Health - HMO 7900 Elite Catastrophic

Illinois, 2019

  • Plan Type

    HMO

  • 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 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 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 Illinois

Plan POS HSA 6650 Elite Bronze Deductible $6,650 Coinsurance Not applicable Out of Pocket $6,650
Plan POS 7250 Riverside Silver Deductible $7,250 Coinsurance Not applicable Out of Pocket $7,900
Plan HMO 3150 OSF Silver Deductible $3,150 Coinsurance Not applicable Out of Pocket $7,900
Plan HMO 5000c OSF Silver Deductible $5,000 Coinsurance Not applicable Out of Pocket $7,300
Plan HMO 3500a Elite Silver Deductible $3,500 Coinsurance Not applicable Out of Pocket $7,900
Plan HMO 3500a OSF Silver Deductible $3,500 Coinsurance Not applicable Out of Pocket $7,900
Plan POS 5000a Elite Bronze Deductible $5,000 Coinsurance Not applicable Out of Pocket $7,900
Plan HMO 5000c Elite Silver Deductible $5,000 Coinsurance Not applicable Out of Pocket $7,300
Plan POS 5000a OSF Bronze Deductible $5,000 Coinsurance Not applicable Out of Pocket $7,900
Plan HMO 4000b Elite Silver Deductible $4,000 Coinsurance Not applicable Out of Pocket $7,500
Plan HMO 3800 Elite Bronze Deductible $3,800 Coinsurance Not applicable Out of Pocket $7,900
Plan HMO 2000 Methodist Gold Deductible $2,000 Coinsurance Not applicable Out of Pocket $6,000
Plan POS 7250 Elite Silver Deductible $7,250 Coinsurance Not applicable Out of Pocket $7,900
Plan HMO 5000c Methodist Silver Deductible $5,000 Coinsurance Not applicable Out of Pocket $7,300
Plan POS 6000a Methodist Bronze Deductible $6,000 Coinsurance Not applicable Out of Pocket $7,900
Plan POS 5000a Methodist Bronze Deductible $5,000 Coinsurance Not applicable Out of Pocket $7,900
Plan HMO 3500a Methodist Silver Deductible $3,500 Coinsurance Not applicable Out of Pocket $7,900
Plan HMO 4000b OSF Silver Deductible $4,000 Coinsurance Not applicable Out of Pocket $7,500
Plan HMO 4000b Methodist Silver Deductible $4,000 Coinsurance Not applicable Out of Pocket $7,500
Plan POS HSA 6650 Methodist Bronze Deductible $6,650 Coinsurance Not applicable Out of Pocket $6,650
Plan POS 6000a OSF Bronze Deductible $6,000 Coinsurance Not applicable Out of Pocket $7,900
Plan HMO 3150 Methodist Silver Deductible $3,150 Coinsurance Not applicable Out of Pocket $7,900
Plan POS 7250 OSF Silver Deductible $7,250 Coinsurance Not applicable Out of Pocket $7,900
Plan HMO 3800 OSF Bronze Deductible $3,800 Coinsurance Not applicable Out of Pocket $7,900
Plan HMO 2000 Elite Gold Deductible $2,000 Coinsurance Not applicable Out of Pocket $6,000
Plan HMO 3150 Elite Silver Deductible $3,150 Coinsurance Not applicable Out of Pocket $7,900
Plan HMO 3800 Methodist Bronze Deductible $3,800 Coinsurance Not applicable Out of Pocket $7,900
Plan HMO 2000 OSF Gold Deductible $2,000 Coinsurance Not applicable Out of Pocket $6,000
Plan POS 7250 Methodist Silver Deductible $7,250 Coinsurance Not applicable Out of Pocket $7,900
Plan POS 6000a Elite Bronze Deductible $6,000 Coinsurance Not applicable Out of Pocket $7,900
Plan POS HSA 6650 OSF Bronze Deductible $6,650 Coinsurance Not applicable Out of Pocket $6,650
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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 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 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 Illinois

Plan POS HSA 6650 Elite Bronze Deductible $6,650 Coinsurance Not applicable Out of Pocket $6,650
Plan POS 7250 Riverside Silver Deductible $7,250 Coinsurance Not applicable Out of Pocket $7,900
Plan HMO 3150 OSF Silver Deductible $3,150 Coinsurance Not applicable Out of Pocket $7,900
Plan HMO 5000c OSF Silver Deductible $5,000 Coinsurance Not applicable Out of Pocket $7,300
Plan HMO 3500a Elite Silver Deductible $3,500 Coinsurance Not applicable Out of Pocket $7,900
Plan HMO 3500a OSF Silver Deductible $3,500 Coinsurance Not applicable Out of Pocket $7,900
Plan POS 5000a Elite Bronze Deductible $5,000 Coinsurance Not applicable Out of Pocket $7,900
Plan HMO 5000c Elite Silver Deductible $5,000 Coinsurance Not applicable Out of Pocket $7,300
Plan POS 5000a OSF Bronze Deductible $5,000 Coinsurance Not applicable Out of Pocket $7,900
Plan HMO 4000b Elite Silver Deductible $4,000 Coinsurance Not applicable Out of Pocket $7,500
Plan HMO 3800 Elite Bronze Deductible $3,800 Coinsurance Not applicable Out of Pocket $7,900
Plan HMO 2000 Methodist Gold Deductible $2,000 Coinsurance Not applicable Out of Pocket $6,000
Plan POS 7250 Elite Silver Deductible $7,250 Coinsurance Not applicable Out of Pocket $7,900
Plan HMO 5000c Methodist Silver Deductible $5,000 Coinsurance Not applicable Out of Pocket $7,300
Plan POS 6000a Methodist Bronze Deductible $6,000 Coinsurance Not applicable Out of Pocket $7,900
Plan POS 5000a Methodist Bronze Deductible $5,000 Coinsurance Not applicable Out of Pocket $7,900
Plan HMO 3500a Methodist Silver Deductible $3,500 Coinsurance Not applicable Out of Pocket $7,900
Plan HMO 4000b OSF Silver Deductible $4,000 Coinsurance Not applicable Out of Pocket $7,500
Plan HMO 4000b Methodist Silver Deductible $4,000 Coinsurance Not applicable Out of Pocket $7,500
Plan POS HSA 6650 Methodist Bronze Deductible $6,650 Coinsurance Not applicable Out of Pocket $6,650
Plan POS 6000a OSF Bronze Deductible $6,000 Coinsurance Not applicable Out of Pocket $7,900
Plan HMO 3150 Methodist Silver Deductible $3,150 Coinsurance Not applicable Out of Pocket $7,900
Plan POS 7250 OSF Silver Deductible $7,250 Coinsurance Not applicable Out of Pocket $7,900
Plan HMO 3800 OSF Bronze Deductible $3,800 Coinsurance Not applicable Out of Pocket $7,900
Plan HMO 2000 Elite Gold Deductible $2,000 Coinsurance Not applicable Out of Pocket $6,000
Plan HMO 3150 Elite Silver Deductible $3,150 Coinsurance Not applicable Out of Pocket $7,900
Plan HMO 3800 Methodist Bronze Deductible $3,800 Coinsurance Not applicable Out of Pocket $7,900
Plan HMO 2000 OSF Gold Deductible $2,000 Coinsurance Not applicable Out of Pocket $6,000
Plan POS 7250 Methodist Silver Deductible $7,250 Coinsurance Not applicable Out of Pocket $7,900
Plan POS 6000a Elite Bronze Deductible $6,000 Coinsurance Not applicable Out of Pocket $7,900
Plan POS HSA 6650 OSF Bronze Deductible $6,650 Coinsurance Not applicable Out of Pocket $6,650