Battle Born State Plan MyHPN Gold 1.2

Health Plan of Nevada, Inc. · 2027 plan year

Gold
Ind. deductible
$1,450
Family deductible
$2,900
Ind. OOP max
$9,400
Family OOP max
$18,800

Compare with other Gold plans in NV

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

More Health Plan of Nevada, Inc. plans in NV

Monthly premiums by age

Rating Area 2

AgeIndividualIndividual + tobacco
Under 15$623$623
21$814$814
30$924$1,146
40$1,041$1,395
50$1,455$2,066
60$2,210$3,316
64 and over$2,443$3,665

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$20.00

Specialist

BenefitIn-network
Specialist Visit$40.00

Hospital

BenefitIn-network
Emergency Room Services30.00% Coinsurance after deductible
Inpatient Hospital Services (e.g., Hospital Stay)30.00% Coinsurance after deductible
Outpatient Surgery Physician/Surgical Services30.00% Coinsurance after deductible
Urgent Care Centers or Facilities$50.00

Pharmacy

BenefitIn-network
Generic Drugs$25.00
Non-Preferred Brand Drugs50.00% Coinsurance after deductible
Preferred Brand Drugs$65.00
Prescription Drugs Other50.00% Coinsurance after deductible
Specialty Drugs50.00% Coinsurance after deductible

Mental Health

BenefitIn-network
Mental/Behavioral Health Inpatient Services30.00% Coinsurance after deductible
Mental/Behavioral Health Outpatient Services$20.00

Other

BenefitIn-network
Accidental Dental30.00% Coinsurance after deductible
Allergy Testing30.00% Coinsurance after deductible
Bariatric Surgery30.00% Coinsurance after deductible
Chemotherapy30.00% Coinsurance after deductible
Chiropractic Care$20.00
Clinical Trials$20.00
Delivery and All Inpatient Services for Maternity Care30.00% Coinsurance after deductible
Diabetes Care Management$20.00
Diabetes Education$20.00
Diagnostic Breast Cancer ImagingNo charge
Dialysis30.00% Coinsurance after deductible
Durable Medical Equipment$100.00 + 50.00%
Emergency Transportation/Ambulance30.00% Coinsurance after deductible
Eye Glasses for ChildrenNo charge
Gender Affirming Care$20.00
Habilitation Services30.00% Coinsurance after deductible
Hearing Aids$100.00 + 50.00%
Home Health Care Services$20.00
Hospice Services30.00% Coinsurance after deductible
Imaging (CT/PET Scans, MRIs)30.00% Coinsurance after deductible
Infertility Treatment$40.00
Infusion Therapy30.00% Coinsurance after deductible
Inherited Metabolic Disorder - PKUNo charge
Inpatient Physician and Surgical Services30.00% Coinsurance after deductible
Laboratory Outpatient and Professional Services30.00% Coinsurance after deductible
Nutritional Counseling$20.00
Other Practitioner Office Visit (Nurse, Physician Assistant)$10.00
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)30.00% Coinsurance after deductible
Outpatient Rehabilitation Services30.00% Coinsurance after deductible
Prenatal and Postnatal Care$20.00
Private-Duty Nursing$20.00
Prosthetic Devices$100.00
Radiation30.00% Coinsurance after deductible
Reconstructive Surgery30.00% Coinsurance after deductible
Rehabilitative Occupational and Rehabilitative Physical Therapy30.00% Coinsurance after deductible
Rehabilitative Speech Therapy30.00% Coinsurance after deductible
Routine Eye Exam for ChildrenNo charge
Skilled Nursing Facility30.00% Coinsurance after deductible
Substance Abuse Disorder Inpatient Services30.00% Coinsurance after deductible
Substance Abuse Disorder Outpatient Services$20.00
Transplant30.00% Coinsurance after deductible
Treatment for Temporomandibular Joint Disorders50.00% Coinsurance after deductible
Virtual Visits/Now ClinicNo charge
Well Baby Visits and CareNo charge
X-rays and Diagnostic Imaging30.00% Coinsurance after deductible

Service area

This plan covers 1 geographic area.

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