Covered California
Individual Exchange Analysis
Bronze 60
Age
25
35
45
55

Marriage
Status

Income

Anthem Multi State Pla...
Plan Summary

Bronze 60

Silver 70

Key Benefits
Benefits in Bold are Subject to Deductibles
Deductable
Maximum Out-of-Poc...
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Covered California Individual Exchange Analysis

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Transcript of "Covered California Individual Exchange Analysis"

  1. 1. Covered California Individual Exchange Analysis Bronze 60 Age 25 35 45 55 Marriage Status Income Anthem Multi State Plan PPO Anthem Multi State Plan HMO Blue Shield of CA PPO Kaiser Permanente HMO Single Family Single Family Single Family Single Family $50,000 $100,000 $50,000 $100,000 $50,000 $100,000 $50,000 $100,000 $200 $652 $243 $738 $287 $827 $443 $1,139 n/a n/a n/a n/a n/a n/a n/a n/a $240 $741 $276 $839 $345 $993 $532 $1,368 $227 $783 $292 $887 $326 $939 $504 $1,294 Silver 70 Age 25 35 45 55 Marriage Status Income Anthem Multi State Plan PPO Anthem Multi State Plan HMO Blue Shield of CA PPO Kaiser Permanente HMO Single Family Single Family Single Family Single Family $50,000 $100,000 $50,000 $100,000 $50,000 $100,000 $50,000 $100,000 $267 $872 $325 $988 $384 $1,106 $593 $1,524 $270 $881 $325 $998 $388 $1,117 $599 $1,540 $290 $984 $353 $1,074 $417 $1,202 $645 $1,656 $304 $993 $370 $1,125 $437 $1,259 $675 $1,735 Gold 80 Age 25 35 45 55 Marriage Status Income Anthem Multi State Plan PPO Anthem Multi State Plan HMO Blue Shield of CA PPO Kaiser Permanente HMO Single Family Single Family Single Family Single Family $50,000 $100,000 $50,000 $100,000 $50,000 $100,000 $50,000 $100,000 $321 $1,048 $391 $1,187 $462 $1,329 $713 $1,832 $338 $1,102 $411 $1,249 $486 $1,398 $750 $1,927 $342 $1,116 $416 $1,264 $491 $1,415 $759 $1,950 $370 $1,207 $480 $1,367 $532 $1,531 $821 $2,109 Platinum 90 Age 25 35 45 55 Marriage Status Income Anthem Multi State Plan PPO Anthem Multi State Plan HMO Blue Shield of CA PPO Kaiser Permanente HMO Single Family Single Family Single Family Single Family $50,000 $100,000 $50,000 $100,000 $50,000 $100,000 $50,000 $100,000 $372 $1,215 $453 $1,377 $535 $1,541 $827 $2,124 $386 $1,260 $470 $1,428 $555 $1,598 $857 $2,202 $392 $1,278 $477 $1,449 $563 $1,622 $870 $2,235 $397 $1,298 $484 $1,470 $572 $1,646 $883 $2,268 We do not make any representations or guarantees with respect to the accuracy of any of the information provided The health insurance industry is ever evolving with polices, amendments thereto and other changes occurring continuously. Only information provided directly from CoveredCA.com or in a policy or other writing from the insurance carrier can be relied on for its complete accuracy. Expertquote Insurance Services, Inc. will not be liable for any damages of any kind arising from the use of information including, but not limited to direct, indirect, incidental, punitive, and/or consequential damages.
  2. 2. Plan Summary Bronze 60 Silver 70 Key Benefits Benefits in Bold are Subject to Deductibles Deductable Maximum Out-of-Pocket Individual Maximum Out-of-Pocket Family Preventative Care Copay Primary Care Visit Copay Specialty Care Visit Copay Urgent Care Visit Copay Lab Testing Copay X-Ray Copay Emergency Room Copay High Cost and HMO Infrequent PPO Services Generic Medication Copay Preferred Brand Copay after Drug Deductible Gold 80 Platinum 90 Copays NOT Bold are Not Subject to any Deductable and Count Toward the Annual Out-ofPocket Maximum $5,000 for medical and drugs $2,000 for medical and drugs No deductible No deductible $6,350 $6,350 $6,350 $4,000 $12,700 $12,700 $12,700 $8,000 No cost, at least one yearly visit No cost, at least one yearly visit No cost, at least one yearly No cost, at least one yearly visit visit (in-network only) (in-network only) $60, three visits per year $45 $30 $20 $70 $65 $50 $40 $120 $90 $60 $40 30% $45 $30 $20 30% $65 $50 $40 $300 $250 $250 $150 30% of plan's negotiated rate 20% of plan's negotiated rate $19 $50 Outpatient Surgery - $600, Outpatient Surgery - $250, Hospital $600/day, 5 day max Hospital $250/day, 5 day max 20% 10% $19 $19 $5 $50 $50 $15 We do not make any representations or guarantees with respect to the accuracy of any of the information provided The health insurance industry is ever evolving with polices, amendments thereto and other changes occurring continuously. Only information provided directly from CoveredCA.com or in a policy or other writing from the insurance carrier can be relied on for its complete accuracy. Expertquote Insurance Services, Inc. will not be liable for any damages of any kind arising from the use of information including, but not limited to direct, indirect, incidental, punitive, and/or consequential damages.
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