MyHPN Select Network Silver 4
Health Plan of Nevada, Inc. · 2027 plan year
Silver
- Ind. deductible
- $7,150
- Family deductible
- $14,300
- 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 Health Plan of Nevada, Inc. plans in NV
Monthly premiums by age
Rating Area 1
| Age | Individual | Individual + tobacco |
|---|---|---|
| Under 15 | $369 | $369 |
| 21 | $483 | $483 |
| 30 | $548 | $680 |
| 40 | $617 | $827 |
| 50 | $862 | $1,225 |
| 60 | $1,310 | $1,966 |
| 64 and over | $1,449 | $2,173 |
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 | $15.00 |
Specialist
| Benefit | In-network |
|---|---|
| Specialist Visit | $75.00 |
Hospital
| Benefit | In-network |
|---|---|
| Emergency Room Services | $1000.00 Copay with deductible |
| Inpatient Hospital Services (e.g., Hospital Stay) | 35.00% Coinsurance after deductible |
| Outpatient Surgery Physician/Surgical Services | 35.00% Coinsurance after deductible |
| Urgent Care Centers or Facilities | $50.00 |
Pharmacy
| Benefit | In-network |
|---|---|
| Generic Drugs | $10.00 |
| Non-Preferred Brand Drugs | 50.00% Coinsurance after deductible |
| Preferred Brand Drugs | $75 Copay after deductible |
| Prescription Drugs Other | 50.00% Coinsurance after deductible |
| Specialty Drugs | 50.00% Coinsurance after deductible |
Mental Health
| Benefit | In-network |
|---|---|
| Mental/Behavioral Health Inpatient Services | 35.00% Coinsurance after deductible |
| Mental/Behavioral Health Outpatient Services | $15.00 |
Other
| Benefit | In-network |
|---|---|
| Accidental Dental | 35.00% Coinsurance after deductible |
| Allergy Testing | 35.00% Coinsurance after deductible |
| Bariatric Surgery | 35.00% Coinsurance after deductible |
| Chemotherapy | 35.00% Coinsurance after deductible |
| Chiropractic Care | $15.00 |
| Clinical Trials | $15.00 |
| Delivery and All Inpatient Services for Maternity Care | 35.00% Coinsurance after deductible |
| Diabetes Care Management | $15.00 |
| Diabetes Education | $15.00 |
| Diagnostic Breast Cancer Imaging | No charge |
| Dialysis | 35.00% Coinsurance after deductible |
| Durable Medical Equipment | $150.00 + 50.00% |
| Emergency Transportation/Ambulance | $1000.00 Copay after deductible |
| Eye Glasses for Children | No charge |
| Gender Affirming Care | $15.00 |
| Habilitation Services | 35.00% Coinsurance after deductible |
| Hearing Aids | $150.00 + 50.00% |
| Home Health Care Services | $15.00 |
| Hospice Services | 35.00% Coinsurance after deductible |
| Imaging (CT/PET Scans, MRIs) | 35.00% Coinsurance after deductible |
| Infertility Treatment | $75.00 |
| Infusion Therapy | 35.00% Coinsurance after deductible |
| Inherited Metabolic Disorder - PKU | No charge |
| Inpatient Physician and Surgical Services | 35.00% Coinsurance after deductible |
| Laboratory Outpatient and Professional Services | $20.00 |
| Nutritional Counseling | $15.00 |
| Other Practitioner Office Visit (Nurse, Physician Assistant) | $5.00 |
| Outpatient Facility Fee (e.g., Ambulatory Surgery Center) | 35.00% Coinsurance after deductible |
| Outpatient Rehabilitation Services | 35.00% Coinsurance after deductible |
| Prenatal and Postnatal Care | $15.00 |
| Private-Duty Nursing | $15.00 |
| Prosthetic Devices | $500.00 |
| Radiation | 35.00% Coinsurance after deductible |
| Reconstructive Surgery | 35.00% Coinsurance after deductible |
| Rehabilitative Occupational and Rehabilitative Physical Therapy | 35.00% Coinsurance after deductible |
| Rehabilitative Speech Therapy | 35.00% Coinsurance after deductible |
| Routine Eye Exam for Children | No charge |
| Skilled Nursing Facility | 35.00% Coinsurance after deductible |
| Substance Abuse Disorder Inpatient Services | 35.00% Coinsurance after deductible |
| Substance Abuse Disorder Outpatient Services | $15.00 |
| Transplant | 35.00% Coinsurance after deductible |
| Treatment for Temporomandibular Joint Disorders | 35.00% Coinsurance after deductible |
| Virtual Visits/Now Clinic | No charge |
| Well Baby Visits and Care | No charge |
| X-rays and Diagnostic Imaging | 35.00% Coinsurance after deductible |
Service area
This plan covers 2 geographic areas.
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