Bronze Classic (Select) - 29341OH0100003 Health Insurance Plan

Oscar Buckeye State Insurance Corp. health insurance plan with the Plan ID 29341OH0100003. The plan is called Bronze Classic (Select).

Based on the AV Calculator by CMS.gov, the plan has an actuarial value of 62.57% (we converted the output of AV Calculator to percentage to compare with data provided by Issuer, it shows the percentage of total average costs for covered benefits that a plan will cover). So, on average, you would be responsible for 37.43% of the costs of all covered benefits (according to the AV Calculator by CMS.gov). More information about AV Calculator methodology.

Health Insurance Plan ID 29341OH0100003
Health Insurance Plan Year 2022
State Ohio
Health Insurance Issuer Oscar Buckeye State Insurance Corp.
Plan Formulary Description URL Formulary URL
Plan Marketing Materials URL Marketing URL
Health Insurance Plan Variant 29341OH0100003-03
Provider Network(s) ['OHN001']
In Network Doctors

*The data available in our database based on Health Insurance Company Open Data (update: Tue, 22 Oct 2024 06:47 GMT).

Providers Ohio All US States
All N/A N/A
PCP N/A N/A
Allergy N/A N/A
OB/GYN N/A N/A
Dentists N/A N/A
Available Variants of the Health Plan

Standard Off Exchange Plan - 29341OH0100003-00

Standard On Exchange Plan - 29341OH0100003-01

Open to Indians below 300% FPL - 29341OH0100003-02

Open to Indians above 300% FPL - 29341OH0100003-03

Last Plan Update Date Tue, 01 Feb 2022 00:00 GMT
Last Import Date Tue, 22 Oct 2024 06:47 GMT

Bronze Classic (Select) ($3 Drugs + $0 Virtual Care) Health Insurance Plan Variant 29341OH0100003-03 Attributes

Plan Attribute Value
AV Calculator Output Number 0.625665522
Begin Primary Care Cost-Sharing After Number Of Visits 0
Begin Primary Care Deductible Coinsurance After Number Of Copays 1
Business Year 2022
Child-Only Offering Allows Adult and Child-Only
Composite Rating Offered No
CSR Variation Type Limited Cost Sharing Plan Variation
Dental Only Plan No
Disease Management Programs Offered Asthma, Heart Disease, Depression, Diabetes, High Blood Pressure & High Cholesterol, Low Back Pain, Pain Management, Pregnancy, Weight Loss Programs
EHB Percent of Total Premium 1
First Tier Utilization 20%
Formulary ID OHF001
Formulary URL URL
HIOS Product ID 29341OH010
Import Date 2/1/2022 20:01
Limited Cost Sharing Plan Variation - Estimated Advanced Payment $0.00
Inpatient Copayment Maximum Days 0
HSA Eligible No
New/Existing Plan Existing
Notice Required for Pregnancy No
Is a Referral Required for Specialist? No
Issuer ID 29341
Issuer Marketplace Marketing Name Oscar Health Insurance
Market Coverage Individual
Medical Drug Deductibles Integrated Yes
Medical Drug Maximum Out of Pocket Integrated Yes
Metal Level Expanded Bronze
Multiple In Network Tiers Yes
National Network No
Network ID OHN001
Out of Country Coverage Yes
Out of Country Coverage Description Emergency Services only
Out of Service Area Coverage Yes
Out of Service Area Coverage Description Emergency and Urgent Services only
Plan Brochure URL
Plan Effective Date 1/1/2022
Plan Expiration Date 12/31/2022
Plan ID (Standard Component ID with Variant) 29341OH0100003-03
Plan Marketing Name Bronze Classic (Select)
Plan Type HMO
Plan Variant Marketing Name Bronze Classic (Select) ($3 Drugs + $0 Virtual Care)
QHP/Non QHP Both
SBC Scenario, Having a Baby, Coinsurance $1,200
SBC Scenario, Having a Baby, Copayment $0
SBC Scenario, Having a Baby, Deductible $7,500
SBC Scenario, Having a Baby, Limit $50
SBC Scenario, Having Diabetes, Coinsurance $0
SBC Scenario, Having Diabetes, Copayment $80
SBC Scenario, Having Diabetes, Deductible $5,100
SBC Scenario, Having Diabetes, Limit $20
SBC Scenario, Treatment of a Simple Fracture, Coinsurance $0
SBC Scenario, Treatment of a Simple Fracture, Copayment $0
SBC Scenario, Treatment of a Simple Fracture, Deductible $2,800
SBC Scenario, Treatment of a Simple Fracture, Limit $0
Second Tier Utilization 80%
Service Area ID OHS001
Source Name SERFF
Plan ID 29341OH0100003
State Code OH
Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Combined In/Out Network, Family Per Group per group not applicable
Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Combined In/Out Network, Family Per Person per person not applicable
Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Combined In/Out Network, Individual Not Applicable
Combined Medical and Drug EHB Deductible, Combined In/Out of Network, Family Per Group per group not applicable
Combined Medical and Drug EHB Deductible, Combined In/Out of Network, Family Per Person per person not applicable
Combined Medical and Drug EHB Deductible, Combined In/Out of Network, Individual Not Applicable
Combined Medical and Drug EHB Deductible, In Network (Tier 1), Default Coinsurance 50.00%
Combined Medical and Drug EHB Deductible, In Network (Tier 1), Family Per Group $15000 per group
Combined Medical and Drug EHB Deductible, In Network (Tier 1), Family Per Person $7500 per person
Combined Medical and Drug EHB Deductible, In Network (Tier 1), Individual $7,500
Combined Medical and Drug EHB Deductible, In Network (Tier 2), Default Coinsurance 50.00%
Combined Medical and Drug EHB Deductible, In Network (Tier 2), Family Per Group $15000 per group
Combined Medical and Drug EHB Deductible, In Network (Tier 2), Family Per Person $7500 per person
Combined Medical and Drug EHB Deductible, In Network (Tier 2), Individual $7,500
Combined Medical and Drug EHB Deductible, Out of Network, Family Per Group per group not applicable
Combined Medical and Drug EHB Deductible, Out of Network, Family Per Person per person not applicable
Combined Medical and Drug EHB Deductible, Out of Network, Individual Not Applicable
Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), In Network (Tier 1), Family Per Group $17400 per group
Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), In Network (Tier 1), Family Per Person $8700 per person
Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), In Network (Tier 1), Individual $8,700
Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), In Network (Tier 2), Family Per Group $17400 per group
Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), In Network (Tier 2), Family Per Person $8700 per person
Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), In Network (Tier 2), Individual $8,700
Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Out of Network, Family Per Group per group not applicable
Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Out of Network, Family Per Person per person not applicable
Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Out of Network, Individual Not Applicable
Unique Plan Design No
URL for Enrollment Payment URL
URL for Summary of Benefits & Coverage URL
Wellness Program Offered No

Copay & Coinsurance of Bronze Classic (Select) Health Insurance Plan, 29341OH0100003

Drug Tier Pharmacy Type Copay amount Copay option Coinsurance rate Coinsurance option Mail Order

Frequently Asked Questions(FAQ) about Bronze Classic (Select), 29341OH0100003 Health Insurance Plan, 29341OH0100003

  • Does Bronze Classic (Select) Health Insurance Plan, 29341OH0100003 support Mail Ordering?

    Unfortunately, this health insurance plan does not support mail ordering or the plan data in not available.

  • Does (29341OH0100003) Health Insurance Plan, Variant (29341OH0100003-03) offer Disease Management Programs?

    Yes, and here is the list of available programs: Asthma, Heart Disease, Depression, Diabetes, High Blood Pressure & High Cholesterol, Low Back Pain, Pain Management, Pregnancy, Weight Loss Programs

    Does (29341OH0100003) Health Insurance Plan, Variant (29341OH0100003-03) have Out Of Country Coverage?

    Yes. Details: Emergency Services only

    Does (29341OH0100003) Health Insurance Plan, Variant (29341OH0100003-03) have Out of Service Area Coverage?

    Yes. Details: Emergency and Urgent Services only

    Does (29341OH0100003) Health Insurance Plan, Variant (29341OH0100003-03) offer Disease Management Programs?

    Yes, and here is the list of available programs: Asthma, Heart Disease, Depression, Diabetes, High Blood Pressure & High Cholesterol, Low Back Pain, Pain Management, Pregnancy, Weight Loss Programs

    Does Bronze Classic (Select) ($3 Drugs + $0 Virtual Care) Health Insurance Plan, Variant (29341OH0100003-03) offer Disease Management Programs for Asthma?

    Yes, the Bronze Classic (Select) ($3 Drugs + $0 Virtual Care) Health Insurance Plan Variant 29341OH0100003-03 offers Disease Management Program for Asthma.

    Does Bronze Classic (Select) ($3 Drugs + $0 Virtual Care) Health Insurance Plan, Variant (29341OH0100003-03) offer Disease Management Programs for Heart disease?

    Yes, the Bronze Classic (Select) ($3 Drugs + $0 Virtual Care) Health Insurance Plan Variant 29341OH0100003-03 offers Disease Management Program for Heart disease.

    Does Bronze Classic (Select) ($3 Drugs + $0 Virtual Care) Health Insurance Plan, Variant (29341OH0100003-03) offer Disease Management Programs for Depression?

    Yes, the Bronze Classic (Select) ($3 Drugs + $0 Virtual Care) Health Insurance Plan Variant 29341OH0100003-03 offers Disease Management Program for Depression.

    Does Bronze Classic (Select) ($3 Drugs + $0 Virtual Care) Health Insurance Plan, Variant (29341OH0100003-03) offer Disease Management Programs for Diabetes?

    Yes, the Bronze Classic (Select) ($3 Drugs + $0 Virtual Care) Health Insurance Plan Variant 29341OH0100003-03 offers Disease Management Program for Diabetes.

    Does Bronze Classic (Select) ($3 Drugs + $0 Virtual Care) Health Insurance Plan, Variant (29341OH0100003-03) offer Disease Management Programs for High blood pressure & high cholesterol?

    Yes, the Bronze Classic (Select) ($3 Drugs + $0 Virtual Care) Health Insurance Plan Variant 29341OH0100003-03 offers Disease Management Program for High blood pressure & high cholesterol.

    Does Bronze Classic (Select) ($3 Drugs + $0 Virtual Care) Health Insurance Plan, Variant (29341OH0100003-03) offer Disease Management Programs for Low back pain?

    Yes, the Bronze Classic (Select) ($3 Drugs + $0 Virtual Care) Health Insurance Plan Variant 29341OH0100003-03 offers Disease Management Program for Low back pain.

    Does Bronze Classic (Select) ($3 Drugs + $0 Virtual Care) Health Insurance Plan, Variant (29341OH0100003-03) offer Disease Management Programs for Pregnancy?

    Yes, the Bronze Classic (Select) ($3 Drugs + $0 Virtual Care) Health Insurance Plan Variant 29341OH0100003-03 offers Disease Management Program for Pregnancy.

    Does Bronze Classic (Select) ($3 Drugs + $0 Virtual Care) Health Insurance Plan, Variant (29341OH0100003-03) offer Disease Management Programs for Weight loss programs?

    Yes, the Bronze Classic (Select) ($3 Drugs + $0 Virtual Care) Health Insurance Plan Variant 29341OH0100003-03 offers Disease Management Program for Weight loss programs.

 

Disclaimer: This is based on the import(Date: Tue, 22 Oct 2024 06:47 GMT) of the data from Healthcare Issuers listed by CMS. While we make every effort to ensure that data is accurate, you should assume all results are unvalidated. Source: CMS.gov, HealthPorta HEALTHCARE MRF API