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Bronze Plans

We offer three levels of 2017 plans for individuals and families. Each plan gives members access to world-class care from the Memorial Hermann Health System and the Memorial Hermann Physician Network, in which nearly 4,000 doctors practice.

Our bronze plans offer the same core benefits with varying premium, coinsurance and copay costs, detailed in the chart below. Across the health insurance marketplace, most bronze plans cover approximately 60 percent of your health care costs, while you pay approximately 40 percent.

Details of our 2017 plans are listed below. Additional information is available via our Brochure.

For more information on our 2016 plans, click here.

 6550
H.S.A.
HMO
6850
HMO
Deductible$6,550$6,850
Family Deductible$13,100$13,700
Out-of-Pocket Maximum (Individual)$6,550$7,150
Out-of-Pocket Maximum (Family)$13,100$14,300
Member Coinsurance0%50%
PCPNo charge after deductible 50% coinsurance after deductible
SpecialistNo charge after deductible50% coinsurance after deductible
Telemedicine/Telehealth$40 applies to deductibleNo charge
Urgent CareNo charge after deductible50% coinsurance after deductible
Emergency RoomNo charge after deductible50% coinsurance after deductible
Hearing & Speech ExamsNo charge after deductible50% coinsurance after deductible
Independent & Outpatient Lab/PathologyNo charge after deductible50% coinsurance after deductible
Radiology/X-raysNo charge after deductible50% coinsurance after deductible
MRI/Scans/Nuclear MedicineNo charge after deductible50% coinsurance after deductible
Inpatient HospitalNo charge after deductible50% coinsurance after deductible
PT/OT/ChiroNo charge after deductible50% coinsurance after deductible
Retail Generic RxNo charge after deductible$4
Retail Brand RxNo charge after deductible50% coinsurance after deductible
Retail Non-Formulary Brand RxNo charge after deductible50% coinsurance after deductible
Retail Specialty RxNo charge after deductible50% coinsurance after deductible

*The following notice is required upon enrollment if selecting an HMO Consumer Choice Health Benefit Plan you have the option to choose this Consumer Choice of Benefits Health Maintenance Organization health care plan that, either in whole or in part, does not provide state-mandated health benefits normally required in evidences of coverage in Texas. This standard health benefit plan may provide a more affordable health plan for you although, at the same time, it may provide you with fewer health plan benefits than those normally included as state-mandated health benefits in Texas. If you choose this standard health benefit plan, please consult with your insurance agent to discover which state-mandated health benefits are excluded in this evidence of coverage.

Rates are valid from 1/1/2017 – 12/31/2017

HMO Service Area: Harris, Fort Bend and Montgomery counties.

For individuals, find the rate that matches your age for the plan you’re interested in.

For families, find the rate that matches the age for all members of your family and add them together. If you have more than three (3) children, only add the rate for the three (3) oldest up to age 26.


Silver Plans >