HMO Silver 6600

Aspirus Health Plan, Inc. · 2027 plan year

Silver

Ind. deductible: $1,000
Family deductible: $2,000
Ind. OOP max: $1,800
Family OOP max: $3,600

Other cost-sharing reduction variants for this plan:

73% AV Level Silver Plan 87% AV Level Silver Plan Limited Cost Sharing Plan Variation Standard Silver On Exchange Plan Zero Cost Sharing Plan Variation

More Aspirus Health Plan, Inc. plans in MN

HMO Gold 2000 Aspirus Health Plan Easy Compare Bronze Autograph Aspirus Health Plan Easy Compare Silver and Rx Copay Autograph Aspirus Health Plan Easy Compare Gold and Rx Copay Autograph HMO Gold 2700

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

Specialist

Benefit	In-network
Specialist Visit	$10.00

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	$5.00

Pharmacy

Benefit	In-network
Generic Drugs	No charge
Non-Preferred Brand Drugs	$50.00
Preferred Brand Drugs	$15.00
Specialty Drugs	$150.00

Mental Health

Benefit	In-network
Mental/Behavioral Health Inpatient Services	No Charge after deductible
Mental/Behavioral Health Outpatient Services	No charge

Other

Benefit	In-network
Abortion for Which Public Funding is Prohibited	No Charge after deductible
Accidental Dental	No Charge after deductible
Allergy Testing	No Charge after deductible
Chemotherapy	No Charge after deductible
Chiropractic Care	No charge
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
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
Other Practitioner Office Visit (Nurse, Physician Assistant)	No charge
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
Rehabilitative Speech Therapy	No charge
Routine Eye Exam for Children	No charge
Skilled Nursing Facility	No Charge after deductible
Substance Abuse Disorder Inpatient Services	No Charge after deductible
Substance Abuse Disorder Outpatient Services	No charge
Transplant	No Charge after deductible
Treatment for Temporomandibular Joint Disorders	No Charge after deductible
Virtual Care	$20.00
Well Baby Visits and Care	No charge
X-rays and Diagnostic Imaging	No Charge after deductible

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