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Bronze Classic- $3000 Ded ($3 Drugs + $0 Virtual Care)

Field Data
Health Insurance Plan ID23552TN0020023
Health Insurance Plan Year2022
StateTennessee
Health Insurance IssuerOscar Insurance Company
Last Plan Update DateWed, 26 Oct 2022 00:00 GMT
Last Import DateFri, 24 Mar 2023 05:06 GMT
 
Available Variants of the Health Plan

23552TN0020023-00

23552TN0020023-01

23552TN0020023-02

23552TN0020023-03

Copay & Coinsurance of Bronze Classic- $3000 Ded ($3 Drugs + $0 Virtual Care) Health Insurance Plan, 23552TN0020023

Drug Tier Pharmacy Type Copay amount Copay option Coinsurance rate Coinsurance option Mail Order
Non preferred brand 1 month in retail $0 After deductible 50.0% After deductible YES
Non preferred brand 3 month in mail $0 After deductible 50.0% After deductible YES
Non preferred brand 3 month in retail $0 After deductible 50.0% After deductible YES
Non preferred generic 1 month in retail $30.0 Before deductible 0% Before deductible YES
Non preferred generic 3 month in mail $90.0 Before deductible 0% Before deductible YES
Non preferred generic 3 month in retail $90.0 Before deductible 0% Before deductible YES
Non preferred specialty drugs 1 month in retail $0 After deductible 50.0% After deductible NO
Preferred brand 1 month in retail $250.0 After deductible 0% After deductible YES
Preferred brand 3 month in mail $750.0 After deductible 0% After deductible YES
Preferred brand 3 month in retail $750.0 After deductible 0% After deductible YES
Preferred generic 1 month in retail $3.0 Before deductible 0% Before deductible YES
Preferred generic 3 month in mail $9.0 Before deductible 0% Before deductible YES
Preferred generic 3 month in retail $9.0 Before deductible 0% Before deductible YES
Specialty drugs 1 month in retail $0 After deductible 50.0% After deductible NO
Zero cost share preventive drugs 1 month in retail $0 Before deductible 0% Before deductible YES
Zero cost share preventive drugs 3 month in mail $0 Before deductible 0% Before deductible YES
Zero cost share preventive drugs 3 month in retail $0 Before deductible 0% Before deductible YES

Frequently Asked Questions(FAQ) about Bronze Classic- $3000 Ded ($3 Drugs + $0 Virtual Care), 23552TN0020023 Health Insurance Plan, 23552TN0020023

Does Bronze Classic- $3000 Ded ($3 Drugs + $0 Virtual Care) Health Insurance Plan, 23552TN0020023 support Mail Ordering?

Yes, Bronze Classic- $3000 Ded ($3 Drugs + $0 Virtual Care) Health Insurance Plan, 23552TN0020023 supports mail ordering for the next drug tiers: Non preferred brand, Non preferred generic, Preferred brand, Preferred generic, Zero cost share preventive drugs

What are the Generic Medications coinsurance & copay options with Bronze Classic- $3000 Ded ($3 Drugs + $0 Virtual Care) (23552TN0020023) Health Insurance Plan?

For non preferred generic drug tier copay (Before deductible) is $30.0 and coinsurance (Before deductible) is 0.0%, non preferred generic drug tier copay (Before deductible) is $90.0 and coinsurance (Before deductible) is 0.0%, non preferred generic drug tier copay (Before deductible) is $90.0 and coinsurance (Before deductible) is 0.0%, preferred generic drug tier copay (Before deductible) is $3.0 and coinsurance (Before deductible) is 0.0%, preferred generic drug tier copay (Before deductible) is $9.0 and coinsurance (Before deductible) is 0.0%, preferred generic drug tier copay (Before deductible) is $9.0 and coinsurance (Before deductible) is 0.0%

What are the copay and coinsurance options for Brand Drugs with Bronze Classic- $3000 Ded ($3 Drugs + $0 Virtual Care) Health Insurance Plan (23552TN0020023)?

For non preferred brand drug tier copay (After deductible) is $0.0 and coinsurance (After deductible) is 50.0%, non preferred brand drug tier copay (After deductible) is $0.0 and coinsurance (After deductible) is 50.0%, non preferred brand drug tier copay (After deductible) is $0.0 and coinsurance (After deductible) is 50.0%, preferred brand drug tier copay (After deductible) is $250.0 and coinsurance (After deductible) is 0.0%, preferred brand drug tier copay (After deductible) is $750.0 and coinsurance (After deductible) is 0.0%, preferred brand drug tier copay (After deductible) is $750.0 and coinsurance (After deductible) is 0.0%

What are the copay and coinsurance options for Brand Drugs with Bronze Classic- $3000 Ded ($3 Drugs + $0 Virtual Care) Health Insurance Plan (23552TN0020023)?

, non preferred brand drug tier copay (After deductible) is $0.0 and coinsurance (After deductible) is 50.0%, non preferred brand drug tier copay (After deductible) is $0.0 and coinsurance (After deductible) is 50.0%, non preferred brand drug tier copay (After deductible) is $0.0 and coinsurance (After deductible) is 50.0%, preferred brand drug tier copay (After deductible) is $250.0 and coinsurance (After deductible) is 0.0%, preferred brand drug tier copay (After deductible) is $750.0 and coinsurance (After deductible) is 0.0%, preferred brand drug tier copay (After deductible) is $750.0 and coinsurance (After deductible) is 0.0%

 

Disclaimer: This is based on the import(Date: Fri, 24 Mar 2023 05:06 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