Vantage Health Plan, Inc.*

Vantage Health Plan, Inc.* | Vantage Plus Individual Bronze

  • Vantage Plus Individual Bronze is an Obamacare health insurance plan offered by Vantage Health Plan, Inc.* 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 Bronze metal level plan, which generally has a lower monthly cost but higher annual deductible (and co-pay), and provides basic insurance coverage for people who do not spend regularly on health care (i.e., doctors, prescription drugs, etc.).

  • Deductible amount of Not Applicable. 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:
Vantage Plus Individual Bronze

Plan ID:
67243LA0090008

Plan Type:
POS

Deductible:
Not Applicable

Maximum Out-of-Pocket:
$6,850

Summary of Benefits:

Provider Information:

Who is this plan for?

This plan with a lower monthly cost is great for healthy individuals and families who rarely, if ever, visit the doctor or use prescription drugs. The low deductible on this plan means you won't have to pay as much money out 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


Dental Coverage:
Child Adult

Emergency Room:
60% Coinsurance after deductible

Retail Drugs:
60% Coinsurance after deductible

Generic Drugs:
60% Coinsurance after deductible

Overview


Plan Type:
POS

Metal Level:
Bronze

Health Spending Account:
No

Primary Care Office Visit:
$45

Specialist Office Visit:
$80

Out of Network Coverage:
Yes

Out of Country Coverage:
Yes

Coverage Details

Preventive Care

Periodic Health Exam
In Network:
No Charge

Out of Network:
No Charge after OOP Max is reached
Well Baby Care
In Network:
No Charge

Out of Network:
No Charge after OOP Max is reached

Inpatient

Hospital Services
In Network:
60% Coinsurance after deductible

Out of Network:
No Charge after OOP Max is reached
Physician Fee
In Network:
60% Coinsurance after deductible

Out of Network:
No Charge after OOP Max is reached
Skilled Nursing Facility
In Network:
60% Coinsurance after deductible

Out of Network:
No Charge after OOP Max is reached
Mental Health
In Network:
60% Coinsurance after deductible

Out of Network:
No Charge after OOP Max is reached
Substance Abuse
In Network:
60% Coinsurance after deductible

Out of Network:
No Charge after OOP Max is reached
Home Healthcare
In Network:
60% Coinsurance after deductible

Out of Network:
Not Applicable

Outpatient

Surgery
In Network:
60% Coinsurance after deductible

Out of Network:
No Charge after OOP Max is reached
X-ray and Diagnostics
In Network:
60% Coinsurance after deductible

Out of Network:
No Charge after OOP Max is reached
Labs
In Network:
60% Coinsurance after deductible

Out of Network:
No Charge after OOP Max is reached
Facility Fee
In Network:
60% Coinsurance after deductible

Out of Network:
No Charge after OOP Max is reached
Mental Health
In Network:
$80

Out of Network:
No Charge after OOP Max is reached
Substance Abuse
In Network:
$80

Out of Network:
No Charge after OOP Max is reached
Rehabilitation Services
In Network:
60% Coinsurance after deductible

Out of Network:
No Charge after OOP Max is reached

Maternity/Pregnancy

Pre & Postnatal Care
In Network:
$45

Out of Network:
No Charge after OOP Max is reached
Labor and Delivery Inpatient Services
In Network:
60% Coinsurance after deductible

Out of Network:
No Charge after OOP Max is reached

Dental

Accidental Care
In Network:
60% Coinsurance after deductible

Out of Network:
No Charge after OOP Max is reached
Basic Dental Care (Adult)
In Network:
50% Coinsurance after deductible

Out of Network:
50% Coinsurance after deductible
Basic Dental Care (Child)
In Network:
50% Coinsurance after deductible

Out of Network:
50% Coinsurance after deductible
Dental Checkup (Child)
In Network:
No Charge

Out of Network:
No Charge
Major Dental Care (Adult)
In Network:
50% Coinsurance after deductible

Out of Network:
50% Coinsurance after deductible
Major Dental Care (Child)
In Network:
50% Coinsurance after deductible

Out of Network:
50% Coinsurance after deductible
Orthodontia (Child)
In Network:
50% Coinsurance after deductible

Out of Network:
50% Coinsurance after deductible

Vision

Eye Exam (Child)
In Network:
$80

Out of Network:
No Charge after OOP Max is reached
Glasses (Child)
In Network:
50%

Out of Network:
No Charge after OOP Max is reached

Additional Coverage

Chiropractic Care
In Network:
$45

Out of Network:
No Charge after OOP Max is reached
Habilitation Services
In Network:
60% Coinsurance after deductible

Out of Network:
No Charge after OOP Max is reached
Rehabilitation Services (Speech)
In Network:
60% Coinsurance after deductible

Out of Network:
No Charge after OOP Max is reached
Rehabilitation Services (Occupational Therapy)
In Network:
60% Coinsurance after deductible

Out of Network:
No Charge after OOP Max is reached
Hospice Service
In Network:
60% Coinsurance after deductible

Out of Network:
Not Applicable
Diabetes Care Management
In Network:
$45

Out of Network:
No Charge after OOP Max is reached
Durable Medical Equipment
In Network:
$45

Out of Network:
No Charge after OOP Max is reached
Hearing Aids
In Network:
60% Coinsurance after deductible

Out of Network:
No Charge after OOP Max is reached
Nutritional Consuleling
In Network:
$45

Out of Network:
No Charge after OOP Max is reached
Reconstructive Surgery
In Network:
60% Coinsurance after deductible

Out of Network:
No Charge after OOP Max is reached
Outside US Non-emergency Care
In Network:
Not Applicable

Out of Network:
Not Applicable

Doctor Visits

Primary Care Visit
In Network:
$45

Out of Network:
No Charge after OOP Max is reached
Specialist Visit
In Network:
$80

Out of Network:
No Charge after OOP Max is reached
Other Practitioner Office Visit
In Network:
$45

Out of Network:
No Charge after OOP Max is reached
Preventative Care / Screening / Immunization
In Network:
No Charge

Out of Network:
No Charge after OOP Max is reached

Emergency Room and Urgent Care

Emergency Room Services
In Network:
60% Coinsurance after deductible

Out of Network:
60% Coinsurance after deductible
Urgent Care Services
In Network:
$80

Out of Network:
No Charge after OOP Max is reached
Ambulance/Transportation Services
In Network:
60% Coinsurance after deductible

Out of Network:
60% Coinsurance after deductible

Drugs

Generic Prescription
In Network:
60% Coinsurance after deductible

Out of Network:
Not Applicable
Retail Brand Drugs
In Network:
60% Coinsurance after deductible

Out of Network:
Not Applicable
Non Retail Brand Drugs
In Network:
60% Coinsurance after deductible

Out of Network:
Not Applicable
Specialty Drugs
In Network:
No Charge after deductible

Out of Network:
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.

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