Medica - Medica Insure Catastrophic

Iowa, 2019

  • Plan Type

    EPO

  • Metal Tier

    Catastrophic

  • Out of Pocket Maximum

    $7,900

  • Deductible

    $7,900

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) $7,900
Deductible (Family) $15,800
Coinsurance Not applicable
Out of Pocket Maximum (Individual) $7,900
Out of Pocket Maximum (Family) $15,800

Doctor Visits

Primary Care Visit No charge after deductible
Specialist Visit No charge after deductible
Inpatient Facility No charge after deductible
Inpatient Physician No charge after deductible
Emergency Room Services No charge after deductible

Tests and Imaging

Imaging (CT/PET Scans, MRIs) No charge after deductible
Laboratory Outpatient and Professional Services No charge after deductible
X-Ray and Diagnostic Imaging No charge 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 No charge after deductible
Mental / Behavioral Health Outpatient No charge after deductible
Rehabilitative Speech Therapy No charge after deductible
Rehabilitative Occupational & Physical Therapy No charge after deductible
Outpatient Facility No charge after deductible
Outpatient Surgery No charge after deductible

Prescription Drugs

Generic Rx No charge after deductible
Preferred Brand Rx No charge after deductible
Non Preferred Brand Rx No charge after deductible
Specialty Drugs No charge 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 Elevate by Medica Bronze HSA Plus Deductible $3,100 Coinsurance Not applicable Out of Pocket $6,750
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) $7,900
Deductible (Family) $15,800
Coinsurance Not applicable
Out of Pocket Maximum (Individual) $7,900
Out of Pocket Maximum (Family) $15,800

Doctor Visits

Primary Care Visit No charge after deductible
Specialist Visit No charge after deductible
Inpatient Facility No charge after deductible
Inpatient Physician No charge after deductible
Emergency Room Services No charge after deductible

Tests and Imaging

Imaging (CT/PET Scans, MRIs) No charge after deductible
Laboratory Outpatient and Professional Services No charge after deductible
X-Ray and Diagnostic Imaging No charge 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 No charge after deductible
Mental / Behavioral Health Outpatient No charge after deductible
Rehabilitative Speech Therapy No charge after deductible
Rehabilitative Occupational & Physical Therapy No charge after deductible
Outpatient Facility No charge after deductible
Outpatient Surgery No charge after deductible

Prescription Drugs

Generic Rx No charge after deductible
Preferred Brand Rx No charge after deductible
Non Preferred Brand Rx No charge after deductible
Specialty Drugs No charge 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 Elevate by Medica Bronze HSA Plus Deductible $3,100 Coinsurance Not applicable Out of Pocket $6,750
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