Low Premium Silver HMO 600 $0 PCP + Adult Vision & Fitness

CareSource Nevada Co. · 2027 plan year

Silver

Ind. deductible: $600
Family deductible: $1,200
Ind. OOP max: $2,000
Family OOP max: $4,000

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 Off Exchange Plan Standard Silver On Exchange Plan Zero Cost Sharing Plan Variation

More CareSource Nevada Co. plans in NV

Core Bronze HMO 8500 $50 PCP Low Premium Silver HMO 7000 $40 PCP

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	$15.00

Hospital

Benefit	In-network
Emergency Room Services	15.00% Coinsurance after deductible
Inpatient Hospital Services (e.g., Hospital Stay)	$300.00 Copay per Stay after deductible
Outpatient Surgery Physician/Surgical Services	15.00% Coinsurance after deductible
Urgent Care Centers or Facilities	$25.00

Pharmacy

Benefit	In-network
Generic Drugs	$2.00
Non-Preferred Brand Drugs	50.00% Coinsurance after deductible
Preferred Brand Drugs	15.00% Coinsurance after deductible
Specialty Drugs	50.00% Coinsurance after deductible

Mental Health

Benefit	In-network
Mental/Behavioral Health Inpatient Services	$300.00 Copay per Stay after deductible
Mental/Behavioral Health Outpatient Services	No charge

Other

Benefit	In-network
Accidental Dental	15.00% Coinsurance after deductible
Allergy Testing	$15.00
Bariatric Surgery	15.00% Coinsurance after deductible
Chemotherapy	15.00% Coinsurance after deductible
Chiropractic Care	15.00% Coinsurance after deductible
Delivery and All Inpatient Services for Maternity Care	$300.00 Copay after deductible
Diabetes Education	15.00% Coinsurance after deductible
Dialysis	15.00% Coinsurance after deductible
Durable Medical Equipment	15.00% Coinsurance after deductible
Emergency Transportation/Ambulance	15.00% Coinsurance after deductible
Eye Glasses for Children	No charge
Gender Affirming Care	15.00% Coinsurance after deductible
Habilitation Services	15.00% Coinsurance after deductible
Hearing Aids	15.00% Coinsurance after deductible
Home Health Care Services	15.00% Coinsurance after deductible
Hospice Services	15.00% Coinsurance after deductible
Imaging (CT/PET Scans, MRIs)	$100.00 Copay after deductible
Infertility Treatment	15.00% Coinsurance after deductible
Infusion Therapy	15.00% Coinsurance after deductible
Inpatient Physician and Surgical Services	No Charge after deductible
Laboratory Outpatient and Professional Services	$10.00
Nutritional Counseling	15.00% Coinsurance after deductible
Other Practitioner Office Visit (Nurse, Physician Assistant)	No charge
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)	15.00% Coinsurance after deductible
Outpatient Rehabilitation Services	15.00% Coinsurance after deductible
Prenatal and Postnatal Care	$15.00
Private-Duty Nursing	15.00% Coinsurance after deductible
Prosthetic Devices	15.00% Coinsurance after deductible
Radiation	15.00% Coinsurance after deductible
Reconstructive Surgery	15.00% Coinsurance after deductible
Rehabilitative Occupational and Rehabilitative Physical Therapy	15.00% Coinsurance after deductible
Rehabilitative Speech Therapy	15.00% Coinsurance after deductible
Routine Eye Exam (Adult)	$25.00
Routine Eye Exam for Children	No charge
Skilled Nursing Facility	$200.00 Copay per Stay after deductible
Substance Abuse Disorder Inpatient Services	$300.00 Copay per Stay after deductible
Substance Abuse Disorder Outpatient Services	No charge
Transplant	$300.00 Copay after deductible
Treatment for Temporomandibular Joint Disorders	15.00% Coinsurance after deductible
Well Baby Visits and Care	No charge
X-rays and Diagnostic Imaging	$50.00 Copay after deductible

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