Medica - Elevate by Medica Bronze HSA Plus

Iowa, 2019

  • Plan Type

    EPO

  • Metal Tier

    Expanded Bronze

  • Out of Pocket Maximum

    $6,750

  • Deductible

    $3,100

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) $3,100
Deductible (Family) $6,200
Coinsurance Not applicable
Out of Pocket Maximum (Individual) $6,750
Out of Pocket Maximum (Family) $13,500

Doctor Visits

Primary Care Visit 40% Coinsurance after deductible
Specialist Visit 40% Coinsurance after deductible
Inpatient Facility 40% Coinsurance after deductible
Inpatient Physician 40% Coinsurance after deductible
Emergency Room Services 40% Coinsurance after deductible

Tests and Imaging

Imaging (CT/PET Scans, MRIs) 40% Coinsurance after deductible
Laboratory Outpatient and Professional Services 40% Coinsurance after deductible
X-Ray and Diagnostic Imaging 40% 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 40% Coinsurance after deductible
Mental / Behavioral Health Outpatient 40% Coinsurance after deductible
Rehabilitative Speech Therapy 40% Coinsurance after deductible
Rehabilitative Occupational & Physical Therapy 40% Coinsurance after deductible
Outpatient Facility 40% Coinsurance after deductible
Outpatient Surgery 40% Coinsurance after deductible

Prescription Drugs

Generic Rx 40% Coinsurance after deductible
Preferred Brand Rx 40% Coinsurance after deductible
Non Preferred Brand Rx 40% Coinsurance after deductible
Specialty Drugs 30% Coinsurance after deductible

Other Plans in Iowa

Plan Medica with CHI Health Catastrophic Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
Plan Medica Insure Gold Copay Deductible $750 Coinsurance Not applicable Out of Pocket $6,500
Plan Inspire by Medica Bronze HSA Plus Deductible $3,100 Coinsurance Not applicable Out of Pocket $6,750
Plan Elevate by Medica Catastrophic Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
Plan Inspire by Medica Bronze HSA Deductible $6,200 Coinsurance Not applicable Out of Pocket $6,750
Plan Medica with CHI Health Bronze Copay Deductible $6,850 Coinsurance Not applicable Out of Pocket $7,900
Plan Medica Insure Bronze HSA Deductible $6,200 Coinsurance Not applicable Out of Pocket $6,750
Plan Medica Insure Bronze HSA Plus Deductible $3,100 Coinsurance Not applicable Out of Pocket $6,750
Plan Medica with CHI Health Silver Copay Deductible $3,700 Coinsurance Not applicable Out of Pocket $7,600
Plan Inspire by Medica Gold Copay Deductible $750 Coinsurance Not applicable Out of Pocket $6,500
Plan Elevate by Medica Bronze Copay Deductible $6,850 Coinsurance Not applicable Out of Pocket $7,900
Plan Inspire by Medica Bronze Copay Deductible $6,850 Coinsurance Not applicable Out of Pocket $7,900
Plan Inspire by Medica Silver Copay Deductible $3,700 Coinsurance Not applicable Out of Pocket $7,600
Plan Medica with CHI Health Gold Copay Deductible $750 Coinsurance Not applicable Out of Pocket $6,500
Plan Medica Insure Catastrophic Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
Plan Inspire by Medica Catastrophic Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
Plan Elevate by Medica Bronze HSA Deductible $6,200 Coinsurance Not applicable Out of Pocket $6,750
Plan Elevate by Medica Gold Share Deductible $500 Coinsurance Not applicable Out of Pocket $6,500
Plan Medica Insure Silver Copay Deductible $3,700 Coinsurance Not applicable Out of Pocket $7,600
Plan Medica with CHI Health Bronze HSA Plus Deductible $3,100 Coinsurance Not applicable Out of Pocket $6,750
Plan Medica with CHI Health Bronze HSA Deductible $6,200 Coinsurance Not applicable Out of Pocket $6,750
Plan Medica Insure Bronze Copay Deductible $6,850 Coinsurance Not applicable Out of Pocket $7,900
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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) $3,100
Deductible (Family) $6,200
Coinsurance Not applicable
Out of Pocket Maximum (Individual) $6,750
Out of Pocket Maximum (Family) $13,500

Doctor Visits

Primary Care Visit 40% Coinsurance after deductible
Specialist Visit 40% Coinsurance after deductible
Inpatient Facility 40% Coinsurance after deductible
Inpatient Physician 40% Coinsurance after deductible
Emergency Room Services 40% Coinsurance after deductible

Tests and Imaging

Imaging (CT/PET Scans, MRIs) 40% Coinsurance after deductible
Laboratory Outpatient and Professional Services 40% Coinsurance after deductible
X-Ray and Diagnostic Imaging 40% 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 40% Coinsurance after deductible
Mental / Behavioral Health Outpatient 40% Coinsurance after deductible
Rehabilitative Speech Therapy 40% Coinsurance after deductible
Rehabilitative Occupational & Physical Therapy 40% Coinsurance after deductible
Outpatient Facility 40% Coinsurance after deductible
Outpatient Surgery 40% Coinsurance after deductible

Prescription Drugs

Generic Rx 40% Coinsurance after deductible
Preferred Brand Rx 40% Coinsurance after deductible
Non Preferred Brand Rx 40% Coinsurance after deductible
Specialty Drugs 30% Coinsurance after deductible

Other Plans in Iowa

Plan Medica with CHI Health Catastrophic Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
Plan Medica Insure Gold Copay Deductible $750 Coinsurance Not applicable Out of Pocket $6,500
Plan Inspire by Medica Bronze HSA Plus Deductible $3,100 Coinsurance Not applicable Out of Pocket $6,750
Plan Elevate by Medica Catastrophic Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
Plan Inspire by Medica Bronze HSA Deductible $6,200 Coinsurance Not applicable Out of Pocket $6,750
Plan Medica with CHI Health Bronze Copay Deductible $6,850 Coinsurance Not applicable Out of Pocket $7,900
Plan Medica Insure Bronze HSA Deductible $6,200 Coinsurance Not applicable Out of Pocket $6,750
Plan Medica Insure Bronze HSA Plus Deductible $3,100 Coinsurance Not applicable Out of Pocket $6,750
Plan Medica with CHI Health Silver Copay Deductible $3,700 Coinsurance Not applicable Out of Pocket $7,600
Plan Inspire by Medica Gold Copay Deductible $750 Coinsurance Not applicable Out of Pocket $6,500
Plan Elevate by Medica Bronze Copay Deductible $6,850 Coinsurance Not applicable Out of Pocket $7,900
Plan Inspire by Medica Bronze Copay Deductible $6,850 Coinsurance Not applicable Out of Pocket $7,900
Plan Inspire by Medica Silver Copay Deductible $3,700 Coinsurance Not applicable Out of Pocket $7,600
Plan Medica with CHI Health Gold Copay Deductible $750 Coinsurance Not applicable Out of Pocket $6,500
Plan Medica Insure Catastrophic Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
Plan Inspire by Medica Catastrophic Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
Plan Elevate by Medica Bronze HSA Deductible $6,200 Coinsurance Not applicable Out of Pocket $6,750
Plan Elevate by Medica Gold Share Deductible $500 Coinsurance Not applicable Out of Pocket $6,500
Plan Medica Insure Silver Copay Deductible $3,700 Coinsurance Not applicable Out of Pocket $7,600
Plan Medica with CHI Health Bronze HSA Plus Deductible $3,100 Coinsurance Not applicable Out of Pocket $6,750
Plan Medica with CHI Health Bronze HSA Deductible $6,200 Coinsurance Not applicable Out of Pocket $6,750
Plan Medica Insure Bronze Copay Deductible $6,850 Coinsurance Not applicable Out of Pocket $7,900