| Field | Data |
|---|---|
| Health Insurance Plan ID | 23552TN0020014 |
| Health Insurance Plan Year | 2023 |
| State | Tennessee |
| Health Insurance Issuer | Oscar Insurance Company |
| Last Plan Update Date | Wed, 26 Oct 2022 00:00 GMT |
| Last Import Date | Fri, 24 Mar 2023 05:06 GMT |
| Available Variants of the Health Plan | |
| 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 | $25.0 | After deductible | 0% | After deductible | YES |
| Non preferred generic | 3 month in mail | $62.5 | After deductible | 0% | After deductible | YES |
| Non preferred generic | 3 month in retail | $75.0 | After deductible | 0% | After deductible | YES |
| Non preferred specialty drugs | 1 month in retail | $0 | After deductible | 50.0% | After deductible | NO |
| Preferred brand | 1 month in retail | $200.0 | After deductible | 0% | After deductible | YES |
| Preferred brand | 3 month in mail | $500.0 | After deductible | 0% | After deductible | YES |
| Preferred brand | 3 month in retail | $600.0 | After deductible | 0% | After deductible | YES |
| Preferred generic | 1 month in retail | $3.0 | After deductible | 0% | After deductible | YES |
| Preferred generic | 3 month in mail | $7.5 | After deductible | 0% | After deductible | YES |
| Preferred generic | 3 month in retail | $9.0 | After deductible | 0% | After 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 Simple- HSA, 23552TN0020014 Health Insurance Plan, 23552TN0020014
Does Bronze Simple- HSA Health Insurance Plan, 23552TN0020014 support Mail Ordering?
Yes, Bronze Simple- HSA Health Insurance
Plan, 23552TN0020014 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 Simple- HSA (23552TN0020014) Health Insurance Plan?
For non preferred generic drug tier copay (After deductible) is $25.0 and coinsurance (After deductible) is 0.0%, non preferred generic drug tier copay (After deductible) is $62.5 and coinsurance (After deductible) is 0.0%, non preferred generic drug tier copay (After deductible) is $75.0 and coinsurance (After deductible) is 0.0%, preferred generic drug tier copay (After deductible) is $3.0 and coinsurance (After deductible) is 0.0%, preferred generic drug tier copay (After deductible) is $7.5 and coinsurance (After deductible) is 0.0%, preferred generic drug tier copay (After deductible) is $9.0 and coinsurance (After deductible) is 0.0%
What are the copay and coinsurance options for Brand Drugs with Bronze Simple- HSA Health Insurance Plan (23552TN0020014)?
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 $200.0 and coinsurance (After deductible) is 0.0%, preferred brand drug tier copay (After deductible) is $500.0 and coinsurance (After deductible) is 0.0%, preferred brand drug tier copay (After deductible) is $600.0 and coinsurance (After deductible) is 0.0%
What are the copay and coinsurance options for Brand Drugs with Bronze Simple- HSA Health Insurance Plan (23552TN0020014)?
, 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 $200.0 and coinsurance (After deductible) is 0.0%, preferred brand drug tier copay (After deductible) is $500.0 and coinsurance (After deductible) is 0.0%, preferred brand drug tier copay (After deductible) is $600.0 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