KP Colorado Option Bronze - 21032CO1040003 Health Insurance Plan

Kaiser Foundation Health Plan of Colorado health insurance plan with the Plan ID 21032CO1040003. The plan is called KP Colorado Option Bronze.

Based on the data of Health Plan Issuer, this plan has an actuarial value of 63.79% (the percentage of total average costs for covered benefits that a plan will cover). So, on average, you would be responsible for 36.21% of the costs of all covered benefits (according to the Issuer).

Health Insurance Plan ID 21032CO1040003
Health Insurance Plan Year 2024
State Colorado
Health Insurance Issuer Kaiser Foundation Health Plan of Colorado
Health Insurance Plan Variant 21032CO1040003-01
Provider Network(s) ['CON005']
In Network Doctors

*The data available in our database based on Health Insurance Company Open Data (update: Tue, 17 Dec 2024 06:12 GMT).

Providers Colorado All US States
All N/A N/A
PCP N/A N/A
Allergy N/A N/A
OB/GYN N/A N/A
Dentists N/A N/A
Available Variants of the Health Plan

Standard On Exchange Plan - 21032CO1040003-01

Open to Indians below 300% FPL - 21032CO1040003-02

Open to Indians above 300% FPL - 21032CO1040003-03

Last Plan Update Date Fri, 31 May 2024 00:00 GMT
Last Import Date Tue, 17 Dec 2024 06:12 GMT

KP Colorado Option Bronze Health Insurance Plan Variant 21032CO1040003-01 Attributes

Plan Attribute Value
Begin Primary Care Cost-Sharing After Number Of Visits 3
Business Year 2024
Child-Only Offering Allows Adult and Child-Only
Composite Rating Offered No
CSR Variation Type Standard Bronze On Exchange Plan
Dental Only Plan No
Design Type Not Applicable
Disease Management Programs Offered High Blood Pressure & High Cholesterol, Diabetes, Asthma
EHB Percent of Total Premium 99%
First Tier Utilization 100%
Formulary ID COF015
HIOS Product ID 21032CO104
Import Date 5/31/2024
HSA Eligible No
IsItANewPlan Existing
Notice Required for Pregnancy No
Is a Referral Required for Specialist? No
Issuer Actuarial Value 63.79%
Issuer ID 21032
Market Coverage Individual
Medical Drug Deductibles Integrated Yes
Medical Drug Maximum Out of Pocket Integrated Yes
Metal Level Expanded Bronze
Multiple In Network Tiers No
National Network No
Network ID CON005
Out of Country Coverage Yes
Out of Country Coverage Description Emergency Services
Out of Service Area Coverage Yes
Out of Service Area Coverage Description Emergency Services
Plan Effective Date 1/1/2024
Plan Expiration Date 12/31/2024
Plan ID (Standard Component ID with Variant) 21032CO1040003-01
Plan Level Exclusions Refer to EOC
Plan Marketing Name KP Colorado Option Bronze
Plan Type HMO
Plan Variant Marketing Name KP Colorado Option Bronze
QHP/Non QHP Both
SBC Scenario, Having a Baby, Coinsurance $1,100
SBC Scenario, Having a Baby, Copayment $10
SBC Scenario, Having a Baby, Deductible $7,500
SBC Scenario, Having a Baby, Limit $60
SBC Scenario, Having Diabetes, Coinsurance $0
SBC Scenario, Having Diabetes, Copayment $2,800
SBC Scenario, Having Diabetes, Deductible $400
SBC Scenario, Having Diabetes, Limit $0
SBC Scenario, Treatment of a Simple Fracture, Coinsurance $0
SBC Scenario, Treatment of a Simple Fracture, Copayment $10
SBC Scenario, Treatment of a Simple Fracture, Deductible $2,800
SBC Scenario, Treatment of a Simple Fracture, Limit $0
Service Area ID COS003
Source Name SERFF
Plan ID 21032CO1040003
State Code CO
Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Combined In/Out Network, Family per person not applicable | per group not applicable
Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Combined In/Out Network, Individual Not Applicable
Combined Medical and Drug EHB Deductible, Combined In/Out of Network, Family per person not applicable | per group not applicable
Combined Medical and Drug EHB Deductible, Combined In/Out of Network, Individual Not Applicable
Combined Medical and Drug EHB Deductible, In Network (Tier 1), Default Coinsurance 50.00%
Combined Medical and Drug EHB Deductible, In Network (Tier 1), Family $7500 per person | $15000 per group
Combined Medical and Drug EHB Deductible, In Network (Tier 1), Individual $7,500
TEHBDedOutofNetFamily per person not applicable | per group not applicable
Combined Medical and Drug EHB Deductible, Out of Network, Individual Not Applicable
Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), In Network (Tier 1), Family $9450 per person | $18900 per group
Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), In Network (Tier 1), Individual $9,450
Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Out of Network, Family per person not applicable | per group not applicable
Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Out of Network, Individual Not Applicable
Unique Plan Design Yes
Version Number 1
Wellness Program Offered No

Copay & Coinsurance of KP Colorado Option Bronze Health Insurance Plan, 21032CO1040003

Drug Tier Pharmacy Type Copay amount Copay option Coinsurance rate Coinsurance option Mail Order

Frequently Asked Questions(FAQ) about KP Colorado Option Bronze, 21032CO1040003 Health Insurance Plan, 21032CO1040003

  • Does KP Colorado Option Bronze Health Insurance Plan, 21032CO1040003 support Mail Ordering?

    Unfortunately, this health insurance plan does not support mail ordering or the plan data in not available.

  • Does (21032CO1040003) Health Insurance Plan, Variant (21032CO1040003-01) offer Disease Management Programs?

    Yes, and here is the list of available programs: High Blood Pressure & High Cholesterol, Diabetes, Asthma

    Does (21032CO1040003) Health Insurance Plan, Variant (21032CO1040003-01) have Out Of Country Coverage?

    Yes. Details: Emergency Services

    Does (21032CO1040003) Health Insurance Plan, Variant (21032CO1040003-01) have Out of Service Area Coverage?

    Yes. Details: Emergency Services

    Does (21032CO1040003) Health Insurance Plan, Variant (21032CO1040003-01) offer Disease Management Programs?

    Yes, and here is the list of available programs: High Blood Pressure & High Cholesterol, Diabetes, Asthma

    Does KP Colorado Option Bronze Health Insurance Plan, Variant (21032CO1040003-01) offer Disease Management Programs for Asthma?

    Yes, the KP Colorado Option Bronze Health Insurance Plan Variant 21032CO1040003-01 offers Disease Management Program for Asthma.

    Does KP Colorado Option Bronze Health Insurance Plan, Variant (21032CO1040003-01) offer Disease Management Programs for Diabetes?

    Yes, the KP Colorado Option Bronze Health Insurance Plan Variant 21032CO1040003-01 offers Disease Management Program for Diabetes.

    Does KP Colorado Option Bronze Health Insurance Plan, Variant (21032CO1040003-01) offer Disease Management Programs for High blood pressure & high cholesterol?

    Yes, the KP Colorado Option Bronze Health Insurance Plan Variant 21032CO1040003-01 offers Disease Management Program for High blood pressure & high cholesterol.

 

Disclaimer: This is based on the import(Date: Tue, 17 Dec 2024 06:12 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