Anthem Silver Convenient Care X 5000 ($0 Virtual PCP + $0 Select Drugs + Incentives)
HMO Colorado, Inc., DBA HMO Nevada · 2027 plan year
Silver
- Ind. deductible
- $5,000
- Family deductible
- $10,000
- Ind. OOP max
- $9,000
- Family OOP max
- $18,000
Compare with other Silver plans in NV
Side by side: deductibles, out-of-pocket limits and copays.
Other cost-sharing reduction variants for this plan:
More HMO Colorado, Inc., DBA HMO Nevada plans in NV
Monthly premiums by age
Rating Area 1
| Age | Individual | Individual + tobacco |
|---|---|---|
| Under 15 | $338 | $338 |
| 21 | $442 | $464 |
| 30 | $502 | $577 |
| 40 | $565 | $706 |
| 50 | $790 | $1,106 |
| 60 | $1,200 | $1,788 |
| 64 and over | $1,326 | $1,976 |
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 | $5.00 |
Specialist
| Benefit | In-network |
|---|---|
| Specialist Visit | $85.00 |
Hospital
| Benefit | In-network |
|---|---|
| Emergency Room Services | 50.00% Coinsurance after deductible |
| Inpatient Hospital Services (e.g., Hospital Stay) | $950.00 Copay per Stay after deductible + 50.00% Coinsurance after deductible |
| Outpatient Surgery Physician/Surgical Services | 40.00% Coinsurance after deductible |
| Urgent Care Centers or Facilities | $50.00 |
Pharmacy
| Benefit | In-network |
|---|---|
| Specialty Drugs | 45.00% Coinsurance after deductible |
| Generic Drugs | $10.00 |
| Non-Preferred Brand Drugs | 40.00% Coinsurance after deductible |
| Preferred Brand Drugs | $45.00 |
Mental Health
| Benefit | In-network |
|---|---|
| Mental/Behavioral Health Inpatient Services | $950.00 Copay per Stay after deductible + 50.00% Coinsurance after deductible |
| Mental/Behavioral Health Outpatient Services | 40.00% Coinsurance after deductible |
Other
| Benefit | In-network |
|---|---|
| Chiropractic Care | 40.00% Coinsurance after deductible |
| Accidental Dental | 40.00% Coinsurance after deductible |
| Allergy Testing | 40.00% Coinsurance after deductible |
| Bariatric Surgery | $950.00 Copay after deductible + 50.00% Coinsurance after deductible |
| Chemotherapy | 40.00% Coinsurance after deductible |
| Delivery and All Inpatient Services for Maternity Care | $950.00 Copay after deductible + 50.00% Coinsurance after deductible |
| Diabetes Education | 40.00% Coinsurance after deductible |
| Dialysis | 40.00% Coinsurance after deductible |
| Durable Medical Equipment | 40.00% Coinsurance after deductible |
| Emergency Transportation/Ambulance | 40.00% Coinsurance after deductible |
| Eye Glasses for Children | No charge |
| Gender Affirming Care | 40.00% Coinsurance after deductible |
| Habilitation Services | 40.00% Coinsurance after deductible |
| Hearing Aids | 40.00% Coinsurance after deductible |
| Home Health Care Services | 40.00% Coinsurance after deductible |
| Hospice Services | 40.00% Coinsurance after deductible |
| Imaging (CT/PET Scans, MRIs) | 50.00% Coinsurance after deductible |
| Infertility Treatment | 40.00% Coinsurance after deductible |
| Infusion Therapy | 40.00% Coinsurance after deductible |
| Inpatient Physician and Surgical Services | 40.00% Coinsurance after deductible |
| Laboratory Outpatient and Professional Services | $25.00 |
| Nutritional Counseling | 40.00% Coinsurance after deductible |
| Other Practitioner Office Visit (Nurse, Physician Assistant) | $5.00 |
| Outpatient Facility Fee (e.g., Ambulatory Surgery Center) | 40.00% Coinsurance after deductible |
| Outpatient Rehabilitation Services | 40.00% Coinsurance after deductible |
| Prenatal and Postnatal Care | 40.00% Coinsurance after deductible |
| Private-Duty Nursing | 40.00% Coinsurance after deductible |
| Prosthetic Devices | 40.00% Coinsurance after deductible |
| Radiation | 40.00% Coinsurance after deductible |
| Reconstructive Surgery | $950.00 Copay after deductible + 50.00% Coinsurance after deductible |
| Rehabilitative Occupational and Rehabilitative Physical Therapy | 40.00% Coinsurance after deductible |
| Rehabilitative Speech Therapy | 40.00% Coinsurance after deductible |
| Routine Eye Exam for Children | No charge |
| Skilled Nursing Facility | $950.00 Copay per Stay after deductible + 50.00% Coinsurance after deductible |
| Substance Abuse Disorder Inpatient Services | $950.00 Copay per Stay after deductible + 50.00% Coinsurance after deductible |
| Substance Abuse Disorder Outpatient Services | 40.00% Coinsurance after deductible |
| Transplant | $950.00 Copay after deductible + 50.00% Coinsurance after deductible |
| Treatment for Temporomandibular Joint Disorders | 40.00% Coinsurance after deductible |
| Well Baby Visits and Care | No charge |
| X-rays and Diagnostic Imaging | 40.00% Coinsurance after deductible |
Service area
This plan covers 2 geographic areas.
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