Moda Select Idaho Bronze HDHP 8700
Moda Health Plan, Inc. · 2027 plan year
Expanded BronzeHSA eligible
- Ind. deductible
- $8,700
- Family deductible
- $17,400
- Ind. OOP max
- $8,700
- Family OOP max
- $17,400
Compare with other Expanded Bronze plans in ID
Side by side: deductibles, out-of-pocket limits and copays.
Other cost-sharing reduction variants for this plan:
More Moda Health Plan, Inc. plans in ID
Monthly premiums by age
Rating Area 3 — the lowest-priced of the 6 areas this plan covers. Premiums differ by area.
| Age | Individual | Individual + tobacco |
|---|---|---|
| Under 15 | $261 | $261 |
| 21 | $342 | $393 |
| 30 | $388 | $446 |
| 40 | $437 | $502 |
| 50 | $610 | $702 |
| 60 | $927 | $1,066 |
| 64 and over | $1,025 | $1,179 |
Live premium estimate
Benefits & cost sharing
Primary Care
| Benefit | In-network |
|---|---|
| Preventive Care/Screening/Immunization | No charge |
| Primary Care Visit to Treat an Injury or Illness | No Charge after deductible |
Specialist
| Benefit | In-network |
|---|---|
| Specialist Visit | No Charge after deductible |
Hospital
| Benefit | In-network |
|---|---|
| Emergency Room Services | No Charge after deductible |
| Inpatient Hospital Services (e.g., Hospital Stay) | No Charge after deductible |
| Outpatient Surgery Physician/Surgical Services | No Charge after deductible |
| Urgent Care Centers or Facilities | No Charge after deductible |
Pharmacy
| Benefit | In-network |
|---|---|
| Generic Drugs | No Charge after deductible |
| Non-Preferred Brand Drugs | No Charge after deductible |
| Preferred Brand Drugs | No Charge after deductible |
| Specialty Drugs | No Charge after deductible |
Mental Health
| Benefit | In-network |
|---|---|
| Mental/Behavioral Health Inpatient Services | No Charge after deductible |
| Mental/Behavioral Health Outpatient Services | No Charge after deductible |
Other
| Benefit | In-network |
|---|---|
| Accidental Dental | No Charge after deductible |
| Allergy Testing | No Charge after deductible |
| Chemotherapy | No Charge after deductible |
| Chiropractic Care | No Charge after deductible |
| Delivery and All Inpatient Services for Maternity Care | No Charge after deductible |
| Diabetes Education | No Charge after deductible |
| Dialysis | No Charge after deductible |
| Durable Medical Equipment | No Charge after deductible |
| Emergency Transportation/Ambulance | No Charge after deductible |
| Eye Glasses for Children | No charge |
| Habilitation Services | No Charge after deductible |
| Hearing Aids | No Charge after deductible |
| Home Health Care Services | No Charge after deductible |
| Hospice Services | No Charge after deductible |
| Imaging (CT/PET Scans, MRIs) | No Charge after deductible |
| Infusion Therapy | No Charge after deductible |
| Inpatient Physician and Surgical Services | No Charge after deductible |
| Laboratory Outpatient and Professional Services | No Charge after deductible |
| Nutritional Counseling | No Charge after deductible |
| Other Practitioner Office Visit (Nurse, Physician Assistant) | No Charge after deductible |
| Outpatient Facility Fee (e.g., Ambulatory Surgery Center) | No Charge after deductible |
| Outpatient Rehabilitation Services | No Charge after deductible |
| Prenatal and Postnatal Care | No Charge after deductible |
| Prosthetic Devices | No Charge after deductible |
| Radiation | No Charge after deductible |
| Reconstructive Surgery | No Charge after deductible |
| Rehabilitative Occupational and Rehabilitative Physical Therapy | No Charge after deductible |
| Rehabilitative Speech Therapy | No Charge after deductible |
| Routine Eye Exam (Adult) | No charge |
| Routine Eye Exam for Children | No charge |
| Routine Foot Care | No Charge after deductible |
| Skilled Nursing Facility | No Charge after deductible |
| Substance Abuse Disorder Inpatient Services | No Charge after deductible |
| Substance Abuse Disorder Outpatient Services | No Charge after deductible |
| Transplant | No Charge after deductible |
| Well Baby Visits and Care | No charge |
| X-rays and Diagnostic Imaging | No Charge after deductible |
Service area
This plan covers 33 geographic areas.
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