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Molina - Molina Marketplace Gold Plan
Texas, 2018
Plan Type
HMO
Metal Tier
Gold
Out of Pocket Maximum
$7,350
Deductible
$0
Emergency Room Care: Data Not Available
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) | $0 |
|---|---|
| Deductible (Family) | $0 |
| 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 | Data Not Available |
| Inpatient Physician | Data Not Available |
| Emergency Room Services | Data Not Available |
Tests and Imaging
| Imaging (CT/PET Scans, MRIs) | Data Not Available |
|---|---|
| Laboratory Outpatient and Professional Services | Data Not Available |
| X-Ray and Diagnostic Imaging | Data Not Available |
Health Management Programs
| Asthma | Available |
|---|---|
| Depression | Not available |
| Diabetes | Available |
| Heart Disease | Available |
| High Blood Pressure / High Cholesterol | Available |
| Lower Back Pain | Not available |
| Pain Management | Not available |
| Pregnancy | Available |
| Weight Loss | Available |
Other
| Mental / Behavioral Health Inpatient | Data Not Available |
|---|---|
| Mental / Behavioral Health Outpatient | Data Not Available |
| Rehabilitative Speech Therapy | Data Not Available |
| Rehabilitative Occupational & Physical Therapy | Data Not Available |
| Outpatient Facility | Data Not Available |
| Outpatient Surgery | Data Not Available |
Prescription Drugs
| Generic Rx | Data Not Available |
|---|---|
| Preferred Brand Rx | Data Not Available |
| Non Preferred Brand Rx | Data Not Available |
| Specialty Drugs |
Other Plans in Texas
| Plan | Deductible | Coinsurance | Out of Pocket |
|---|---|---|---|
| Plan Molina Marketplace Choice Silver Plan | Deductible $4,950 | Coinsurance Not applicable | Out of Pocket $7,350 |
| Plan Molina Marketplace Choice Bronze Plan | Deductible $6,400 | Coinsurance Not applicable | Out of Pocket $7,350 |
| Plan Molina Marketplace Options Silver Plan | Deductible $3,500 | Coinsurance Not applicable | Out of Pocket $7,350 |
| Plan Molina Marketplace Silver Plan | Deductible $0 | Coinsurance Not applicable | Out of Pocket $7,350 |
| Plan Molina Marketplace Choice Gold Plan | Deductible $3,800 | Coinsurance Not applicable | Out of Pocket $7,350 |