QUARTZ EASY COMPARE BRONZE (VISION) SELECT

Quartz Health Plan MN Corporation · 2027 plan year

Expanded BronzeHSA eligible
Ind. deductible
$8,000
Family deductible
$16,000
Ind. OOP max
$10,200
Family OOP max
$20,400

Compare with other Expanded Bronze plans in MN

Side by side: deductibles, out-of-pocket limits and copays.

More Quartz Health Plan MN Corporation plans in MN

Monthly premiums by age

Rating Area 1

AgeIndividualIndividual + tobacco
Under 15$405$405
21$455$501
30$517$568
40$582$640
50$813$894
60$1,235$1,359
64 and over$1,366$1,502

Live premium estimate

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Benefits & cost sharing

Primary Care

BenefitIn-network
Preventive Care/Screening/ImmunizationNo charge
Primary Care Visit to Treat an Injury or Illness$75.00

Specialist

BenefitIn-network
Specialist Visit$160.00

Hospital

BenefitIn-network
Emergency Room Services50.00% Coinsurance after deductible
Inpatient Hospital Services (e.g., Hospital Stay)50.00% Coinsurance after deductible
Outpatient Surgery Physician/Surgical Services50.00% Coinsurance after deductible
Urgent Care Centers or Facilities$120.00

Pharmacy

BenefitIn-network
Generic Drugs$25.00
Non-Preferred Brand Drugs50.00% Coinsurance after deductible
Preferred Brand Drugs50.00% Coinsurance after deductible
Specialty Drugs50.00% Coinsurance after deductible

Mental Health

BenefitIn-network
Mental/Behavioral Health Inpatient Services50.00% Coinsurance after deductible
Mental/Behavioral Health Outpatient Services$75.00

Other

BenefitIn-network
Abortion for Which Public Funding is Prohibited50.00% Coinsurance after deductible
Accidental Dental50.00% Coinsurance after deductible
Acupuncture50.00% Coinsurance after deductible
Allergy Testing50.00% Coinsurance after deductible
Chemotherapy50.00% Coinsurance after deductible
Chiropractic Care$75.00
Clinical Trials50.00% Coinsurance after deductible
Delivery and All Inpatient Services for Maternity Care50.00% Coinsurance after deductible
Diabetes Education50.00% Coinsurance after deductible
Dialysis50.00% Coinsurance after deductible
Durable Medical Equipment50.00%
Emergency Transportation/Ambulance50.00% Coinsurance after deductible
Eye Glasses for Children50.00%
Gender Affirming Care50.00% Coinsurance after deductible
Habilitation Services$80.00
Hearing Aids50.00%
Home Health Care Services50.00% Coinsurance after deductible
Hospice Services50.00% Coinsurance after deductible
Imaging (CT/PET Scans, MRIs)50.00% Coinsurance after deductible
Infusion Therapy50.00% Coinsurance after deductible
Inpatient Physician and Surgical Services50.00% Coinsurance after deductible
Laboratory Outpatient and Professional Services50.00% Coinsurance after deductible
Nutritional Counseling$75.00
Other Practitioner Office Visit (Nurse, Physician Assistant)$75.00
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)50.00% Coinsurance after deductible
Outpatient Rehabilitation Services$80.00
PANDAS/PANS50.00% Coinsurance after deductible
Prenatal and Postnatal CareNo charge
Prosthetic Devices50.00%
Radiation50.00% Coinsurance after deductible
Reconstructive Surgery50.00% Coinsurance after deductible
Rehabilitative Occupational and Rehabilitative Physical Therapy$80.00
Rehabilitative Speech Therapy$80.00
Routine Eye Exam (Adult)$75.00
Routine Eye Exam for Children$75.00
Routine Foot Care50.00% Coinsurance after deductible
Skilled Nursing Facility50.00% Coinsurance after deductible
Substance Abuse Disorder Inpatient Services50.00% Coinsurance after deductible
Substance Abuse Disorder Outpatient Services$75.00
Transplant50.00% Coinsurance after deductible
Treatment for Temporomandibular Joint Disorders50.00% Coinsurance after deductible
Virtual Visit$75.00
Well Baby Visits and CareNo charge
Wigs50.00% Coinsurance after deductible
X-rays and Diagnostic Imaging50.00% Coinsurance after deductible

Service area

This plan covers 4 geographic areas.

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