Health Insurance
of 2025
- Guided search and comparison
- Learn what coverage is available for you
- Compare 13,000+ insurance plans and save
- Personalized results and recommendations
- Enroll through licenced agents
- Just 3 minutes to get a quote
Health Insurance Advantage Review
What’s Included with Health Insurance Advantage?
- Preventive care services
- Primary care
- Diagnostic test and imaging
- Outpatient Surgery
- Immediate medical attention
- Prescription drugs
- Mental health, behavioural health, or substance abuse needs
- Hospital stay
- Child dental or eye care
- Pregnancy care
- Rehabilitation and habilitation services
Types of Health Insurance Plans
|
Businesses and Organizations |
Yes |
|
Individuals and Families |
Yes |
|
Short-Term Health Insurance |
Yes |
*Please check your provider if they offer the stated health insurance plans above
Plans Reviewed
Bronze Tier
- Overall deductibles: $5,000 per individual and $10,000 per family
- Other deductibles: $65 per child for pediatric dental service.
- No annual maximum limit on specific covered services
- Out-of-pocket limit: $6,500 per individual with pediatric dental fee of $350 per child and $700 for 2 or more children
- Requires a referral for a customer to see a specialist
- Other covered service: Chiropractic care
Silver Tier
- No overall annual limit on selected covered services
- Out-of-pocket limit: $6,500 per individual. Dental service is limited to $350 per child or $700 per 2 or more children
- Overall deductibles: $2,500 per individual and $5,000 per family. Does not apply to preventive care services.
- Do not require referral to visit a specialist
- Other covered service: Chiropractic care
Gold Tier
- Out-of-pocket limit: $6,500 per individual. Dental service is limited to $350 per child or $700 per 2 or more children
- No annual maximum limit on specific covered services
- Requires referral to see a specialist
- Overall deductibles: $250 per person and $500 per family
- Other deductibles: $65 per child for pediatric dental service
- Other covered service: Chiropractic care
Platinum Tier
- Overall deductibles: $0 for both individuals and families
- Out-of-pocket limit: $3,500 per individual. Pediatric dental service is limited to $350 per child and $700 for 2 or more children.
- No overall annual limit on specific covered services
- Other deductibles: $65 per child for pediatric dental service
- Requires referral to see a specialist
- Other covered service: Chiropractic care
How Much Does It Save You?
|
|
Bronze |
Silver |
Gold |
Platinum |
||||
|
Services Offered |
In-Network (Your Cost) |
Out-of-Network (Your Cost) |
In-Network (Your Cost) |
Out-of-Network (Your Cost) |
In-Network (Your Cost) |
Out-of-Network (Your Cost) |
In-Network (Your Cost) |
Out-of-Network (Your Cost) |
|
Diagnostic Test |
30% co-insurance after deductible |
Not covered |
30% co-insurance after deductible (no charge for lab work at certain participating labs) |
Not covered |
$75 co-pay per visit (no charge for lab work at certain participating labs) |
Not covered |
$75 co-pay per visit (no charge for lab work at certain participating labs) |
Not covered |
|
Imaging |
30% co-insurance after deductible |
Not covered |
$200 co-pay per visit after deductible |
Not covered |
$500 co-pay per visit |
Not covered |
$200 co-pay per visit |
Not covered |
|
Primary Care |
30% co-insurance after deductible |
Not covered |
Premier One Physicians: $15 co-pay per visit AvMed Physicians: $30 co-pay per visit |
Not covered |
$30 co-pay per visit |
Not covered |
$10 co-pay per visit |
Not covered |
|
Preventive Care Service |
None |
Not covered |
None |
Not covered |
None |
Not covered |
None |
Not covered |
|
Generic Drugs |
30% co-insurance after deductible (retail and mail order) |
Not covered |
Retail: $10 co-pay per prescription Mail order: $25 co-pay per prescription |
Not covered |
Value Generics: $20 co-pay per prescription (retail) $50 co-pay per prescription (mail order) Other Generics: $30 co-pay per prescription (retail) $75 co-pay per prescription (mail order) |
Not covered |
Value Generics: $3 co-pay per prescription (retail) $7.50 co-pay per prescription (mail order) Other Generics: $9 co-pay per prescription (retail) $22.50 co-pay per prescription (mail order) |
Not covered |
|
Specialty Drugs |
30% co-insurance after deductible (for retail only) |
Not covered |
50% co-insurance after deductible (for retail only) |
Not covered |
50% co-insurance (for retail only) |
Not covered |
50% co-insurance (for retail only) |
Not covered |
|
Urgent Care |
30% co-insurance after deductible |
30% co-insurance after deductible |
Urgent care facility: $75 co-pay per visit after deductible Retail clinic: $30 co-pay per visit after deductible
|
Urgent care facility and retail clinic: $75co-pay per visit after deductible |
Urgent care: $75 co-pay per visit Retail clinic: $30 co-pay per visit |
Urgent care: $75 co-pay per visit Retail clinic: $30 co-pay per visit |
Urgent care: $50 co-pay per visit Retail clinic: $10 co-pay per visit |
Urgent care: $50 co-pay per visit Retail clinic: $10 co-pay per visit |
|
Emergency Room Services |
30% co-insurance after deductible |
30% co-insurance after deductible |
30% co-insurance after deductible |
30% co-insurance after deductible |
$500 co-pay per visit |
$500 co-pay per visit |
$375 co-pay per visit |
$375 co-pay per visit |
|
Emergency Medical Transportation |
30% co-insurance after deductible |
30% co-insurance after deductible |
30% co-insurance after deductible |
30% co-insurance after deductible |
$150 co-pay per one way transport |
$150 co-pay per one way transport |
$150 co-pay per one way transport |
$150 co-pay per one way transport |
|
Hospital Stay |
30% co-insurance after deductible |
Not covered |
30% co-insurance after deductible |
Not covered |
Facility fee: $750 co-pay per day for the first 3 days Physician/ surgeon fee: None |
Not covered |
Facility fee: $450 co-pay per day for the first 3 days Physician/ surgeon fee: None |
Not covered |
|
Prenatal and Postnatal Care |
30% co-insurance after deductible |
Not covered |
$15 co-pay per 1st visit only |
Not covered |
$30 co-pay per 1st visit only |
Not covered |
$10 co-pay per 1st visit only |
Not covered |
|
Mental/Behavioral Health Outpatient Services |
30% co-insurance after deductible |
Not covered |
$30 co-pay per visit |
Not covered |
$30 co-pay per visit |
Not covered |
$10 co-pay per visit |
Not covered |
|
Mental/Behavioral Health Inpatient Services |
30% co-insurance after deductible |
Not covered |
30% co-insurance after deductible |
Not covered |
$750 co-pay per day for the first 3 days |
Not covered |
$450 co-pay per day for the first 3 days |
Not covered |
|
Substance Use Disorder Outpatient Services |
30% co-insurance after deductible |
Not covered |
$30 co-pay per visit |
Not covered |
$30 co-pay per visit |
Not covered |
$10 co-pay per visit |
Not covered |
|
Substance Use Disorder Inpatient Services |
30% co-insurance after deductible |
Not covered |
30% co-insurance after deductible |
Not covered |
$750 co-pay per day for the first 3 days |
Not covered |
$450 co-pay per day for the first 3 days |
Not covered |
|
Habilitation and Rehabilitation Service |
30% co-insurance after deductible |
Not covered |
30% co-insurance after deductible |
Not covered |
$60 co-pay per visit |
Not covered |
$20 co-pay per visit |
Not covered |
|
Outpatient Surgery |
30% co-insurance after deductible |
Not covered |
30% co-insurance after deductible |
Not covered |
Facility fee: $700 co-pay per visit Physician/ surgeon fees: None |
Not covered |
Facility fee: $350 co-pay per visit Physician/ surgeon fees: None |
Not covered |
Annual Maximum
|
Bronze |
None |
|
Silver |
None |
|
Gold |
None |
|
Platinum |
None |
Summary
Health Insurance Advantage is a great source for low-cost health plans from known health insurance providers. Simple online application, quick quote comparisons and fast approval processing makes Health Insurance Advantage a must visit for health insurance shoppers.
Our Comments Policy | How to Write an Effective Comment
- Guided search and comparison
- Learn what coverage is available for you
- Compare 13,000+ insurance plans and save
- Personalized results and recommendations
- Enroll through licenced agents
- Just 3 minutes to get a quote