Friday Colorado Option Gold - 63312CO0600016 Health Insurance Plan
Friday Health Plans health insurance plan with the Plan ID 63312CO0600016. The plan is called Friday Colorado Option Gold.
Based on the data of Health Plan Issuer, this plan has an actuarial value of 80.10% (the percentage of total average costs for covered benefits that a plan will cover). So, on average, you would be responsible for 19.90% of the costs of all covered benefits (according to the Issuer).
| Health Insurance Plan ID | 63312CO0600016 | ||||||||||||||||||
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| Health Insurance Plan Year | 2023 | ||||||||||||||||||
| State | Colorado | ||||||||||||||||||
| Health Insurance Issuer | Friday Health Plans | ||||||||||||||||||
| Health Insurance Plan Variant | 63312CO0600016-01 | ||||||||||||||||||
| Provider Network(s) | ['CON001'] | ||||||||||||||||||
| In Network Doctors
*The data available in our database based on Health Insurance Company Open Data (update: Tue, 07 May 2024 06:08 GMT). |
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| Available Variants of the Health Plan | Standard On Exchange Plan - 63312CO0600016-01 |
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| Last Plan Update Date | Mon, 23 Jan 2023 00:00 GMT | ||||||||||||||||||
| Last Import Date | Tue, 07 May 2024 06:08 GMT |
FRIDAY Colorado Option Gold Health Insurance Plan Variant 63312CO0600016-01 Attributes
| Plan Attribute | Value |
|---|---|
| Business Year | 2023 |
| Child-Only Offering | Allows Adult and Child-Only |
| Composite Rating Offered | No |
| CSR Variation Type | Standard Gold On Exchange Plan |
| Dental Only Plan | No |
| Design Type | Not Applicable |
| Disease Management Programs Offered | Diabetes |
| EHB Percent of Total Premium | 100% |
| First Tier Utilization | 100% |
| Formulary ID | COF019 |
| HIOS Product ID | 63312CO060 |
| Import Date | 1/23/2023 |
| HSA Eligible | No |
| IsItANewPlan | New |
| Notice Required for Pregnancy | No |
| Is a Referral Required for Specialist? | No |
| Issuer Actuarial Value | 80.10% |
| Issuer ID | 63312 |
| Market Coverage | Individual |
| Medical Drug Deductibles Integrated | Yes |
| Medical Drug Maximum Out of Pocket Integrated | Yes |
| Metal Level | Gold |
| Multiple In Network Tiers | No |
| National Network | No |
| Network ID | CON001 |
| Out of Country Coverage | Yes |
| Out of Country Coverage Description | Urgent and Emergent Only |
| Out of Service Area Coverage | Yes |
| Out of Service Area Coverage Description | Urgent and Emergent Only |
| Plan Effective Date | 1/1/2023 |
| Plan Expiration Date | 12/31/2023 |
| Plan ID (Standard Component ID with Variant) | 63312CO0600016-01 |
| Plan Marketing Name | Friday Colorado Option Gold |
| Plan Type | HMO |
| Plan Variant Marketing Name | FRIDAY Colorado Option Gold |
| QHP/Non QHP | Both |
| SBC Scenario, Having a Baby, Coinsurance | $3,300 |
| SBC Scenario, Having a Baby, Copayment | $10 |
| SBC Scenario, Having a Baby, Deductible | $1,600 |
| SBC Scenario, Having a Baby, Limit | $60 |
| SBC Scenario, Having Diabetes, Coinsurance | $0 |
| SBC Scenario, Having Diabetes, Copayment | $3,400 |
| SBC Scenario, Having Diabetes, Deductible | $900 |
| SBC Scenario, Having Diabetes, Limit | $20 |
| SBC Scenario, Treatment of a Simple Fracture, Coinsurance | $300 |
| SBC Scenario, Treatment of a Simple Fracture, Copayment | $200 |
| SBC Scenario, Treatment of a Simple Fracture, Deductible | $1,600 |
| SBC Scenario, Treatment of a Simple Fracture, Limit | $0 |
| Service Area ID | COS001 |
| Source Name | SERFF |
| Plan ID | 63312CO0600016 |
| State Code | CO |
| Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Combined In/Out Network, Family | $7800 per person | $15600 per group |
| Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Combined In/Out Network, Individual | $7,800 |
| Combined Medical and Drug EHB Deductible, Combined In/Out of Network, Family | $1600 per person | $3200 per group |
| Combined Medical and Drug EHB Deductible, Combined In/Out of Network, Individual | $1,600 |
| Combined Medical and Drug EHB Deductible, In Network (Tier 1), Default Coinsurance | 30.00% |
| Combined Medical and Drug EHB Deductible, In Network (Tier 1), Family | $1600 per person | $3200 per group |
| Combined Medical and Drug EHB Deductible, In Network (Tier 1), Individual | $1,600 |
| TEHBDedOutofNetFamily | per person not applicable | per group 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 | $7800 per person | $15600 per group |
| Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), In Network (Tier 1), Individual | $7,800 |
| Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Out of Network, Family | per person not applicable | per group not applicable |
| Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Out of Network, Individual | Not Applicable |
| Unique Plan Design | Yes |
| Version Number | 1 |
| Wellness Program Offered | Yes |
Copay & Coinsurance of Friday Colorado Option Gold Health Insurance Plan, 63312CO0600016
| Drug Tier | Pharmacy Type | Copay amount | Copay option | Coinsurance rate | Coinsurance option | Mail Order |
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Frequently Asked Questions(FAQ) about Friday Colorado Option Gold, 63312CO0600016 Health Insurance Plan, 63312CO0600016
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Does Friday Colorado Option Gold Health Insurance Plan, 63312CO0600016 support Mail Ordering?
Unfortunately, this health insurance plan does not support mail ordering or the plan data in not available.
Does (63312CO0600016) Health Insurance Plan, Variant (63312CO0600016-01) offer Disease Management Programs?
Yes, and here is the list of available programs: Diabetes
Does (63312CO0600016) Health Insurance Plan, Variant (63312CO0600016-01) have Out Of Country Coverage?
Yes. Details: Urgent and Emergent Only
Does (63312CO0600016) Health Insurance Plan, Variant (63312CO0600016-01) have Out of Service Area Coverage?
Yes. Details: Urgent and Emergent Only
Does (63312CO0600016) Health Insurance Plan, Variant (63312CO0600016-01) offer Disease Management Programs?
Yes, and here is the list of available programs: Diabetes
Does FRIDAY Colorado Option Gold Health Insurance Plan, Variant (63312CO0600016-01) offer Disease Management Programs for Diabetes?
Yes, the FRIDAY Colorado Option Gold Health Insurance Plan Variant
63312CO0600016-01 offers Disease
Management Program for Diabetes.
Disclaimer: This is based on the import(Date: Tue, 07 May 2024 06:08 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