2021 Individual and Family Health Insurance Plan Guidesa black carrot iconBridgespana black carrot iconBridgespan Silver Essential 4000 HMO

Utah Bridgespan Silver Essential 4000 HMO - HMO

This guide will help you better understand the Bridgespan Silver Essential 4000 HMO plan available in Utah.
Bridgespan
Plan Name
Bridgespan Silver Essential 4000 HMO
Metal Tier
Silver
HSA-Eligibility
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Type of Network
HMO
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Plan Details

Premium
Requires Quote
Out-of-pocket max
$8,550 per person / $17,100 per family
Deductible
$4,000 per person / $8,000 per family
Coinsurance
20%

Official documents

Summary of benefits and coverage

Plan brochure

Drug formulary

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