Health - POS 6000a Methodist Bronze

Illinois, 2019

  • Plan Type

    POS

  • Metal Tier

    Expanded Bronze

  • Out of Pocket Maximum

    $7,900

  • Deductible

    $6,000

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) $6,000
Deductible (Family) $12,000
Coinsurance Not applicable
Out of Pocket Maximum (Individual) $7,900
Out of Pocket Maximum (Family) $15,800

Doctor Visits

Primary Care Visit Data Not Available
Specialist Visit Data Not Available
Inpatient Facility 20% Coinsurance after deductible
Inpatient Physician 20% Coinsurance after deductible
Emergency Room Services 20% Coinsurance after deductible

Tests and Imaging

Imaging (CT/PET Scans, MRIs) 20% Coinsurance after deductible
Laboratory Outpatient and Professional Services 20% Coinsurance after deductible
X-Ray and Diagnostic Imaging 20% Coinsurance 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 20% Coinsurance after deductible
Mental / Behavioral Health Outpatient Data Not Available
Rehabilitative Speech Therapy 20% Coinsurance after deductible
Rehabilitative Occupational & Physical Therapy 20% Coinsurance after deductible
Outpatient Facility 20% Coinsurance after deductible
Outpatient Surgery 20% Coinsurance after deductible

Prescription Drugs

Generic Rx 20% Coinsurance after deductible
Preferred Brand Rx 20% Coinsurance after deductible
Non Preferred Brand Rx 20% Coinsurance after deductible
Specialty Drugs 50% Coinsurance 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 7900 Elite Catastrophic Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
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 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) $6,000
Deductible (Family) $12,000
Coinsurance Not applicable
Out of Pocket Maximum (Individual) $7,900
Out of Pocket Maximum (Family) $15,800

Doctor Visits

Primary Care Visit Data Not Available
Specialist Visit Data Not Available
Inpatient Facility 20% Coinsurance after deductible
Inpatient Physician 20% Coinsurance after deductible
Emergency Room Services 20% Coinsurance after deductible

Tests and Imaging

Imaging (CT/PET Scans, MRIs) 20% Coinsurance after deductible
Laboratory Outpatient and Professional Services 20% Coinsurance after deductible
X-Ray and Diagnostic Imaging 20% Coinsurance 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 20% Coinsurance after deductible
Mental / Behavioral Health Outpatient Data Not Available
Rehabilitative Speech Therapy 20% Coinsurance after deductible
Rehabilitative Occupational & Physical Therapy 20% Coinsurance after deductible
Outpatient Facility 20% Coinsurance after deductible
Outpatient Surgery 20% Coinsurance after deductible

Prescription Drugs

Generic Rx 20% Coinsurance after deductible
Preferred Brand Rx 20% Coinsurance after deductible
Non Preferred Brand Rx 20% Coinsurance after deductible
Specialty Drugs 50% Coinsurance 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 7900 Elite Catastrophic Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
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 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