Expanded 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.

Expanded Bronze Access Care

In Network Out of Network
Deductible
(What’s this?)
Individual: $5,000
Family: $10,000
Individual: $15,000
Family: $30,000
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 $50 copay per visit You pay 70% after deductible
Specialist Office Visits You pay $75 copay per visit 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 10% coinsurance after deductible
Tier 2 Preferred Brand: You pay 30% coinsurance after deductible
Tier 3 Non-Preferred: You pay 40% coinsurance after deductible
Tier 4 Specialty: You pay 50% coinsurance 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 $75 copay per visit 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

Expanded Bronze Access Care

In Network Out of Network
Deductible
(What’s this?)
Individual: $5,000
Family: $10,000
Individual: $15,000
Family: $30,000
Annual Out-of-Pocket Maximum
(What’s this?)
Individual: $6,800
Family: $13,600
Individual: $20,400
Family: $40,800
Co-insurance
(What’s this?)
You pay 60% You pay 70%
Primary Care Provider & Non-specialist Office Visits
(Find a Provider)
You pay $50 copay per visit You pay 70% after deductible
Specialist Office Visits You pay $75 copay per visit 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 10% coinsurance after deductible
Tier 2 Preferred Brand: You pay 30% coinsurance after deductible
Tier 3 Non-Preferred: You pay 40% coinsurance after deductible
Tier 4 Specialty: You pay 50% coinsurance 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 $75 copay per visit 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