Molina Marketplace Bronze Plan
| Plan Type: | HMO |
| Plan Tier: | Expanded Bronze |
| Medical Deductible - Individual: | $6,400 |
| Medical Deductible - Family: | $12,800 |
| Drug Deductible - Individual: | Included in Medical |
| Drug Deductible - Family: | Included in Medical |
| Out of Pocket Max - Individual: | $7,350 |
| Out of Pocket Max - Family: | $14,700 |
| Primary Care Visit: | $35 |
| Specialist Visit: | $80 Copay after deductible |
| Emergency Room: | $400 Copay after deductible |
| Hospital - Physician: | 40% Coinsurance after deductible |
| Hospital - Facility: | 40% Coinsurance after deductible |
| Link to Full SBC: | http://www.molinahealthcare.com/members/oh/en-US/PDF/Marketplace/summary-of-benefits-bronze-2018.pdf |
| Plan Brochure: | http://www.molinahealthcare.com/members/oh/en-US/PDF/Marketplace/brochure-2018.pdf |
Other Coverage:
| Child Dental: | No |
| Adult Dental | No |
Prescription Drug Pricing:
| Generic Drugs: | $20 |
| Non-Preferred Brand Drugs: | 50% Coinsurance after deductible |
| Preferred Brand Drugs: | $60 Copay after deductible |
| Specialty Drugs: | 50% Coinsurance after deductible |
| Link to Full Policy Formulary: | http://www.molinahealthcare.com/members/oh/en-US/PDF/Marketplace/formulary-2018.pdf |
This Carrier Offers:
About The Carrier
Molina Healthcare, a FORTUNE 500, multi-state health care organization, arranges for the delivery of health care services and offers health information management solutions to nearly five million individuals and families who receive their care through Medicaid, Medicare and other government-funded programs in fifteen states.
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