obamacare needs to be revamped from the ground up---obama may have the power to delay certain portions of it but, won't we be in the same boat when the delays run out??? won't millions still lose their present coverage because they're policies are sub-standard??? won't employers still stop coverage &/or stop hiring, reduce their work-force or reduce working hours or, simply charge their workers the extra money for coverage???
look, obama will continue to lie about the 'glorius' side of obamacare but, the problems still exist...if you build a bridge that doesn't extend completely to the other side, there are some drivers that will try driving over it regardless of the warnings; there are those that will turn around & find another way &, our gov't will post signs delaying our driving over the bridge-----at some point, one of those super-smart gov't idiots will take the sign down without completing the bridge....hopefully, you get the point...
i took the time to go to healthcare.gov & look at the plans---in my area, these are the only insurance company's offering plans under obamacare...
Insurance company
- Highmark Health Services
- Highmark Health Insurance Company
- Geisinger Health Plans
- Keystone Health Plan Central, A Capital BlueCross Company
- Aetna
- Capital BlueCross
here are the plans (bronze) for me...bear in mind that i have applied & make too much for medicaid &, i can only assume i'd be entitled to some form of relief for my premium, however, who would help me with the deductible & out-of-pocket expenses??? &, i haven't even gotten into the prescription & dental coverages...this is not affordable & i defy obama & company to prove to me it is.....
Health plans for one individual, age 64 , living in Lehigh County, PA. Based on your household size and income, you do not appear to qualify for help paying for coverage.
Showing 15 Bronze plans. Show all plans
Flex Blue PPO 4000 a Community Blue Plan
PPO Preferred Provider Organization: A type of health plan that contracts with medical providers, such as hospitals and doctors, to create a network of participating providers. You pay less if you use providers that belong to the plan’s network. You can use doctors, hospitals, and providers outside of the network for an additional cost.| BronzePlans are put into 5 categories. These 5 categories (catastrophic, bronze, silver, gold, and platinum) are based on how you and the plan expect to share the costs for health care. Bronze plans cover 60% of the total average cost of care. The category you choose affects how much your premium costs each month and what portion of the bill you pay for things like hospital visits or prescription drugs. It also affects your total out-of-pocket costs - the total amount you'll spend for the year if you need lots of care.
Highmark Health Services
Monthly premium
$398/mo
One enrollee
DeductibleThe amount you owe for health care services your health insurance or plan covers before your health insurance or plan begins to pay. For example, if your deductible is $1,000, your plan won't pay anything until you’ve met your $1,000 deductible for covered health care services subject to the deductible. The deductible may not apply to all services.
$4,000/yr
Per individual
Out-of-pocket MaximumYour expenses for medical care that aren't reimbursed by insurance. Out-of-pocket costs include deductibles, coinsurance, and copayments for covered services plus all costs for services that aren't covered.
$6,350/yr
Per individual
Copayments/Coinsurance:A copay is a fixed amount (for example, $15) you pay for a covered health care service, usually when you get the service. The amount can vary by the type of covered health care service. Coinsurance is your share of the costs of a covered health care service, calculated as a percent (for example, 20%) of the allowed amount for the service. You pay coinsurance plus any deductibles you owe. For example, if the health insurance or plan’s allowed amount for an office visit is $100 and you've met your deductible, your coinsurance payment of 20% would be $20. The health insurance or plan pays the rest of the allowed amount.
Primary Doctor: $60
Specialist Doctor: $100
Generic Prescription: 40% Coinsurance after deductible
ER Visit: 40% Coinsurance after deductible
Specialist Doctor: $100
Generic Prescription: 40% Coinsurance after deductible
ER Visit: 40% Coinsurance after deductible
Health Savings Blue PPO 3400
PPO Preferred Provider Organization: A type of health plan that contracts with medical providers, such as hospitals and doctors, to create a network of participating providers. You pay less if you use providers that belong to the plan’s network. You can use doctors, hospitals, and providers outside of the network for an additional cost.| BronzePlans are put into 5 categories. These 5 categories (catastrophic, bronze, silver, gold, and platinum) are based on how you and the plan expect to share the costs for health care. Bronze plans cover 60% of the total average cost of care. The category you choose affects how much your premium costs each month and what portion of the bill you pay for things like hospital visits or prescription drugs. It also affects your total out-of-pocket costs - the total amount you'll spend for the year if you need lots of care.
Highmark Health Insurance Company
Monthly premium
$486/mo
One enrollee
DeductibleThe amount you owe for health care services your health insurance or plan covers before your health insurance or plan begins to pay. For example, if your deductible is $1,000, your plan won't pay anything until you’ve met your $1,000 deductible for covered health care services subject to the deductible. The deductible may not apply to all services.
$3,400/yr
Per individual
Out-of-pocket MaximumYour expenses for medical care that aren't reimbursed by insurance. Out-of-pocket costs include deductibles, coinsurance, and copayments for covered services plus all costs for services that aren't covered.
$6,350/yr
Per individual
Copayments/Coinsurance:A copay is a fixed amount (for example, $15) you pay for a covered health care service, usually when you get the service. The amount can vary by the type of covered health care service. Coinsurance is your share of the costs of a covered health care service, calculated as a percent (for example, 20%) of the allowed amount for the service. You pay coinsurance plus any deductibles you owe. For example, if the health insurance or plan’s allowed amount for an office visit is $100 and you've met your deductible, your coinsurance payment of 20% would be $20. The health insurance or plan pays the rest of the allowed amount.
Primary Doctor: 30% Coinsurance after deductible
Specialist Doctor: 30% Coinsurance after deductible
Generic Prescription: 30% Coinsurance after deductible
ER Visit: 30% Coinsurance after deductible
Specialist Doctor: 30% Coinsurance after deductible
Generic Prescription: 30% Coinsurance after deductible
ER Visit: 30% Coinsurance after deductible
Marketplace Solutions 13
POS Point of Service: A type of plan in which you pay less if you use doctors, hospitals, and other health care providers that belong to the plan’s network. POS plans also require you to get a referral from your primary care doctor in order to see a specialist.| BronzePlans are put into 5 categories. These 5 categories (catastrophic, bronze, silver, gold, and platinum) are based on how you and the plan expect to share the costs for health care. Bronze plans cover 60% of the total average cost of care. The category you choose affects how much your premium costs each month and what portion of the bill you pay for things like hospital visits or prescription drugs. It also affects your total out-of-pocket costs - the total amount you'll spend for the year if you need lots of care.
Geisinger Health Plans
Monthly premium
$508/mo
One enrollee
DeductibleThe amount you owe for health care services your health insurance or plan covers before your health insurance or plan begins to pay. For example, if your deductible is $1,000, your plan won't pay anything until you’ve met your $1,000 deductible for covered health care services subject to the deductible. The deductible may not apply to all services.
$6,000/yr
Per individual
Out-of-pocket MaximumYour expenses for medical care that aren't reimbursed by insurance. Out-of-pocket costs include deductibles, coinsurance, and copayments for covered services plus all costs for services that aren't covered.
$6,250/yr
Per individual
Copayments/Coinsurance:A copay is a fixed amount (for example, $15) you pay for a covered health care service, usually when you get the service. The amount can vary by the type of covered health care service. Coinsurance is your share of the costs of a covered health care service, calculated as a percent (for example, 20%) of the allowed amount for the service. You pay coinsurance plus any deductibles you owe. For example, if the health insurance or plan’s allowed amount for an office visit is $100 and you've met your deductible, your coinsurance payment of 20% would be $20. The health insurance or plan pays the rest of the allowed amount.
Primary Doctor: No Charge after Deductible
Specialist Doctor: No Charge after Deductible
Generic Prescription: $3 Copay after deductible
ER Visit: No Charge after Deductible
Specialist Doctor: No Charge after Deductible
Generic Prescription: $3 Copay after deductible
ER Visit: No Charge after Deductible
Marketplace Solutions 12
POS Point of Service: A type of plan in which you pay less if you use doctors, hospitals, and other health care providers that belong to the plan’s network. POS plans also require you to get a referral from your primary care doctor in order to see a specialist.| BronzePlans are put into 5 categories. These 5 categories (catastrophic, bronze, silver, gold, and platinum) are based on how you and the plan expect to share the costs for health care. Bronze plans cover 60% of the total average cost of care. The category you choose affects how much your premium costs each month and what portion of the bill you pay for things like hospital visits or prescription drugs. It also affects your total out-of-pocket costs - the total amount you'll spend for the year if you need lots of care.
Geisinger Health Plans
Monthly premium
$509/mo
One enrollee
DeductibleThe amount you owe for health care services your health insurance or plan covers before your health insurance or plan begins to pay. For example, if your deductible is $1,000, your plan won't pay anything until you’ve met your $1,000 deductible for covered health care services subject to the deductible. The deductible may not apply to all services.
$4,000/yr
Per individual
Out-of-pocket MaximumYour expenses for medical care that aren't reimbursed by insurance. Out-of-pocket costs include deductibles, coinsurance, and copayments for covered services plus all costs for services that aren't covered.
$6,350/yr
Per individual
Copayments/Coinsurance:A copay is a fixed amount (for example, $15) you pay for a covered health care service, usually when you get the service. The amount can vary by the type of covered health care service. Coinsurance is your share of the costs of a covered health care service, calculated as a percent (for example, 20%) of the allowed amount for the service. You pay coinsurance plus any deductibles you owe. For example, if the health insurance or plan’s allowed amount for an office visit is $100 and you've met your deductible, your coinsurance payment of 20% would be $20. The health insurance or plan pays the rest of the allowed amount.
Primary Doctor: 30% Coinsurance after deductible
Specialist Doctor: 30% Coinsurance after deductible
Generic Prescription: 30% Coinsurance after deductible
ER Visit: 30% Coinsurance after deductible
Specialist Doctor: 30% Coinsurance after deductible
Generic Prescription: 30% Coinsurance after deductible
ER Visit: 30% Coinsurance after deductible
Shared Cost Blue PPO 5500
PPO Preferred Provider Organization: A type of health plan that contracts with medical providers, such as hospitals and doctors, to create a network of participating providers. You pay less if you use providers that belong to the plan’s network. You can use doctors, hospitals, and providers outside of the network for an additional cost.| BronzePlans are put into 5 categories. These 5 categories (catastrophic, bronze, silver, gold, and platinum) are based on how you and the plan expect to share the costs for health care. Bronze plans cover 60% of the total average cost of care. The category you choose affects how much your premium costs each month and what portion of the bill you pay for things like hospital visits or prescription drugs. It also affects your total out-of-pocket costs - the total amount you'll spend for the year if you need lots of care.
Highmark Health Insurance Company
Monthly premium
$510/mo
One enrollee
DeductibleThe amount you owe for health care services your health insurance or plan covers before your health insurance or plan begins to pay. For example, if your deductible is $1,000, your plan won't pay anything until you’ve met your $1,000 deductible for covered health care services subject to the deductible. The deductible may not apply to all services.
$5,500/yr
Per individual
Out-of-pocket MaximumYour expenses for medical care that aren't reimbursed by insurance. Out-of-pocket costs include deductibles, coinsurance, and copayments for covered services plus all costs for services that aren't covered.
$6,350/yr
Per individual
Copayments/Coinsurance:A copay is a fixed amount (for example, $15) you pay for a covered health care service, usually when you get the service. The amount can vary by the type of covered health care service. Coinsurance is your share of the costs of a covered health care service, calculated as a percent (for example, 20%) of the allowed amount for the service. You pay coinsurance plus any deductibles you owe. For example, if the health insurance or plan’s allowed amount for an office visit is $100 and you've met your deductible, your coinsurance payment of 20% would be $20. The health insurance or plan pays the rest of the allowed amount.
Primary Doctor: $50
Specialist Doctor: $90
Generic Prescription: 40% Coinsurance after deductible
ER Visit: 40% Coinsurance after deductible
Specialist Doctor: $90
Generic Prescription: 40% Coinsurance after deductible
ER Visit: 40% Coinsurance after deductible
Marketplace Direct 13
PPO Preferred Provider Organization: A type of health plan that contracts with medical providers, such as hospitals and doctors, to create a network of participating providers. You pay less if you use providers that belong to the plan’s network. You can use doctors, hospitals, and providers outside of the network for an additional cost.| BronzePlans are put into 5 categories. These 5 categories (catastrophic, bronze, silver, gold, and platinum) are based on how you and the plan expect to share the costs for health care. Bronze plans cover 60% of the total average cost of care. The category you choose affects how much your premium costs each month and what portion of the bill you pay for things like hospital visits or prescription drugs. It also affects your total out-of-pocket costs - the total amount you'll spend for the year if you need lots of care.
Geisinger Health Plans
Monthly premium
$527/mo
One enrollee
DeductibleThe amount you owe for health care services your health insurance or plan covers before your health insurance or plan begins to pay. For example, if your deductible is $1,000, your plan won't pay anything until you’ve met your $1,000 deductible for covered health care services subject to the deductible. The deductible may not apply to all services.
$6,000/yr
Per individual
Out-of-pocket MaximumYour expenses for medical care that aren't reimbursed by insurance. Out-of-pocket costs include deductibles, coinsurance, and copayments for covered services plus all costs for services that aren't covered.
$6,250/yr
Per individual
Copayments/Coinsurance:A copay is a fixed amount (for example, $15) you pay for a covered health care service, usually when you get the service. The amount can vary by the type of covered health care service. Coinsurance is your share of the costs of a covered health care service, calculated as a percent (for example, 20%) of the allowed amount for the service. You pay coinsurance plus any deductibles you owe. For example, if the health insurance or plan’s allowed amount for an office visit is $100 and you've met your deductible, your coinsurance payment of 20% would be $20. The health insurance or plan pays the rest of the allowed amount.
Primary Doctor: No Charge after Deductible
Specialist Doctor: No Charge after Deductible
Generic Prescription: $3 Copay after deductible
ER Visit: No Charge after Deductible
Specialist Doctor: No Charge after Deductible
Generic Prescription: $3 Copay after deductible
ER Visit: No Charge after Deductible
Marketplace Direct 12
PPO Preferred Provider Organization: A type of health plan that contracts with medical providers, such as hospitals and doctors, to create a network of participating providers. You pay less if you use providers that belong to the plan’s network. You can use doctors, hospitals, and providers outside of the network for an additional cost.| BronzePlans are put into 5 categories. These 5 categories (catastrophic, bronze, silver, gold, and platinum) are based on how you and the plan expect to share the costs for health care. Bronze plans cover 60% of the total average cost of care. The category you choose affects how much your premium costs each month and what portion of the bill you pay for things like hospital visits or prescription drugs. It also affects your total out-of-pocket costs - the total amount you'll spend for the year if you need lots of care.
Geisinger Health Plans
Monthly premium
$527/mo
One enrollee
DeductibleThe amount you owe for health care services your health insurance or plan covers before your health insurance or plan begins to pay. For example, if your deductible is $1,000, your plan won't pay anything until you’ve met your $1,000 deductible for covered health care services subject to the deductible. The deductible may not apply to all services.
$4,000/yr
Per individual
Out-of-pocket MaximumYour expenses for medical care that aren't reimbursed by insurance. Out-of-pocket costs include deductibles, coinsurance, and copayments for covered services plus all costs for services that aren't covered.
$6,350/yr
Per individual
Copayments/Coinsurance:A copay is a fixed amount (for example, $15) you pay for a covered health care service, usually when you get the service. The amount can vary by the type of covered health care service. Coinsurance is your share of the costs of a covered health care service, calculated as a percent (for example, 20%) of the allowed amount for the service. You pay coinsurance plus any deductibles you owe. For example, if the health insurance or plan’s allowed amount for an office visit is $100 and you've met your deductible, your coinsurance payment of 20% would be $20. The health insurance or plan pays the rest of the allowed amount.
Primary Doctor: 30% Coinsurance after deductible
Specialist Doctor: 30% Coinsurance after deductible
Generic Prescription: 30% Coinsurance after deductible
ER Visit: 30% Coinsurance after deductible
Specialist Doctor: 30% Coinsurance after deductible
Generic Prescription: 30% Coinsurance after deductible
ER Visit: 30% Coinsurance after deductible
Healthy Benefits Value HMO 6000.0
HMO Health Maintenance Organization: A type of health insurance plan that usually limits coverage to care from doctors who work for or contract with the HMO. It generally won't cover out-of-network care except in an emergency. An HMO may require you to live or work in its service area to be eligible for coverage. HMOs often provide integrated care and focus on prevention and wellness.| BronzePlans are put into 5 categories. These 5 categories (catastrophic, bronze, silver, gold, and platinum) are based on how you and the plan expect to share the costs for health care. Bronze plans cover 60% of the total average cost of care. The category you choose affects how much your premium costs each month and what portion of the bill you pay for things like hospital visits or prescription drugs. It also affects your total out-of-pocket costs - the total amount you'll spend for the year if you need lots of care.
Keystone Health Plan Central, A Capital BlueCross Company
Monthly premium
$625/mo
One enrollee
DeductibleThe amount you owe for health care services your health insurance or plan covers before your health insurance or plan begins to pay. For example, if your deductible is $1,000, your plan won't pay anything until you’ve met your $1,000 deductible for covered health care services subject to the deductible. The deductible may not apply to all services.
$6,000/yr
Per individual
Out-of-pocket MaximumYour expenses for medical care that aren't reimbursed by insurance. Out-of-pocket costs include deductibles, coinsurance, and copayments for covered services plus all costs for services that aren't covered.
$6,350/yr
Per individual
Copayments/Coinsurance:A copay is a fixed amount (for example, $15) you pay for a covered health care service, usually when you get the service. The amount can vary by the type of covered health care service. Coinsurance is your share of the costs of a covered health care service, calculated as a percent (for example, 20%) of the allowed amount for the service. You pay coinsurance plus any deductibles you owe. For example, if the health insurance or plan’s allowed amount for an office visit is $100 and you've met your deductible, your coinsurance payment of 20% would be $20. The health insurance or plan pays the rest of the allowed amount.
Primary Doctor: $50
Specialist Doctor: No Charge after Deductible
Generic Prescription: No Charge after Deductible
ER Visit: No Charge after Deductible
Specialist Doctor: No Charge after Deductible
Generic Prescription: No Charge after Deductible
ER Visit: No Charge after Deductible
Healthy Benefits Value HMO 4000.50
HMO Health Maintenance Organization: A type of health insurance plan that usually limits coverage to care from doctors who work for or contract with the HMO. It generally won't cover out-of-network care except in an emergency. An HMO may require you to live or work in its service area to be eligible for coverage. HMOs often provide integrated care and focus on prevention and wellness.| BronzePlans are put into 5 categories. These 5 categories (catastrophic, bronze, silver, gold, and platinum) are based on how you and the plan expect to share the costs for health care. Bronze plans cover 60% of the total average cost of care. The category you choose affects how much your premium costs each month and what portion of the bill you pay for things like hospital visits or prescription drugs. It also affects your total out-of-pocket costs - the total amount you'll spend for the year if you need lots of care.
Keystone Health Plan Central, A Capital BlueCross Company
Monthly premium
$635/mo
One enrollee
DeductibleThe amount you owe for health care services your health insurance or plan covers before your health insurance or plan begins to pay. For example, if your deductible is $1,000, your plan won't pay anything until you’ve met your $1,000 deductible for covered health care services subject to the deductible. The deductible may not apply to all services.
$4,000/yr
Per individual
Out-of-pocket MaximumYour expenses for medical care that aren't reimbursed by insurance. Out-of-pocket costs include deductibles, coinsurance, and copayments for covered services plus all costs for services that aren't covered.
$6,350/yr
Per individual
Copayments/Coinsurance:A copay is a fixed amount (for example, $15) you pay for a covered health care service, usually when you get the service. The amount can vary by the type of covered health care service. Coinsurance is your share of the costs of a covered health care service, calculated as a percent (for example, 20%) of the allowed amount for the service. You pay coinsurance plus any deductibles you owe. For example, if the health insurance or plan’s allowed amount for an office visit is $100 and you've met your deductible, your coinsurance payment of 20% would be $20. The health insurance or plan pays the rest of the allowed amount.
Primary Doctor: $50
Specialist Doctor: 50% Coinsurance after deductible
Generic Prescription: 50% Coinsurance after deductible
ER Visit: 50% Coinsurance after deductible
Specialist Doctor: 50% Coinsurance after deductible
Generic Prescription: 50% Coinsurance after deductible
ER Visit: 50% Coinsurance after deductible
Aetna Advantage 6350
HMO Health Maintenance Organization: A type of health insurance plan that usually limits coverage to care from doctors who work for or contract with the HMO. It generally won't cover out-of-network care except in an emergency. An HMO may require you to live or work in its service area to be eligible for coverage. HMOs often provide integrated care and focus on prevention and wellness.| BronzePlans are put into 5 categories. These 5 categories (catastrophic, bronze, silver, gold, and platinum) are based on how you and the plan expect to share the costs for health care. Bronze plans cover 60% of the total average cost of care. The category you choose affects how much your premium costs each month and what portion of the bill you pay for things like hospital visits or prescription drugs. It also affects your total out-of-pocket costs - the total amount you'll spend for the year if you need lots of care.
Aetna
Monthly premium
$667/mo
One enrollee
DeductibleThe amount you owe for health care services your health insurance or plan covers before your health insurance or plan begins to pay. For example, if your deductible is $1,000, your plan won't pay anything until you’ve met your $1,000 deductible for covered health care services subject to the deductible. The deductible may not apply to all services.
$6,350/yr
Per individual
Out-of-pocket MaximumYour expenses for medical care that aren't reimbursed by insurance. Out-of-pocket costs include deductibles, coinsurance, and copayments for covered services plus all costs for services that aren't covered.
$6,350/yr
Per individual
Copayments/Coinsurance:A copay is a fixed amount (for example, $15) you pay for a covered health care service, usually when you get the service. The amount can vary by the type of covered health care service. Coinsurance is your share of the costs of a covered health care service, calculated as a percent (for example, 20%) of the allowed amount for the service. You pay coinsurance plus any deductibles you owe. For example, if the health insurance or plan’s allowed amount for an office visit is $100 and you've met your deductible, your coinsurance payment of 20% would be $20. The health insurance or plan pays the rest of the allowed amount.
Primary Doctor: $20
Specialist Doctor: No Charge after Deductible
Generic Prescription: No Charge after Deductible
ER Visit: No Charge after Deductible
Specialist Doctor: No Charge after Deductible
Generic Prescription: No Charge after Deductible
ER Visit: No Charge after Deductible
