|In Network||In Network Plan Copays||Prescription Drug Copays|
|Select||Medical Plan Name / SBC Link||Metal||Individual Deductible1||Coins.||Individual Out-of-Pocket Limit1||Telehealth||PCP||Spec.||Emerg. Room||Preferred Generic/Non-Preferred
Rates are calculated as of the effective date and are valid through 12/31/2018
D/C = Deductible & Coinsurance, PCP = Primary Care Practitioner
Premium estimates are based on the information you have provided. Actual rates will be based on the information provided in your signed application.
1Family deductibles and out-of-pocket limits are 2x the individual amounts.
The catastrophic plan is only available to people under age 30 or those who qualify for a hardship exemption from the Federally Facilitated Marketplace (FFM).
Deductible = Amount you pay for covered services before insurance pays.[LEARN MORE]
OOP - Out of Pocket = Your medical expenses not reimbursed by insurance: deductible, coinsurance, copays.[LEARN MORE]
Copay = A fixed amount you pay for a covered service.[LEARN MORE]
Coinsurance = The percentage of costs of a covered service that you pay after you've paid your deductible.[LEARN MORE]
Subsidy = APTC - Advanced Premium Tax Credit An income-based tax credit you can use to lower your health insurance premium.[LEARN MORE]
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