桃子视频

2024 Bronze Plans

2024 Bronze Plans

Bronze Plans Overview

Once you understand the differences, it鈥檚 easier to find the best plan that fits you and your family. We want you to get all the coverage you need without paying for benefits you don鈥檛.

Bronze cheat sheet:

Bronze plans have the lowest premiums.
Bronze plans have higher out-of-pocket costs.
On average, the insurance company pays 60%. You pay 40%.
鈥淭he basic plan to have 鈥� just in case鈥�

CHOOSING THE PLAN THAT鈥橲 RIGHT FOR YOU

PREMIER PLANS 鈥� BROADEST NETWORK

Our Premier plans have the broadest network of high-quality Providers across Southeast Texas. A robust network of physicians and hospitals are commited to providing you a high standard of care.

SELECT PLANS 鈥� LIMITED NETWORK

桃子视频 offers Select Plans that have a smaller network of high-quality providers that allows us to pass the cost savings to the consumer in the form of lower premiums and out-of-pocket costs. These Select Plans provide a way to contain costs without sacrificing the quality of care our participating Providers give. The Select Plans are only available to Harris County residents.

View our Plan Brochure

All 桃子视频 plans come with:

Questions?

Our hours of operation
are 8 a.m. 鈥� 5 p.m.

Call Us:
Local: 713.295.6704
Toll-Free: 1.855.315.5386

Preventative Services

One of the largest Provider
and facilities network in
Southeast Texas

Low copay on many
generic drugs

Most primary care visits,
specialist visits, urgent care, and generic drugs are not subject to deductible

Free 24/7 telehealth

No referrals needed
for specialists

Which Bronze plan is right for you?

Premier Bronze
Plan 003
Premier Virtual
Bronze Plan 011
Select Bronze
Plan 016
Premier Bronze
Plan 018

PREMIER BRONZE PLAN 003

LOWEST PREMIUMS
HIGHER OUT-OF-POCKET COST FOR SERVICES

Plan Overview

Important Features of 2024 Premier Bronze 003 Plan:

Things to Keep in Mind:

The Advanced Premium Tax Credit can lower your monthly payment.聽If you鈥檙e eligible, you can apply it to any Bronze plan.

View Quick Reference Guide

Summary of Benefits
and Coverage

Off-Exchange 00

On-Exchange 01

Zero Cost-Sharing 02

Limited Cost-Sharing 03

View Premier Bronze Plan 003 Details

Medical Deductible (Individual)
$7,700
Maximum Out-of-Pocket (Individual)
$9,450
Primary Care Physician Office Visit
$40*
Specialist Office Visit
$70
Urgent Care Visit
$70*
Emergency Room Visit
40%

Inpatient Hospital Stay
40%
Prescription Drug Deductible
Combined with Medical Deductible
Generic
$16*
Preferred Brand
$70
Non-Preferred Brand
$120
Specialty High-Cost Drugs
45%

*Services are exempt from deductible where indicated (PCP/Specialist/Urgent Care/Generic Rx)

PREMIER VIRTUAL BRONZE PLAN 011

UNLIMITED FREE VIRTUAL VISITS
LOWEST PREMIUMS
HIGHER DEDUCTIBLES

Plan Overview

Important Features of 2024 Premier Virtual Bronze 11 Plan:

Things to Keep in Mind:

The Advanced Premium Tax Credit can lower your monthly payment.聽If you鈥檙e eligible, you can apply it to any Bronze plan.

View Quick Reference Guide

Summary of Benefits
and Coverage

Off-Exchange 00

On-Exchange 01

Zero Cost-Sharing 02

Limited Cost-Sharing 03

View 桃子视频 Premier Virtual Bronze 011 Details

Medical Deductible (Individual)
$9,450
Maximum Out-of-Pocket (Individual)
$9,450
Primary Care Physician Office Visit
*Tier 1 (Doctor On Demand): $0
Tier 2: No charge after deductible
Specialist Office Visit
No charge after deductible
Urgent Care Visit
No charge after deductible
Emergency Room Visits
No charge after deductible

Inpatient Hospital Stay
No charge after deductible
Prescription Drug Deductible
Combined with Medical Deductible
Generic
No charge after deductible
Preferred Brand
No charge after deductible
Non-Preferred Brand
No charge after deductible
Specialty High-Cost Drugs
No charge after deductible

* Services are exempt from deductible where indicated (PCP / Specialist / Urgent Care / Generic Rx)

SELECT BRONZE PLAN 016

LOWEST PREMIUMS
HIGHER OUT-OF-POCKET COST FOR SERVICES

Plan Overview

Important Features of 2024 Select Bronze 16 Plan:

Things to Keep in Mind:

The Advanced Premium Tax Credit can lower your monthly payment.聽If you鈥檙e eligible, you can apply it to any Bronze plan.

View Quick Reference Guide

Summary of Benefits
and Coverage

Off-Exchange 00

On-Exchange 01

Zero Cost-Sharing 02

Limited Cost-Sharing 03

View Select Bronze Plan 016 details

Medical Deductible (Individual)
$8,100
Maximum Out-of-Pocket (Individual)
$9,450
Primary Care Physician Office Visit
$35*
Specialist Office Visit
$90
Urgent Care Visit
$90*
Emergency Room Visits
50%

Inpatient Hospital Stay
50%
Prescription Drug Deductible
Combined with Medical Deductible
Generic
$30*
Preferred Brand
$60
Non-Preferred Brand
$130
Specialty High-Cost Drugs
50%

* Services are exempt from deductible where indicated (PCP / Specialist / Urgent Care / Generic Rx)

PREMIER BRONZE PLAN 018

LOWEST PREMIUMS
HIGHER DEDUCTIBLES

Plan Overview

Important Features of 2024 Premier Bronze 18 Plan:

Things to Keep in Mind:

The Advanced Premium Tax Credit can lower your monthly payment.聽If you鈥檙e eligible, you can apply it to any Bronze plan.

View Quick Reference Guide

Summary of Benefits
and Coverage

Off-Exchange 00

On-Exchange 01

Zero Cost-Sharing 02

Limited Cost-Sharing 03

View Premier Bronze 018 Details

Medical Deductible (Individual)
$7,500
Maximum Out-of-Pocket (Individual)
$9,400
Primary Care Physician Office Visit
$50*
Specialist Office Visit
$100*
Urgent Care Visit
$75*
Emergency Room Visits
50%

Inpatient Hospital Stay
50%
Prescription Drug Deductible
Combined with Medical Deductible
Generic
$25*
Preferred Brand
$50
Non-Preferred Brand
$100
Specialty High-Cost Drugs
$500

*Services are exempt from deductible where indicated (PCP/Specialist/Urgent Care/Generic Rx)

Local and Neighborly

What does it mean when we say we are local? It means that our service area is 20 counties in the Greater Houston and Beaumont areas. It means that our Providers and facilities are near to you. That鈥檚 why we partner with about 7,500 Providers across 20 counties in Southeast Texas, including doctors and clinics at integrated-care organizations. The doctors and facilities and specialists that you see in your times of need are nearby and neighborly.

Why Choose 桃子视频?

As a local nonprofit health plan, 桃子视频 gives you plenty of reasons to join our 桃子视频. From the benefits and special programs we offer to the way our Member Services team helps you make the most of them, 桃子视频 is always working life forward for you and your family.

鈥溙易邮悠� is always there to answer my questions and help me and my family with our medical needs. I truly appreciate and value their customer support and service.鈥�
鈥� Cecily
Member of 桃子视频