MyHPN Silver 11

Health Plan of Nevada, Inc. · 2027 plan year

Silver
Ind. deductible
$5,150
Family deductible
$10,300
Ind. OOP max
$9,050
Family OOP max
$18,100

More Health Plan of Nevada, Inc. plans in NV

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 IllnessNo charge

Specialist

BenefitIn-network
Specialist Visit$40.00

Hospital

BenefitIn-network
Emergency Room Services$750.00 Copay with deductible
Inpatient Hospital Services (e.g., Hospital Stay)40.00% Coinsurance after deductible
Outpatient Surgery Physician/Surgical Services40.00% Coinsurance after deductible
Urgent Care Centers or Facilities$50.00

Pharmacy

BenefitIn-network
Generic Drugs$25.00
Non-Preferred Brand Drugs40.00% Coinsurance after deductible
Preferred Brand Drugs$75.00
Prescription Drugs Other50.00% Coinsurance after deductible
Specialty Drugs50.00% Coinsurance after deductible

Mental Health

BenefitIn-network
Mental/Behavioral Health Inpatient Services40.00% Coinsurance after deductible
Mental/Behavioral Health Outpatient ServicesNo charge

Other

BenefitIn-network
Accidental Dental40.00% Coinsurance after deductible
Allergy Testing40.00% Coinsurance after deductible
Bariatric Surgery40.00% Coinsurance after deductible
Chemotherapy40.00% Coinsurance after deductible
Chiropractic CareNo charge
Clinical TrialsNo charge
Delivery and All Inpatient Services for Maternity Care40.00% Coinsurance after deductible
Diabetes Care ManagementNo charge
Diabetes EducationNo charge
Diagnostic Breast Cancer ImagingNo charge
Dialysis40.00% Coinsurance after deductible
Durable Medical Equipment$150.00 + 50.00%
Emergency Transportation/Ambulance$750.00 Copay after deductible
Eye Glasses for ChildrenNo charge
Gender Affirming CareNo charge
Habilitation Services40.00% Coinsurance after deductible
Hearing Aids$150.00 + 50.00%
Home Health Care ServicesNo charge
Hospice Services40.00% Coinsurance after deductible
Imaging (CT/PET Scans, MRIs)40.00% Coinsurance after deductible
Infertility Treatment$40.00
Infusion Therapy40.00% Coinsurance after deductible
Inherited Metabolic Disorder - PKUNo charge
Inpatient Physician and Surgical Services40.00% Coinsurance after deductible
Laboratory Outpatient and Professional Services$25.00
Nutritional CounselingNo charge
Other Practitioner Office Visit (Nurse, Physician Assistant)No charge
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)40.00% Coinsurance after deductible
Outpatient Rehabilitation Services40.00% Coinsurance after deductible
Prenatal and Postnatal CareNo charge
Private-Duty NursingNo charge
Prosthetic Devices$500.00
Radiation40.00% Coinsurance after deductible
Reconstructive Surgery40.00% Coinsurance after deductible
Rehabilitative Occupational and Rehabilitative Physical Therapy40.00% Coinsurance after deductible
Rehabilitative Speech Therapy40.00% Coinsurance after deductible
Routine Eye Exam for ChildrenNo charge
Skilled Nursing Facility40.00% Coinsurance after deductible
Substance Abuse Disorder Inpatient Services40.00% Coinsurance after deductible
Substance Abuse Disorder Outpatient ServicesNo charge
Transplant40.00% 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 Imaging40.00% Coinsurance after deductible

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