Health - POS 5000a OSF Bronze

Illinois, 2018

  • Plan Type

    POS

  • Metal Tier

    Bronze

  • Out of Pocket Maximum

    $7,150

  • Deductible

    $5,000

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) $5,000
Deductible (Family) $12,700
Coinsurance Not applicable
Out of Pocket Maximum (Individual) $7,150
Out of Pocket Maximum (Family) $14,300

Doctor Visits

Primary Care Visit 20% Coinsurance after deductible
Specialist Visit 20% Coinsurance after deductible
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 20% Coinsurance after deductible
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 20% Coinsurance after deductible
Preferred Brand Rx 20% Coinsurance after deductible
Non Preferred Brand Rx 20% Coinsurance after deductible
Specialty Drugs 20% 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 POS 3500a Elite Silver Deductible $3,500 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
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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) $5,000
Deductible (Family) $12,700
Coinsurance Not applicable
Out of Pocket Maximum (Individual) $7,150
Out of Pocket Maximum (Family) $14,300

Doctor Visits

Primary Care Visit 20% Coinsurance after deductible
Specialist Visit 20% Coinsurance after deductible
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 20% Coinsurance after deductible
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 20% Coinsurance after deductible
Preferred Brand Rx 20% Coinsurance after deductible
Non Preferred Brand Rx 20% Coinsurance after deductible
Specialty Drugs 20% 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 POS 3500a Elite Silver Deductible $3,500 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