Moda - Moda Health Beacon Bronze 6500

Oregon, 2019

  • Plan Type

    EPO

  • Metal Tier

    Expanded Bronze

  • Out of Pocket Maximum

    $7,900

  • Deductible

    $6,500

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) $6,500
Deductible (Family) $13,000
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 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 Available

Other

Mental / Behavioral Health Inpatient 40% Coinsurance after deductible
Mental / Behavioral Health Outpatient Data Not Available
Rehabilitative Speech Therapy Data Not Available
Rehabilitative Occupational & Physical Therapy Data Not Available
Outpatient Facility 40% Coinsurance after deductible
Outpatient Surgery 40% Coinsurance after deductible

Prescription Drugs

Generic Rx Data Not Available
Preferred Brand Rx 40% Coinsurance after deductible
Non Preferred Brand Rx 50% Coinsurance after deductible
Specialty Drugs 40% Coinsurance after deductible

Other Plans in Oregon

Plan Moda Health Beacon Silver 3500 Deductible $3,500 Coinsurance Not applicable Out of Pocket $7,900
Plan Moda Health Oregon Standard Gold (Beacon) Deductible $1,000 Coinsurance Not applicable Out of Pocket $6,850
Plan Moda Health Beacon Gold 1000 Deductible $1,000 Coinsurance Not applicable Out of Pocket $6,500
Plan Moda Health Oregon Standard Bronze Plan (Affinity) Deductible $6,550 Coinsurance Not applicable Out of Pocket $6,550
Plan Moda Health Beacon Bronze HSA 6000 Deductible $6,000 Coinsurance Not applicable Out of Pocket $6,000
Plan Moda Health Beacon Gold 1500 Deductible $1,500 Coinsurance Not applicable Out of Pocket $6,500
Plan Moda Health Oregon Standard Gold (Affinity) Deductible $1,000 Coinsurance Not applicable Out of Pocket $6,850
Plan Moda Health Oregon Standard Silver (Beacon) Deductible $2,850 Coinsurance Not applicable Out of Pocket $7,900
Plan Moda Health Cornerstone Gold 1000 Deductible $1,000 Coinsurance Not applicable Out of Pocket $6,500
Plan Moda Health Cornerstone Bronze HSA 6000 Deductible $6,000 Coinsurance Not applicable Out of Pocket $6,000
Plan Moda Health Beacon Silver 3000 Deductible $3,000 Coinsurance Not applicable Out of Pocket $7,900
Plan Moda Health Oregon Standard Bronze Plan (Beacon) Deductible $6,550 Coinsurance Not applicable Out of Pocket $6,550
Plan Moda Health Oregon Standard Silver (Affinity) Deductible $2,850 Coinsurance Not applicable Out of Pocket $7,900
Plan Moda Health Cornerstone Silver 3000 Deductible $3,000 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) $6,500
Deductible (Family) $13,000
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 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 Available

Other

Mental / Behavioral Health Inpatient 40% Coinsurance after deductible
Mental / Behavioral Health Outpatient Data Not Available
Rehabilitative Speech Therapy Data Not Available
Rehabilitative Occupational & Physical Therapy Data Not Available
Outpatient Facility 40% Coinsurance after deductible
Outpatient Surgery 40% Coinsurance after deductible

Prescription Drugs

Generic Rx Data Not Available
Preferred Brand Rx 40% Coinsurance after deductible
Non Preferred Brand Rx 50% Coinsurance after deductible
Specialty Drugs 40% Coinsurance after deductible

Other Plans in Oregon

Plan Moda Health Beacon Silver 3500 Deductible $3,500 Coinsurance Not applicable Out of Pocket $7,900
Plan Moda Health Oregon Standard Gold (Beacon) Deductible $1,000 Coinsurance Not applicable Out of Pocket $6,850
Plan Moda Health Beacon Gold 1000 Deductible $1,000 Coinsurance Not applicable Out of Pocket $6,500
Plan Moda Health Oregon Standard Bronze Plan (Affinity) Deductible $6,550 Coinsurance Not applicable Out of Pocket $6,550
Plan Moda Health Beacon Bronze HSA 6000 Deductible $6,000 Coinsurance Not applicable Out of Pocket $6,000
Plan Moda Health Beacon Gold 1500 Deductible $1,500 Coinsurance Not applicable Out of Pocket $6,500
Plan Moda Health Oregon Standard Gold (Affinity) Deductible $1,000 Coinsurance Not applicable Out of Pocket $6,850
Plan Moda Health Oregon Standard Silver (Beacon) Deductible $2,850 Coinsurance Not applicable Out of Pocket $7,900
Plan Moda Health Cornerstone Gold 1000 Deductible $1,000 Coinsurance Not applicable Out of Pocket $6,500
Plan Moda Health Cornerstone Bronze HSA 6000 Deductible $6,000 Coinsurance Not applicable Out of Pocket $6,000
Plan Moda Health Beacon Silver 3000 Deductible $3,000 Coinsurance Not applicable Out of Pocket $7,900
Plan Moda Health Oregon Standard Bronze Plan (Beacon) Deductible $6,550 Coinsurance Not applicable Out of Pocket $6,550
Plan Moda Health Oregon Standard Silver (Affinity) Deductible $2,850 Coinsurance Not applicable Out of Pocket $7,900
Plan Moda Health Cornerstone Silver 3000 Deductible $3,000 Coinsurance Not applicable Out of Pocket $7,900