Silver HMO 1000 $0 Diabetes care

CareSource Nevada Co. · 2027 plan year

Silver
Ind. deductible
$1,000
Family deductible
$2,000
Ind. OOP max
$3,350
Family OOP max
$6,700

More CareSource Nevada Co. plans in NV

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$20.00

Hospital

BenefitIn-network
Emergency Room Services20.00% Coinsurance after deductible
Urgent Care Centers or Facilities$20.00
Inpatient Hospital Services (e.g., Hospital Stay)20.00% Coinsurance after deductible
Outpatient Surgery Physician/Surgical Services20.00% Coinsurance after deductible

Pharmacy

BenefitIn-network
Generic Drugs$5.00
Non-Preferred Brand Drugs50.00% Coinsurance after deductible
Preferred Brand Drugs$50.00
Specialty Drugs50.00% Coinsurance after deductible

Mental Health

BenefitIn-network
Mental/Behavioral Health Inpatient Services20.00% Coinsurance after deductible
Mental/Behavioral Health Outpatient Services$5.00

Other

BenefitIn-network
Well Baby Visits and CareNo charge
Accidental Dental20.00% Coinsurance after deductible
Allergy Testing$20.00
Bariatric Surgery20.00% Coinsurance after deductible
Chemotherapy20.00% Coinsurance after deductible
Chiropractic Care20.00% Coinsurance after deductible
Delivery and All Inpatient Services for Maternity Care20.00% Coinsurance after deductible
Diabetes EducationNo charge
Dialysis20.00% Coinsurance after deductible
Durable Medical Equipment20.00% Coinsurance after deductible
Emergency Transportation/Ambulance20.00% Coinsurance after deductible
Eye Glasses for ChildrenNo charge
Gender Affirming Care20.00% Coinsurance after deductible
Habilitation Services20.00% Coinsurance after deductible
Hearing Aids20.00% Coinsurance after deductible
Home Health Care Services20.00% Coinsurance after deductible
Hospice Services20.00% Coinsurance after deductible
Imaging (CT/PET Scans, MRIs)$200.00 Copay after deductible
Infertility Treatment20.00% Coinsurance after deductible
Infusion Therapy20.00% Coinsurance after deductible
Inpatient Physician and Surgical Services20.00% Coinsurance after deductible
Laboratory Outpatient and Professional Services$40.00
Nutritional CounselingNo charge
Other Practitioner Office Visit (Nurse, Physician Assistant)$5.00
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)20.00% Coinsurance after deductible
Outpatient Rehabilitation Services20.00% Coinsurance after deductible
Prenatal and Postnatal Care$20.00
Private-Duty Nursing20.00% Coinsurance after deductible
Prosthetic Devices20.00% Coinsurance after deductible
Radiation20.00% Coinsurance after deductible
Reconstructive Surgery20.00% Coinsurance after deductible
Rehabilitative Occupational and Rehabilitative Physical Therapy20.00% Coinsurance after deductible
Rehabilitative Speech Therapy20.00% Coinsurance after deductible
Routine Eye Exam for ChildrenNo charge
Skilled Nursing Facility20.00% Coinsurance after deductible
Substance Abuse Disorder Inpatient Services20.00% Coinsurance after deductible
Substance Abuse Disorder Outpatient Services$5.00
Transplant20.00% Coinsurance after deductible
Treatment for Temporomandibular Joint Disorders20.00% Coinsurance after deductible
X-rays and Diagnostic Imaging$250.00 Copay after deductible

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