Core Care Bronze 1 + Vision
| Plan Type: | HMO |
| Plan Tier: | Bronze |
| Medical Deductible - Individual: | $6800 |
| Medical Deductible - Family: | Included in Medical |
| Drug Deductible - Individual: | $6800 |
| Drug Deductible - Family: | Included in Medical |
| Out of Pocket Max - Individual: | $8150 |
| Out of Pocket Max - Family: | $8150 |
| Primary Care Visit: | 35 |
| Specialist Visit: | $85 Copay with deductible |
| Emergency Room: | 40% Coinsurance after deductible |
| Hospital - Physician: | 40% Coinsurance after deductible |
| Hospital - Facility: | 40% Coinsurance after deductible |
| Link to Full SBC: | https://www.molinahealthcare.com/members/fl/en-US/PDF/Marketplace/sbc-bronze1-vision-2020.pdf |
| Plan Brochure: | https://www.molinahealthcare.com/members/fl/en-US/PDF/Marketplace/brochure-2020.pdf |
Other Coverage:
| Child Dental: | No |
| Adult Dental | No |
Prescription Drug Pricing:
| Generic Drugs: | $32 |
| Non-Preferred Brand Drugs: | 50% Coinsurance after deductible |
| Preferred Brand Drugs: | 40% Coinsurance after deductible |
| Specialty Drugs: | 50% Coinsurance after deductible |
| Link to Full Policy Formulary: | https://www.molinahealthcare.com/members/fl/en-US/PDF/Marketplace/formulary-2020.pdf |
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