
Vault Bronze
PHCS / Multiplan Network
Vault Bronze is a guaranteed issue plan with no health questions and no deductible, making it easy to enroll without worrying about your medical history. It uses the PHCS/Multiplan network and offers affordable copays for routine care, though annual visit and service limits apply. This plan works best for generally healthy individuals who want basic coverage for doctor visits, prescriptions, and occasional urgent needs.
Monthly premiums
- member_only
- $725.35/mo
- child
- $932.88/mo
- spouse
- $999.24/mo
- family
- $1,331.72/mo
Vault Bronze is a straightforward limited-benefit medical plan designed for people who want predictable costs for everyday healthcare without the burden of a deductible. The plan has no deductible, meaning your copays kick in from your very first covered visit. You pay $25 for primary care visits and $50 for specialist or urgent care visits, with telemedicine available at no cost. Preventive care — including annual wellness exams, immunizations, and a wide range of screenings — is covered at 100% with no cost to you. For prescription drugs, the plan includes tiered coverage: preventive generic medications are free, while other preferred drugs range from $15 or less up to $60 or more depending on the tier, with an individual monthly prescription benefit maximum of $250. The plan also covers basic lab work, radiology, and major imaging like CT and MRI scans in-office, each subject to a per-visit copay and annual limits. If you need hospital care, inpatient services are covered at 50% coinsurance and are limited to 5 days per year, while inpatient and outpatient surgeries are also subject to annual limits. It is important to understand what this plan does not cover. Maternity services beyond ACA-mandated preventive care, ambulance transport, durable medical equipment, physical therapy, chiropractic care, chemotherapy, dialysis, and most hospital-billed services are excluded. Emergency room visits are covered at 50% coinsurance but limited to 1 visit per year. Out-of-network care is generally not covered, so staying within the PHCS/Multiplan network is essential to getting your benefits. Vault Bronze is best suited for individuals who are in good health and mainly need coverage for routine doctor visits, preventive care, and basic prescriptions. Because of the annual limits on visits and services, this plan may not be sufficient for someone managing a chronic condition or expecting significant medical needs throughout the year. There are no health questions to answer and no waiting period to begin coverage, making it highly accessible for those who need to enroll quickly.
Plan details
- Deductible (Individual)
- $0
- Deductible (Family)
- $0
- Coinsurance (In-Network)
- 50%
- Primary Care Copay
- $25
- Specialist Copay
- $50
- Urgent Care Copay
- $50
Benefits
Deductible
$0 / $0
Copay
$25 / $50 / $50
PCP / Specialist / Urgent Care
Coinsurance
50% after deductible
Doctor Visits
8 combined/yr
PCP + Specialist + Outpatient MH
Rx Coverage
$0 / ≤$15 / ≤$30 / ≤$40
T1 Preventive / T2 Generic / T3 Preferred / T4 Non-Preferred
Hospitalization
5 days/yr
Surgeries
2 inpatient / 1 outpatient per yr
ER
1 visit/yr
Copay included in hospitalization
Urgent Care
2 visits/yr
Plan documents
Available in
- AK
- AL
- AR
- AZ
- CA
- CO
- CT
- DC
- DE
- FL
- GA
- HI
- IA
- ID
- IL
- IN
- KS
- KY
- LA
- MA
- MD
- ME
- MI
- MN
- MO
- MS
- MT
- NC
- ND
- NE
- NH
- NJ
- NM
- NV
- NY
- OH
- OK
- OR
- PA
- RI
- SC
- SD
- TN
- TX
- UT
- VA
- VT
- WI
- WV
- WY
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