Expanded Bronze Access Care

Access Care plans offer you affordability and great freedom of choice with our widest network of providers, including 85% of Idaho’s doctors and hospitals.  If you qualify for a tax credit, your costs could be even lower. Have questions? Just call us at 855-447-2900.

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Expanded Bronze Access Care

In Network Out of Network
Deductible
(What’s This?)
Individual: $5,000
Family: $10,000
Individual: $40,000
Family: $80,000
Annual Out-of-Pocket Maximum
(What’s this?)
Individual: $7,350
Family: $14,700
Individual: $75,000
Family: $150,000
Co-insurance
(What’s this?)
You pay 40% You pay 60%
Primary Care Provider and Non-specialist Office Visits
(Find a Provider)
You pay $40 copay per visit  You pay 60% coinsurance after deductible
Specialist Office Visit
You pay $65 copay per visit after deductible You pay 60% coinsurance after deductible
Emergency Room Visits You pay 40% coinsurance after deductible You pay 40% coinsurance after deductible
Prescription Drugs
(View Drug List)
Tier 0: You pay $0
Tier 1 Generic: You pay $10 per drug
Tier 2 Preferred Brand: You pay 30% coinsurance after deductible per drug
Tier 3 Non-preferred: You pay 40% coinsurance after deductible per drug
Tier 4 Specialty: You pay 50% coinsurance after deductible per drug
Tier 0: You pay $0
Tier 1 Generic: You pay 60% coinsurance after deductible
Tier 2 Preferred Brand: You pay 60% coinsurance after deductible
Tier 3 Non-preferred: You pay 60% coinsurance after deductible
Tier 4 Specialty: You pay 60% coinsurance after deductible
Preventive Care Services, Immunizations You pay nothing for preventive services in-network–deductible does not apply You pay 60% coinsurance after deductible
Chiropractic Care
(Covered up to 20 visits per year)
You pay 40% coinsurance after deductible You pay 60% coinsurance after deductible
Diagnostic X-Ray & Lab Services You pay 40% coinsurance after deductible You pay 60% coinsurance after deductible
Inpatient Hospital Services You pay 40% coinsurance after deductible You pay 60% coinsurance after deductible
Maternity You pay 40% coinsurance after deductible You pay 60% coinsurance after deductible
Physician, Surgical & Medical Services You pay 40% coinsurance after deductible You pay 60% coinsurance after deductible
Outpatient Rehabilitation Services; Physical, Occupational, Speech
(Covered up to 20 visits per year, all types combined)
You pay 40% coinsurance after deductible You pay 60% coinsurance after deductible
Habilitative Services, Physical, Occupational, Speech
(Covered up to 20 visits per year, all types combined)
You pay 40% coinsurance after deductible You pay 60% coinsurance after deductible

Get Pricing Download a PDF comparison chart