Bronze Plans

Lowest Premiums and Greatest Value

Everyone’s needs are different. If your employees want to pay the lowest premiums to make sure the big expenses are covered if accidents happen, then our HMO Bronze plans are your best fit. 

These plans offer several preventative care visits outside the deductible to make sure your employees and their families stay healthy and enjoy no additional out-of-pocket expenses.

Call us today to learn more about enrollment timeframes and to find a plan that fits your needs. 1-855-572-7238.

 

Glance through the chart below for a comparison, or open up the linked PDFs for more details.

2017
Plan Benefits
HMO
Bronze
Coinsurance
Select Network
HMO
Bronze
HSA (100%)
Select Network
HMO
Bronze
Coinsurance
Select Plus Network
HMO
Bronze
HSA (100%)
​Select Plus Network
Medical Deductible (if any)
Single/Family
$6,650/$13,300 $6,550/$13,100 $6,650/$13,300 $6,550/$13,100
Medication Deductible (if any)  Single/Family Integrated with Medical Integrated with Medical Integrated with Medical Integrated with Medical
Preventive Care Copay No Charge No Charge No Charge No Charge
Adult Primary Care Visit Copay 1-3 visits: $45
4 or more visits: 50%¹
0%1 1-3 visits: $45
4 or more visits: 50%¹
0%1
Pediatric Primary Care Visit Copay (Ages 0-19) No Charge 0%1 No Charge 0%1
Specialty Care Visit Copay 50%1 0%1 50%1 0%1
Inpatient Copay 50%1 0%1 50%1 0%1
Outpatient Copay 50%1 0%1 50%1 0%1
Emergency Room Copay 50%1 0%1 50%1 0%1
Urgent Care Copay 50%1 0%1 50%1 0%1
Routine Lab/X-Ray Copay 50%1 0%1 50%1 0%1
Imaging (MRI, CT, Scans) Copay 50%1 0%1 50%1 0%1
Medication Copays:
Tier I
Tier II           
Tier III
Tier IV
Tier V

$0
$35
35%1
40%1
45%1

0%1
0%1
0%1
0%1
 0%1 

$0
$35
35%1
40%1
45%1


0%1
0%1
0%1
0%1
0%1
 
Maximum Out-Of-Pocket
Single/Family
$7,150/$14,300 $6,550/$13,100 $7,150/$14,300 $6,550/$13,100
Plan ID 26539TX0130021-00 26539TX0130007-00 26539TX0130022-00 26539TX0130014-00
Summary of Benefits & Coverage
(SBC)
Plan Documents
1After Medical Deductible

 
 

 


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