Meridian - Meridian HSA Savings Silver

Michigan, 2019

  • Plan Type

    HMO

  • Metal Tier

    Silver

  • Out of Pocket Maximum

    $5,500

  • Deductible

    $4,000

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) $4,000
Deductible (Family) $8,000
Coinsurance Not applicable
Out of Pocket Maximum (Individual) $5,500
Out of Pocket Maximum (Family) $11,000

Doctor Visits

Primary Care Visit $35 Copay after deductible
Specialist Visit $55 Copay 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 Not available
Pain Management Not available
Pregnancy Available
Weight Loss 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 $14 Copay after deductible
Preferred Brand Rx 40% Coinsurance after deductible
Non Preferred Brand Rx 40% Coinsurance after deductible
Specialty Drugs 40% Coinsurance after deductible

73% Cost Sharing Benefits

Households with incomes between 200% to 250% of FPL qualify for the following cost sharing benefits for this silver plan. To understand how cost sharing reductions work and how they work for you see our article about Obamacare Cost Sharing Reduction Discounts

Deductibles and Cost Sharing

Deductible (Individual) $2,000
Deductible (Family) $4,000
Out of Pocket Maximum (Individual) $5,000
Out of Pocket Maximum (Family) $10,000

Doctor Visits

Primary Care Physician $30 Copay after deductible
Specialists $50 Copay after deductible
Emergency Room 35% Coinsurance after deductible
Inpatient Facility 35% Coinsurance after deductible
Inpatient Physician 35% Coinsurance after deductible

Prescription Drugs

Generic Rx $10 Copay after deductible
Preferred Brand Rx 35% Coinsurance after deductible
Non Preferred Brand Rx 35% Coinsurance after deductible
Specialty Drugs 35% Coinsurance after deductible

87% Cost Sharing Benefits

Households with incomes between 150% to 200% of FPL qualify for the following cost sharing benefits for this silver plan.

Deductibles and Cost Sharing

Deductible (Individual) $1,000
Deductible (Family) $2,000
Out of Pocket Maximum (Individual) $1,500
Out of Pocket Maximum (Family) $3,000

Doctor Visits

Primary Care Physician $10 Copay after deductible
Specialists $30 Copay after deductible
Emergency Room 15% Coinsurance after deductible
Inpatient Facility 15% Coinsurance after deductible
Inpatient Physician 15% Coinsurance after deductible

Prescription Drugs

Generic Rx $10 Copay after deductible
Preferred Brand Rx 15% Coinsurance after deductible
Non Preferred Brand Rx 15% Coinsurance after deductible
Specialty Drugs 15% Coinsurance after deductible

94% Cost Sharing Benefits

Households with incomes between 138% to 150% of FPL qualify for the following cost sharing benefits for this silver plan.

Deductibles and Cost Sharing

Deductible (Individual) $175
Deductible (Family) $350
Out of Pocket Maximum (Individual) $1,200
Out of Pocket Maximum (Family) $2,400

Doctor Visits

Primary Care Physician $10 Copay after deductible
Specialists $25 Copay after deductible
Emergency Room 10% Coinsurance after deductible
Inpatient Facility 10% Coinsurance after deductible
Inpatient Physician 10% Coinsurance after deductible

Prescription Drugs

Generic Rx $10 Copay after deductible
Preferred Brand Rx 10% Coinsurance after deductible
Non Preferred Brand Rx 10% Coinsurance after deductible
Specialty Drugs 10% Coinsurance after deductible

Other Plans in Michigan

Plan Meridian Healthy Essentials Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
Plan Meridian Healthy Bronze Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
Plan Meridian Base Gold Deductible $3,500 Coinsurance Not applicable Out of Pocket $6,000
Plan Meridian Smart Silver Deductible $0 Coinsurance Not applicable Out of Pocket $7,900
Plan Meridian HSA Savings Bronze Deductible $5,500 Coinsurance Not applicable Out of Pocket $6,650
Plan Meridian Healthy Silver Deductible $6,100 Coinsurance Not applicable Out of Pocket $7,900
Plan Meridian Base Silver Deductible $3,000 Coinsurance Not applicable Out of Pocket $6,000
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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) $4,000
Deductible (Family) $8,000
Coinsurance Not applicable
Out of Pocket Maximum (Individual) $5,500
Out of Pocket Maximum (Family) $11,000

Doctor Visits

Primary Care Visit $35 Copay after deductible
Specialist Visit $55 Copay 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 Not available
Pain Management Not available
Pregnancy Available
Weight Loss 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 $14 Copay after deductible
Preferred Brand Rx 40% Coinsurance after deductible
Non Preferred Brand Rx 40% Coinsurance after deductible
Specialty Drugs 40% Coinsurance after deductible

73% Cost Sharing Benefits

Households with incomes between 200% to 250% of FPL qualify for the following cost sharing benefits for this silver plan. To understand how cost sharing reductions work and how they work for you see our article about Obamacare Cost Sharing Reduction Discounts

Deductibles and Cost Sharing

Deductible (Individual) $2,000
Deductible (Family) $4,000
Out of Pocket Maximum (Individual) $5,000
Out of Pocket Maximum (Family) $10,000

Doctor Visits

Primary Care Physician $30 Copay after deductible
Specialists $50 Copay after deductible
Emergency Room 35% Coinsurance after deductible
Inpatient Facility 35% Coinsurance after deductible
Inpatient Physician 35% Coinsurance after deductible

Prescription Drugs

Generic Rx $10 Copay after deductible
Preferred Brand Rx 35% Coinsurance after deductible
Non Preferred Brand Rx 35% Coinsurance after deductible
Specialty Drugs 35% Coinsurance after deductible

87% Cost Sharing Benefits

Households with incomes between 150% to 200% of FPL qualify for the following cost sharing benefits for this silver plan.

Deductibles and Cost Sharing

Deductible (Individual) $1,000
Deductible (Family) $2,000
Out of Pocket Maximum (Individual) $1,500
Out of Pocket Maximum (Family) $3,000

Doctor Visits

Primary Care Physician $10 Copay after deductible
Specialists $30 Copay after deductible
Emergency Room 15% Coinsurance after deductible
Inpatient Facility 15% Coinsurance after deductible
Inpatient Physician 15% Coinsurance after deductible

Prescription Drugs

Generic Rx $10 Copay after deductible
Preferred Brand Rx 15% Coinsurance after deductible
Non Preferred Brand Rx 15% Coinsurance after deductible
Specialty Drugs 15% Coinsurance after deductible

94% Cost Sharing Benefits

Households with incomes between 138% to 150% of FPL qualify for the following cost sharing benefits for this silver plan.

Deductibles and Cost Sharing

Deductible (Individual) $175
Deductible (Family) $350
Out of Pocket Maximum (Individual) $1,200
Out of Pocket Maximum (Family) $2,400

Doctor Visits

Primary Care Physician $10 Copay after deductible
Specialists $25 Copay after deductible
Emergency Room 10% Coinsurance after deductible
Inpatient Facility 10% Coinsurance after deductible
Inpatient Physician 10% Coinsurance after deductible

Prescription Drugs

Generic Rx $10 Copay after deductible
Preferred Brand Rx 10% Coinsurance after deductible
Non Preferred Brand Rx 10% Coinsurance after deductible
Specialty Drugs 10% Coinsurance after deductible

Other Plans in Michigan

Plan Meridian Healthy Essentials Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
Plan Meridian Healthy Bronze Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
Plan Meridian Base Gold Deductible $3,500 Coinsurance Not applicable Out of Pocket $6,000
Plan Meridian Smart Silver Deductible $0 Coinsurance Not applicable Out of Pocket $7,900
Plan Meridian HSA Savings Bronze Deductible $5,500 Coinsurance Not applicable Out of Pocket $6,650
Plan Meridian Healthy Silver Deductible $6,100 Coinsurance Not applicable Out of Pocket $7,900
Plan Meridian Base Silver Deductible $3,000 Coinsurance Not applicable Out of Pocket $6,000