KP NV Silver 5000
HOMETOWN HEALTH PLAN, INC. · 2027 plan year
Silver
- Ind. deductible
- $5,000
- Family deductible
- $10,000
- Ind. OOP max
- $10,000
- Family OOP max
- $20,000
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 HOMETOWN HEALTH PLAN, INC. plans in NV
Monthly premiums by age
Rating Area 2 — the lowest-priced of the 2 areas this plan covers. Premiums differ by area.
| Age | Individual | Individual + tobacco |
|---|---|---|
| Under 15 | $374 | $374 |
| 21 | $489 | $509 |
| 30 | $555 | $688 |
| 40 | $625 | $837 |
| 50 | $873 | $1,240 |
| 60 | $1,327 | $1,990 |
| 64 and over | $1,467 | $2,200 |
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 | $10.00 |
Specialist
| Benefit | In-network |
|---|---|
| Specialist Visit | $80.00 |
Hospital
| Benefit | In-network |
|---|---|
| Emergency Room Services | 50.00% Coinsurance after deductible |
| Inpatient Hospital Services (e.g., Hospital Stay) | 50.00% Coinsurance after deductible |
| Outpatient Surgery Physician/Surgical Services | 50.00% Coinsurance after deductible |
| Urgent Care Centers or Facilities | $50.00 |
Pharmacy
| Benefit | In-network |
|---|---|
| Generic Drugs | $13.00 |
| Non-Preferred Brand Drugs | 50.00% Coinsurance after deductible |
| Preferred Brand Drugs | $55.00 |
| Specialty Drugs | 50.00% Coinsurance after deductible |
Mental Health
| Benefit | In-network |
|---|---|
| Mental/Behavioral Health Inpatient Services | 50.00% Coinsurance after deductible |
| Mental/Behavioral Health Outpatient Services | 50.00% Coinsurance after deductible |
Other
| Benefit | In-network |
|---|---|
| Outpatient Rehabilitation Services | $80.00 |
| Accidental Dental | $160.00 |
| Allergy Testing | 50.00% Coinsurance after deductible |
| Bariatric Surgery | 50.00% Coinsurance after deductible |
| Chemotherapy | 50.00% Coinsurance after deductible |
| Chiropractic Care | $80.00 |
| Delivery and All Inpatient Services for Maternity Care | 50.00% Coinsurance after deductible |
| Diabetes Education | $80.00 |
| Dialysis | 50.00% Coinsurance after deductible |
| Durable Medical Equipment | 50.00% Coinsurance after deductible |
| Emergency Transportation/Ambulance | 50.00% Coinsurance after deductible |
| Eye Glasses for Children | No charge |
| Habilitation Services | $80.00 |
| Hearing Aids | 50.00% Coinsurance after deductible |
| Home Health Care Services | $80.00 |
| Hospice Respite Service | No charge |
| Imaging (CT/PET Scans, MRIs) | 50.00% Coinsurance after deductible |
| Infertility Treatment | $80.00 |
| Infusion Therapy | 50.00% Coinsurance after deductible |
| Inpatient Physician and Surgical Services | 50.00% Coinsurance after deductible |
| Laboratory Outpatient and Professional Services | 50.00% Coinsurance after deductible |
| Nutritional Counseling | $80.00 |
| Other Practitioner Office Visit (Nurse, Physician Assistant) | $80.00 |
| Outpatient Facility Fee (e.g., Ambulatory Surgery Center) | 50.00% Coinsurance after deductible |
| Prenatal and Postnatal Care | No charge |
| Private-Duty Nursing | $80.00 |
| Prosthetic Devices | 50.00% Coinsurance after deductible |
| Radiation | 50.00% Coinsurance after deductible |
| Reconstructive Surgery | 50.00% Coinsurance after deductible |
| Rehabilitative Occupational and Rehabilitative Physical Therapy | $80.00 |
| Rehabilitative Speech Therapy | $80.00 |
| Routine Eye Exam for Children | No charge |
| Skilled Nursing Facility | 50.00% Coinsurance after deductible |
| Substance Abuse Disorder Inpatient Services | 50.00% Coinsurance after deductible |
| Substance Abuse Disorder Outpatient Services | 50.00% Coinsurance after deductible |
| Transplant | 50.00% Coinsurance after deductible |
| Treatment for Temporomandibular Joint Disorders | $80.00 |
| Well Baby Visits and Care | No charge |
| X-rays and Diagnostic Imaging | 50.00% Coinsurance after deductible |
Service area
This plan covers 5 geographic areas.
Open enrollment coming up?
Get notified when it opens — we'll remind you so you don't miss your window.