HMO Bronze $0 Medical Deductible
Aspirus Health Plan, Inc. · 2027 plan year
Expanded BronzeHSA eligible
- Ind. medical deductible
- $0
- Rx deductible (separate)
- $1,500
- Family deductible
- $0
- Ind. OOP max
- $12,000
- Family OOP max
- $24,000
This plan sets a separate deductible for prescription drugs. The medical deductible shown does not cover prescriptions; they have their own.
Other cost-sharing reduction variants for this plan:
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Benefits & cost sharing
Primary Care
| Benefit | In-network |
|---|---|
| Preventive Care/Screening/Immunization | No charge |
| Primary Care Visit to Treat an Injury or Illness | $35.00 |
Specialist
| Benefit | In-network |
|---|---|
| Specialist Visit | $200.00 |
Hospital
| Benefit | In-network |
|---|---|
| Emergency Room Services | $3,000.00 |
| Inpatient Hospital Services (e.g., Hospital Stay) | $1500.00 Copay per Day |
| Outpatient Surgery Physician/Surgical Services | $200.00 |
| Urgent Care Centers or Facilities | $200.00 |
Pharmacy
| Benefit | In-network |
|---|---|
| Generic Drugs | $35.00 |
| Non-Preferred Brand Drugs | 50.00% Coinsurance after deductible |
| Preferred Brand Drugs | $125.00 |
| Specialty Drugs | 50.00% Coinsurance after deductible |
Mental Health
| Benefit | In-network |
|---|---|
| Mental/Behavioral Health Inpatient Services | $1500.00 Copay per Day |
| Mental/Behavioral Health Outpatient Services | $35.00 |
Other
| Benefit | In-network |
|---|---|
| Durable Medical Equipment | 50.00% |
| Emergency Transportation/Ambulance | 50.00% |
| Eye Glasses for Children | No charge |
| Habilitation Services | $35.00 |
| Hearing Aids | 50.00% |
| Home Health Care Services | 50.00% |
| Hospice Services | 50.00% |
| Imaging (CT/PET Scans, MRIs) | 50.00% |
| Infusion Therapy | 50.00% |
| Abortion for Which Public Funding is Prohibited | 50.00% |
| Accidental Dental | 50.00% |
| Allergy Testing | $200.00 |
| Chemotherapy | $200.00 |
| Chiropractic Care | $35.00 |
| Delivery and All Inpatient Services for Maternity Care | 50.00% |
| Diabetes Education | No charge |
| Dialysis | 50.00% |
| Inpatient Physician and Surgical Services | 50.00% |
| Laboratory Outpatient and Professional Services | 50.00% |
| Nutritional Counseling | $35.00 |
| Other Practitioner Office Visit (Nurse, Physician Assistant) | $35.00 |
| Outpatient Facility Fee (e.g., Ambulatory Surgery Center) | $200.00 |
| Outpatient Rehabilitation Services | $200.00 |
| Prenatal and Postnatal Care | 50.00% |
| Prosthetic Devices | 50.00% |
| Radiation | $200.00 |
| Reconstructive Surgery | 50.00% |
| Rehabilitative Occupational and Rehabilitative Physical Therapy | $200.00 |
| Rehabilitative Speech Therapy | $200.00 |
| Routine Eye Exam for Children | No charge |
| Skilled Nursing Facility | $1500.00 Copay per Day |
| Substance Abuse Disorder Inpatient Services | $1500.00 Copay per Day |
| Substance Abuse Disorder Outpatient Services | $35.00 |
| Transplant | 50.00% |
| Treatment for Temporomandibular Joint Disorders | 50.00% |
| Virtual Care | $20.00 |
| Well Baby Visits and Care | No charge |
| X-rays and Diagnostic Imaging | 50.00% |
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