver Deductible $7,350 Coinsurance Not applicable Out of Pocket $7,350
Plan HMO HSA 6000 Elite Bronze Deductible $6,000 Coinsurance Not applicable Out of Pocket $6,000
Plan HMO 3800 OSF Bronze Deductible $3,800 Coinsurance Not applicable Out of Pocket $7,150
Plan POS 3750c OSF Bronze Deductible $3,750 Coinsurance Not applicable Out of Pocket $7,150
Plan POS HSA 6000 Elite Bronze Deductible $6,000 Coinsurance Not applicable Out of Pocket $6,000
Plan HMO 6650a Elite Bronze Deductible $6,650 Coinsurance Not applicable Out of Pocket $7,350
Plan POS 6300 OSF Silver Deductible $6,300 Coinsurance Not applicable Out of Pocket $7,350
Plan HMO 7350 Elite Catastrophic Deductible $7,350 Coinsurance Not applicable Out of Pocket $7,350
Plan HMO 4000b Elite Silver Deductible $4,000 Coinsurance Not applicable Out of Pocket $7,350
Plan HMO 3800 Elite Bronze Deductible $3,800 Coinsurance Not applicable Out of Pocket $7,150
Plan HMO 6650a Methodist Bronze Deductible $6,650 Coinsurance Not applicable Out of Pocket $7,350
Plan HMO 2000 Methodist Gold Deductible $2,000 Coinsurance Not applicable Out of Pocket $6,000
Plan POS 7350 Elite Silver Deductible $7,350 Coinsurance Not applicable Out of Pocket $7,350
Plan HMO 5000c Methodist Silver Deductible $5,000 Coinsurance Not applicable Out of Pocket $6,500
Plan POS 5000a Methodist Bronze Deductible $5,000 Coinsurance Not applicable Out of Pocket $7,150
Plan POS 6650a Methodist Bronze Deductible $6,650 Coinsurance Not applicable Out of Pocket $7,350
Plan HMO 3500a Methodist Silver Deductible $3,500 Coinsurance Not applicable Out of Pocket $7,350
Plan HMO 3700 Methodist Bronze Deductible $3,700 Coinsurance Not applicable Out of Pocket $7,150
Plan POS HSA 6550 OSF Bronze Deductible $6,550 Coinsurance Not applicable Out of Pocket $6,550
Plan HMO 4000b OSF Silver Deductible $4,000 Coinsurance Not applicable Out of Pocket $7,350
Plan POS HSA 6000 OSF Bronze Deductible $6,000 Coinsurance Not applicable Out of Pocket $6,000
Plan HMO 4000d Methodist Bronze Deductible $4,000 Coinsurance Not applicable Out of Pocket $6,850
Plan POS HSA 6000 Methodist Bronze Deductible $6,000 Coinsurance Not applicable Out of Pocket $6,000
Plan POS 6300 Elite Silver Deductible $6,300 Coinsurance Not applicable Out of Pocket $7,350
Plan HMO 3700 OSF Bronze Deductible $3,700 Coinsurance Not applicable Out of Pocket $7,150
Plan POS 7350 Riverside Silver Deductible $7,350 Coinsurance Not applicable Out of Pocket $7,350
Plan HMO 3100 OSF Silver Deductible $3,100 Coinsurance Not applicable Out of Pocket $7,350
Plan HMO HSA 6000 Methodist Bronze Deductible $6,000 Coinsurance Not applicable Out of Pocket $6,000
Plan HMO 5000c OSF Silver Deductible $5,000 Coinsurance Not applicable Out of Pocket $6,500
Plan HMO 3500a OSF Silver Deductible $3,500 Coinsurance Not applicable Out of Pocket $7,350
Plan HMO 3500a Elite Silver Deductible $3,500 Coinsurance Not applicable Out of Pocket $7,350
Plan POS 5000a Elite Bronze Deductible $5,000 Coinsurance Not applicable Out of Pocket $7,150
Plan POS 6300 Riverside Silver Deductible $6,300 Coinsurance Not applicable Out of Pocket $7,350
Plan POS 3500a Methodist Silver Deductible $3,500 Coinsurance Not applicable Out of Pocket $7,350
Plan HMO 4000d Elite Bronze Deductible $4,000 Coinsurance Not applicable Out of Pocket $6,850
Plan HMO 5000c Elite Silver Deductible $5,000 Coinsurance Not applicable Out of Pocket $6,500
Plan POS 5000a OSF Bronze Deductible $5,000 Coinsurance Not applicable Out of Pocket $7,150