Bronze Plus Engage

Available only in Benewah, Bonner, Boundary, Kootenai and Shoshone Counties, our Engage plans feature our lowest monthly premiums. Each Engage plan offers two tiers of in-network providers to provide a good balance of choice and cost savings. Have questions? Just give us a call at 855-447-2900.

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Bronze Plus Engage

Tier 1 Network Tier 2 Network Out of Network
Deductible
(What’s This?)
Individual: $6,650
Family: $13,300
Individual: $6,550
Family: $13,300
Individual: $37,500
Family: $75,000
Annual Out-of-Pocket Maximum
(What’s this?)
Individual: $6,650
Family: $13,300
Individual: $6,650
Family: $13,300
Individual: $75,000
Family: $150,000
Coinsurance
(What’s this?)
You pay 0% You pay 0% You pay 70%
Primary Care Provider and Non-specialist Office Visits
(Find a Provider)
No charge after deductible No charge after deductible You pay 70% coinsurance after deductible
Specialist Office Visits No charge after deductible No charge after deductible You pay 70% coinsurance after deductible
Emergency Room Visits No charge after deductible No charge after deductible No charge after deductible
Prescription Drugs
(View Drug List)
Tier 0: You pay $0
Tier 1 Generic: No charge after deductible
Tier 2 Preferred Brand: No charge after deductible
Tier 3 Non-preferred: No charge after deductible
Tier 4 Specialty: No charge after deductible
Tier 0: You pay $0
Tier 1 Generic: No charge after deductible
Tier 2 Preferred Brand: No charge after deductible
Tier 3 Non-preferred: No charge after deductible
Tier 4 Specialty: No charge after deductible
Tier 0: You pay $0
Tier 1 Generic: You pay 70% coinsurance after deductible
Tier 2 Preferred Brand: You pay 70% coinsurance after deductible
Tier 3 Non-preferred: You pay 70% coinsurance after deductible
Tier 4 Specialty: You pay 70% coinsurance after deductible
Preventive Care Services, Immunizations You pay nothing for preventive services in-network–deductible does not apply You pay 0% coinsurance after deductible You pay 70% coinsurance after deductible
Chiropractic Care
(Covered up to 20 visits per year)
No charge after deductible No charge after deductible You pay 70% coinsurance after deductible
Diagnostic X-Ray & Lab Services No charge after deductible No charge after deductible You pay 70% coinsurance after deductible
Inpatient Hospital Services No charge after deductible No charge after deductible You pay 70% coinsurance after deductible
Maternity No charge after deductible No charge after deductible You pay 70% coinsurance after deductible
Physician, Surgical & Medical Services No charge after deductible No charge after deductible You pay 70% coinsurance after deductible
Outpatient Rehabilitation Services; Physical, Occupational, Speech
(Covered up to 20 visits per year, all types combined)
No charge after deductible No charge after deductible You pay 70% coinsurance after deductible
Habilitative Services, Physical, Occupational, Speech
(Covered up to 20 visits per year, all types combined)
No charge after deductible No charge after deductible You pay 70% coinsurance after deductible

Bronze Plus Engage

Deductible
(What’s This?)
Tier 1 Network Individual: $6,650
Family: $13,300
Tier 2 Network Individual: $6,650
Family: $13,300
Out of Network Individual: $37,500
Family: $75,000
Annual Out-of-Pocket Maximum
(What’s this?)
Tier 1 Network Individual: $6,650
Family: $13,300
Tier 2 Network Individual: $6,650
Family: $13,300
Out of Network Individual: $75,000
Family: $150,000
Co-insurance
(What’s this?)
Tier 1 Network You pay 0%
Tier 2 Network You pay 0%
Out of Network You pay 70%
Primary Care Provider and Non-specialist Office Visits
(Find a Provider)
Tier 1 Network No charge after deductible
Tier 2 Network No charge after deductible
Out of Network You pay 70% coinsurance after deductible
Specialist Office Visits
Tier 1 Network No charge after deductible
Tier 2 Network No charge after deductible
Out of Network You pay 70% coinsurance after deductible
Emergency Room Visits
Tier 1 Network No charge after deductible
Tier 2 Network No charge after deductible
Out of Network No charge after deductible
Prescription Drugs
(View Drug List)
Tier 1 Network Tier 0: You pay $0
Tier 1 Generic: No charge after deductible
Tier 2 Preferred Brand: No charge after deductible
Tier 3 Non-preferred: No charge after deductible
Tier 4 Specialty: No charge after deductible
Tier 2 Network Tier 0: You pay $0
Tier 1 Generic: No charge after deductible
Tier 2 Preferred Brand: No charge after deductible
Tier 3 Non-preferred: No charge after deductible
Tier 4 Specialty: No charge after deductible
Out of Network Tier 0: You pay $0
Tier 1 Generic: You pay 70% coinsurance after deductible
Tier 2 Preferred Brand: You pay 70% coinsurance after deductible
Tier 3 Non-preferred: You pay 70% coinsurance after deductible
Tier 4 Specialty: You pay 70% coinsurance after deductible
Preventive Care Services, Immunizations
Tier 1 Network You pay nothing for preventive services in-network–deductible does not apply
Tier 2 Network You pay 0% coinsurance after deductible
Out of Network You pay 70% coinsurance after deductible
Chiropractic Care
(Covered up to 20 visits per year)
Tier 1 Network No charge after deductible
Tier 2 Network No charge after deductible
Out of Network You pay 70% coinsurance after deductible
Diagnostic X-Ray & Lab Services
Tier 1 Network No charge after deductible
Tier 2 Network No charge after deductible
Out of Network You pay 70% coinsurance after deductible
Inpatient Hospital Services
Tier 1 Network No charge after deductible
Tier 2 Network No charge after deductible
Out of Network You pay 70% coinsurance after deductible
Maternity
Tier 1 Network No charge after deductible
Tier 2 Network No charge after deductible
Out of Network You pay 70% coinsurance after deductible
Physician, Surgical & Medical Services
Tier 1 Network No charge after deductible
Tier 2 Network No charge after deductible
Out of Network You pay 70% coinsurance after deductible
Outpatient Rehabilitation Services; Physical, Occupational, Speech
(Covered up to 20 visits per year, all types combined)
Tier 1 Network No charge after deductible
Tier 2 Network No charge after deductible
Out of Network You pay 70% coinsurance after deductible
Habilitative Services, Physical, Occupational, Speech
(Covered up to 20 visits per year, all types combined)
Tier 1 Network No charge after deductible
Tier 2 Network No charge after deductible
Out of Network You pay 70% coinsurance after deductible

Get Pricing Download a PDF comparison chart