CareSource - CareSource HSA Bronze

Kentucky, 2018

  • Plan Type

    HMO

  • Metal Tier

    Bronze

  • Out of Pocket Maximum

    $6,550

  • Deductible

    $4,000

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) $4,000
Deductible (Family) $8,000
Coinsurance Not applicable
Out of Pocket Maximum (Individual) $6,550
Out of Pocket Maximum (Family) $13,100

Doctor Visits

Primary Care Visit 50% Coinsurance after deductible
Specialist Visit 50% Coinsurance after deductible
Inpatient Facility 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 50% Coinsurance after deductible
Mental / Behavioral Health Outpatient 50% Coinsurance after deductible
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 50% Coinsurance after deductible
Preferred Brand Rx 50% Coinsurance after deductible
Non Preferred Brand Rx 50% Coinsurance after deductible
Specialty Drugs 50% Coinsurance after deductible

Other Plans in Kentucky

Plan CareSource Gold Deductible $1,500 Coinsurance Not applicable Out of Pocket $5,000
Plan CareSource Federal Simple Choice Silver Deductible $3,500 Coinsurance Not applicable Out of Pocket $7,350
Plan CareSource Bronze Deductible $7,250 Coinsurance Not applicable Out of Pocket $7,350
Plan CareSource Federal Simple Choice Silver Dental and Vision Deductible $3,500 Coinsurance Not applicable Out of Pocket $7,350
Plan CareSource Low Premium Silver Dental and Vision Deductible $6,150 Coinsurance Not applicable Out of Pocket $7,300
Plan CareSource Federal Simple Choice Bronze Dental and Vision Deductible $6,650 Coinsurance Not applicable Out of Pocket $7,350
Plan CareSource Gold Dental and Vision Deductible $1,500 Coinsurance Not applicable Out of Pocket $5,000
Plan CareSource Catastrophic Deductible $7,350 Coinsurance Not applicable Out of Pocket $7,350
Plan CareSource Federal Simple Choice Bronze Deductible $6,650 Coinsurance Not applicable Out of Pocket $7,350
Plan CareSource Low Premium Silver Deductible $6,150 Coinsurance Not applicable Out of Pocket $7,300
Plan CareSource Bronze Dental and Vision Deductible $7,250 Coinsurance Not applicable Out of Pocket $7,350
Plan CareSource Silver Dental and Vision Deductible $3,900 Coinsurance Not applicable Out of Pocket $7,300
Plan CareSource Silver Deductible $3,900 Coinsurance Not applicable Out of Pocket $7,300
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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) $4,000
Deductible (Family) $8,000
Coinsurance Not applicable
Out of Pocket Maximum (Individual) $6,550
Out of Pocket Maximum (Family) $13,100

Doctor Visits

Primary Care Visit 50% Coinsurance after deductible
Specialist Visit 50% Coinsurance after deductible
Inpatient Facility 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 50% Coinsurance after deductible
Mental / Behavioral Health Outpatient 50% Coinsurance after deductible
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 50% Coinsurance after deductible
Preferred Brand Rx 50% Coinsurance after deductible
Non Preferred Brand Rx 50% Coinsurance after deductible
Specialty Drugs 50% Coinsurance after deductible

Other Plans in Kentucky

Plan CareSource Gold Deductible $1,500 Coinsurance Not applicable Out of Pocket $5,000
Plan CareSource Federal Simple Choice Silver Deductible $3,500 Coinsurance Not applicable Out of Pocket $7,350
Plan CareSource Bronze Deductible $7,250 Coinsurance Not applicable Out of Pocket $7,350
Plan CareSource Federal Simple Choice Silver Dental and Vision Deductible $3,500 Coinsurance Not applicable Out of Pocket $7,350
Plan CareSource Low Premium Silver Dental and Vision Deductible $6,150 Coinsurance Not applicable Out of Pocket $7,300
Plan CareSource Federal Simple Choice Bronze Dental and Vision Deductible $6,650 Coinsurance Not applicable Out of Pocket $7,350
Plan CareSource Gold Dental and Vision Deductible $1,500 Coinsurance Not applicable Out of Pocket $5,000
Plan CareSource Catastrophic Deductible $7,350 Coinsurance Not applicable Out of Pocket $7,350
Plan CareSource Federal Simple Choice Bronze Deductible $6,650 Coinsurance Not applicable Out of Pocket $7,350
Plan CareSource Low Premium Silver Deductible $6,150 Coinsurance Not applicable Out of Pocket $7,300
Plan CareSource Bronze Dental and Vision Deductible $7,250 Coinsurance Not applicable Out of Pocket $7,350
Plan CareSource Silver Dental and Vision Deductible $3,900 Coinsurance Not applicable Out of Pocket $7,300
Plan CareSource Silver Deductible $3,900 Coinsurance Not applicable Out of Pocket $7,300