Arise

Arise | ProHealth and Aurora 6850 Featuring the AboutHealth Network

  • ProHealth and Aurora 6850 Featuring the AboutHealth Network is an Obamacare health insurance plan offered by Arise that is available for individuals and families.

  • This plan is a POS, meaning you will require a primary care physician to manage your care like in an HMO, but you will have more flexibility than in an HMO to go out-of-network. (Learn more about POS plans.)

  • This plan is a Silver metal level plan, which generally has a mid-level monthly cost and deductible (and co-pay), and provides middle-of-the-road insurance coverage for people who occasionally use their health care benefits (doctors, prescription drugs, etc.).

  • Deductible amount of $6,850. A deductible is the amount of healthcare costs you will pay on your own each year before the insurance company.

  • Max out-of-pocket of $6,850, which is the most you will pay in a plan year outside of premiums, out-of-network providers and non-essential health benefits.


Ways to Enroll or Learn More

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Plan Summary

Monthly Cost

Plan Name:
ProHealth and Aurora 6850 Featuring the AboutHealth Network

Plan ID:
84670WI1270138

Plan Type:
POS

Deductible:
$6,850

Maximum Out-of-Pocket:
$6,850

Summary of Benefits:

Provider Information:

Who is this plan for?

This plan with a moderate monthly cost is great for individuals and families who occasionally visit the doctor or use prescription drugs. The very high deductible on this plan means you will pay a significant amount of money of pocket for medical care and prescriptions before your insurance kicks in. The very high out-of-pocket maximum on this plan means you could be faced with a very expensive medical bill if an emergency happens.

HealthCare.com is a privately-held internet start-up for healthcare consumers. We’re not the government website.

Highlights


Emergency Room:
$250

Retail Drugs:
$50

Generic Drugs:
No Charge

Overview


Plan Type:
POS

Metal Level:
Silver

Health Spending Account:
No

Primary Care Office Visit:
$30

Specialist Office Visit:
$60

Out of Network Coverage:
Yes

Out of Country Coverage:
Yes

Coverage Details

Preventive Care

Periodic Health Exam
In Network:
No Charge

Out of Network:
Not Covered
Well Baby Care
In Network:
No Charge

Out of Network:
Not Covered

Inpatient

Hospital Services
In Network:
No Charge after deductible

Out of Network:
30% Coinsurance after deductible
Physician Fee
In Network:
No Charge after deductible

Out of Network:
30% Coinsurance after deductible
Skilled Nursing Facility
In Network:
No Charge after deductible

Out of Network:
30% Coinsurance after deductible
Mental Health
In Network:
No Charge after deductible

Out of Network:
30% Coinsurance after deductible
Substance Abuse
In Network:
No Charge after deductible

Out of Network:
30% Coinsurance after deductible
Home Healthcare
In Network:
No Charge after deductible

Out of Network:
30% Coinsurance after deductible

Outpatient

Surgery
In Network:
No Charge after deductible

Out of Network:
30% Coinsurance after deductible
X-ray and Diagnostics
In Network:
No Charge

Out of Network:
30% Coinsurance after deductible
Labs
In Network:
No Charge

Out of Network:
30% Coinsurance after deductible
Facility Fee
In Network:
No Charge after deductible

Out of Network:
30% Coinsurance after deductible
Mental Health
In Network:
No Charge after deductible

Out of Network:
30% Coinsurance after deductible
Substance Abuse
In Network:
No Charge after deductible

Out of Network:
30% Coinsurance after deductible
Rehabilitation Services
In Network:
No Charge after deductible

Out of Network:
30% Coinsurance after deductible

Maternity/Pregnancy

Pre & Postnatal Care
In Network:
$30

Out of Network:
30% Coinsurance after deductible
Labor and Delivery Inpatient Services
In Network:
No Charge after deductible

Out of Network:
30% Coinsurance after deductible

Dental

Accidental Care
In Network:
No Charge after deductible

Out of Network:
30% Coinsurance after deductible

Vision

Eye Exam (Child)
In Network:
No Charge

Out of Network:
Not Covered
Glasses (Child)
In Network:
No Charge after deductible

Out of Network:
30% Coinsurance after deductible

Additional Coverage

Chiropractic Care
In Network:
$30

Out of Network:
30% Coinsurance after deductible
Habilitation Services
In Network:
No Charge after deductible

Out of Network:
30% Coinsurance after deductible
Rehabilitation Services (Speech)
In Network:
$30

Out of Network:
30% Coinsurance after deductible
Rehabilitation Services (Occupational Therapy)
In Network:
$30

Out of Network:
30% Coinsurance after deductible
Hospice Service
In Network:
No Charge after deductible

Out of Network:
30% Coinsurance after deductible
Diabetes Care Management
In Network:
No Charge after deductible

Out of Network:
30% Coinsurance after deductible
Durable Medical Equipment
In Network:
No Charge after deductible

Out of Network:
30% Coinsurance after deductible
Hearing Aids
In Network:
No Charge after deductible

Out of Network:
30% Coinsurance after deductible
Nutritional Consuleling
In Network:
No Charge

Out of Network:
Not Covered
Reconstructive Surgery
In Network:
No Charge after deductible

Out of Network:
30% Coinsurance after deductible

Doctor Visits

Primary Care Visit
In Network:
$30

Out of Network:
30% Coinsurance after deductible
Specialist Visit
In Network:
$60

Out of Network:
30% Coinsurance after deductible
Other Practitioner Office Visit
In Network:
$30

Out of Network:
30% Coinsurance after deductible
Preventative Care / Screening / Immunization
In Network:
No Charge

Out of Network:
Not Covered

Emergency Room and Urgent Care

Emergency Room Services
In Network:
$250

Out of Network:
$250
Urgent Care Services
In Network:
$250

Out of Network:
$250
Ambulance/Transportation Services
In Network:
No Charge after deductible

Out of Network:
30% Coinsurance after deductible

Drugs

Generic Prescription
In Network:
No Charge

Out of Network:
Not Covered
Retail Brand Drugs
In Network:
$50

Out of Network:
Not Covered
Non Retail Brand Drugs
In Network:
$75

Out of Network:
Not Covered
Specialty Drugs
In Network:
25%

Out of Network:
Not Covered
Drug Deductible
In Network:
Individual: No Charge Family: No Charge

Out of Network:
Individual: Not Applicable Family: Not Applicable

Additional Plan Information

Summary Of Benefits:

Provider Information:

HealthCare.com is a privately owned website, and monthly costs shown above are estimates only. Your monthly premium may change based on the data provided, outside fees, optional benefits or if other factors take effect before your coverage start date. Note that insurance companies reserve the right to change your premium rate and the policy terms at any time. Effective date, benefit amounts and other conditions may apply at the discretion of the insurance carrier you select. Depending on your state of residence, this website may not display all plans available by state. The Obamacare Tax Subsidy Calculator amounts are estimates only and the actual amount of subsidy eligibility may differ. Access to your physician depends on network selected, and networks can change without notice. Contact your health insurance company to confirm your healthcare provider is still available in the network you select.

Arise WPS Health Plan Rates shown are preliminary and subject to change. Final rates are always determined by the health insurance company or, if the policy is purchased through healthcare.gov, by the Health Insurance Marketplace. Please note: The rates shown are for your requested effective date. Your effective date is subject to approval by WPS Health Plan, Inc. (d/b/a Arise Health Plan). If the actual effective date of your policy is different from your requested effective date, the cost of your policy may differ from the rates above. This difference may be due to rate increases and/or one or more family members having a birthday between the requested effective date and the actual effective date.

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