Bronze Access Care

Access Care plans offer you affordability and great freedom of choice with our widest network of providers, including doctors and hospitals across the state.  If you qualify for a tax credit, your costs could be even lower. Have questions? Just call us at 855-447-2900.

Bronze Access Care

In Network Out of Network
Deductible
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Individual: $7,200
Family: $14,400
Individual: $21,600
Family: $43,200
Annual Out-of-Pocket Maximum
(What’s this?)
Individual: $7,900
Family: $15,800
Individual: $23,700
Family: $47,400
Co-insurance
(What’s this?)
You pay 60% You pay 70%
Primary Care Provider & Non-specialist Office Visits
(Find a Provider)
You pay $60 copay per visit after deductible You pay 70% after deductible
Specialist Office Visits You pay 60% coinsurance after deductible You pay 70% after deductible
Emergency Room Visits You pay 60% after deductible You pay 60% after deductible
Prescription Drugs
(View Drug List)
Tier 0: You pay $0
Tier 1 Generic: You pay $15 per drug after deductible
Tier 2 Preferred Brand: You pay $125 per drug after deductible
Tier 3 Non-Preferred: You pay $160 per drug after deductible
Tier 4 Specialty: You pay $185 per drug after deductible
Tier 0: You pay $0
Tier 1 Generic: You pay 50% after deductible
Tier 2 Preferred Brand: You pay 50% after deductible
Tier 3 Non-Preferred: You pay 50% after deductible
Tier 4 Specialty: You pay 50% after deductible
Preventive Care Services, Immunizations You pay nothing for preventive services in-network–deductible does not apply You pay 70% after deductible
Chiropractic Care
(Covered up to 20 visits per year)
You pay 60% after deductible You pay 70% after deductible
Diagnostic X-Ray & Lab Services You pay 60% after deductible You pay 70% after deductible
Inpatient Hospital Services You pay 60% after deductible You pay 70% after deductible
Maternity You pay 60% after deductible You pay 70% after deductible
Physician, Surgical & Medical Services You pay 60% after deductible You pay 70% after deductible
Physical, Occupational & Speech Therapy You pay 60% after deductible You pay 70% after deductible

Get PricingDownload a comparison chart

Bronze Access Care

In Network Out of Network
Deductible
(What’s this?)
Individual: $7,200
Family: $14,400
Individual: $21,600
Family: $43,200
Annual Out-of-Pocket Maximum
(What’s this?)
Individual: $7,350
Family: $14,700
Individual: $22,050
Family: $44,100
Co-insurance
(What’s this?)
You pay 60% You pay 70%
Primary Care Provider & Non-specialist Office Visits
(Find a Provider)
You pay $60 copay per visit after deductible You pay 70% after deductible
Specialist Office Visits You pay 60% coinsurance after deductible You pay 70% after deductible
Emergency Room Visits You pay 60% after deductible You pay 60% after deductible
Prescription Drugs
(View Drug List)
Tier 0: You pay $0
Tier 1 Generic: You pay $15 per drug after deductible
Tier 2 Preferred Brand: You pay $125 per drug after deductible
Tier 3 Non-Preferred: You pay $160 per drug after deductible
Tier 4 Specialty: You pay $185 per drug after deductible
Tier 0: You pay $0
Tier 1 Generic: You pay 50% after deductible
Tier 2 Preferred Brand: You pay 50% after deductible
Tier 3 Non-Preferred: You pay 50% after deductible
Tier 4 Specialty: You pay 50% after deductible
Preventive Care Services, Immunizations You pay nothing for preventive services in-network–deductible does not apply You pay 70% after deductible
Chiropractic Care
(Covered up to 20 visits per year)
You pay 60% after deductible You pay 70% after deductible
Diagnostic X-Ray & Lab Services You pay 60% after deductible You pay 70% after deductible
Inpatient Hospital Services You pay 60% after deductible You pay 70% after deductible
Maternity You pay 60% after deductible You pay 70% after deductible
Physician, Surgical & Medical Services You pay 60% after deductible You pay 70% after deductible
Physical, Occupational & Speech Therapy You pay 60% after deductible You pay 70% after deductible

Get PricingDownload a comparison chart

Bronze Access Care

In Network Out of Network
Deductible
(What’s this?)
$5,250 individual
$10,500 family
$15,750 individual
$31,500 family
Annual Out-of-Pocket Maximum
(What’s this?)
$7,150 individual
$14,300 family
$21,450 individual
$42,900 family
Co-insurance
(What’s this?)
You pay 60% You pay 70%
Primary Care Provider & Non-specialist Office Visits
(Find a Provider)
You pay 60% after deductible You pay 70% after deductible
Specialist Office Visits You pay 60% after deductible You pay 70% after deductible
Emergency Room Visits You pay 60% after deductible You pay 60% after deductible
Prescription Drugs
(View Drug List)
Tier 0: You pay $0
Tier 1 Generic: You pay $25 after deductible
Tier 2 Brand: You pay $125 after deductible
Tier 3 Non-Preferred: You pay $160 after deductible
Tier 4 Specialty: You pay $185 after deductible
Tier 5 Non-preferred Specialty: You pay $335 after deductible
You pay 50% after deductible
Preventive Care Services, Immunizations You pay nothing for preventive services in-network – deductible does not apply You pay 70% after deductible
Chiropractic Care
(Covered up to 20 visits per year)
You pay 60% after deductible You pay 70% after deductible
Diagnostic X-Ray & Lab Services You pay 60% after deductible You pay 70% after deductible
Inpatient Hospital Services You pay 60% after deductible You pay 70% after deductible
Maternity You pay 60% after deductible You pay 70% after deductible
Physician, Surgical & Medical Services You pay 60% after deductible You pay 70% after deductible
Physical, Occupational & Speech Therapy You pay 60% after deductible You pay 70% after deductible

Get PricingDownload a comparison chart