Sold outside the marketplace. This plan is bought directly from the insurer, so it is not eligible for a premium tax credit. If your income qualifies you for savings, a marketplace plan at the same price will usually cost you less.

KP NV SENSIBLE Gold 2400

HOMETOWN HEALTH PLAN, INC. · 2027 plan year

Gold
Ind. deductible
$2,400
Family deductible
$4,800
Ind. OOP max
$4,800
Family OOP max
$9,600

More HOMETOWN HEALTH PLAN, INC. plans in NV

Monthly premiums by age

Rating Area 2

AgeIndividualIndividual + tobacco
Under 15$443$443
21$579$603
30$658$815
40$741$992
50$1,035$1,469
60$1,573$2,359
64 and over$1,738$2,607

Live premium estimate

$

Benefits & cost sharing

Primary Care

BenefitIn-network
Preventive Care/Screening/ImmunizationNo charge
Primary Care Visit to Treat an Injury or Illness$5.00

Specialist

BenefitIn-network
Specialist Visit$50.00

Hospital

BenefitIn-network
Urgent Care Centers or Facilities$50.00
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

Pharmacy

BenefitIn-network
Generic Drugs$5.00
Non-Preferred Brand Drugs50.00% Coinsurance after deductible
Preferred Brand Drugs$40.00
Specialty Drugs50.00% Coinsurance after deductible

Mental Health

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

Other

BenefitIn-network
Diabetes Education$50.00
Dialysis30.00% Coinsurance after deductible
Well Baby Visits and CareNo charge
Accidental Dental$100.00
Allergy Testing30.00% Coinsurance after deductible
Bariatric Surgery30.00% Coinsurance after deductible
Chemotherapy30.00% Coinsurance after deductible
Chiropractic Care$50.00
Delivery and All Inpatient Services for Maternity Care30.00% Coinsurance after deductible
Durable Medical Equipment30.00% Coinsurance after deductible
Emergency Transportation/Ambulance30.00% Coinsurance after deductible
Eye Glasses for ChildrenNo charge
Habilitation Services$50.00
Hearing Aids30.00% Coinsurance after deductible
Home Health Care Services$50.00
Hospice Respite ServiceNo charge
Imaging (CT/PET Scans, MRIs)30.00% Coinsurance after deductible
Infertility Treatment$50.00
Infusion Therapy30.00% Coinsurance after deductible
Inpatient Physician and Surgical Services30.00% Coinsurance after deductible
Laboratory Outpatient and Professional Services30.00% Coinsurance after deductible
Nutritional Counseling$50.00
Other Practitioner Office Visit (Nurse, Physician Assistant)$50.00
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)30.00% Coinsurance after deductible
Outpatient Rehabilitation Services$50.00
Prenatal and Postnatal CareNo charge
Private-Duty Nursing$50.00
Prosthetic Devices30.00% Coinsurance after deductible
Radiation30.00% Coinsurance after deductible
Reconstructive Surgery30.00% Coinsurance after deductible
Rehabilitative Occupational and Rehabilitative Physical Therapy$50.00
Rehabilitative Speech Therapy$50.00
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 Services30.00% Coinsurance after deductible
Transplant30.00% Coinsurance after deductible
Treatment for Temporomandibular Joint Disorders$50.00
X-rays and Diagnostic Imaging30.00% Coinsurance after deductible

Service area

This plan covers 1 geographic area.

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