Molina Marketplace Options Silver Plan

Plan Type: HMO
Plan Tier: Silver
Medical Deductible - Individual: $3,500
Medical Deductible - Family: $7,000
Drug Deductible - Individual: $500
Drug Deductible - Family: $1,000
Out of Pocket Max - Individual: $7,350
Out of Pocket Max - Family: $14,700
Primary Care Visit: $30
Specialist Visit: $65
Emergency Room: 20% Coinsurance after deductible
Hospital - Physician: 20% Coinsurance after deductible
Hospital - Facility: 20% Coinsurance after deductible
Link to Full SBC: http://www.molinahealthcare.com/members/oh/en-US/PDF/Marketplace/summary-of-benefits-options-silver-250-2018.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: $15
Non-Preferred Brand Drugs: $100
Preferred Brand Drugs: $50
Specialty Drugs: 40% 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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