Cornerstone $4,100 Limited Cost Sharing Silver

HealthPartners, Inc. · 2027 plan year

Silver
Ind. deductible
$4,100
Family deductible
$8,200
Ind. OOP max
$8,700
Family OOP max
$17,400

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Live premium estimate

$

Benefits & cost sharing

Primary Care

BenefitIn-network
Preventive Care/Screening/ImmunizationNo charge
Primary Care Visit to Treat an Injury or Illness20.00% Coinsurance after deductible

Specialist

BenefitIn-network
Specialist Visit20.00% Coinsurance after deductible

Hospital

BenefitIn-network
Emergency Room Services20.00% Coinsurance after deductible
Inpatient Hospital Services (e.g., Hospital Stay)20.00% Coinsurance after deductible
Outpatient Surgery Physician/Surgical Services20.00% Coinsurance after deductible
Urgent Care Centers or Facilities20.00% Coinsurance after deductible

Pharmacy

BenefitIn-network
Generic Drugs20.00% Coinsurance after deductible
Non-Preferred Brand Drugs30.00% Coinsurance after deductible
Preferred Brand Drugs20.00% Coinsurance after deductible
Specialty Drugs50.00% Coinsurance after deductible

Mental Health

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

Other

BenefitIn-network
Abortion for Which Public Funding is Prohibited20.00% Coinsurance after deductible
Accidental Dental20.00% Coinsurance after deductible
Allergy Testing20.00% 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 Children20.00% 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)20.00% Coinsurance after deductible
Infusion Therapy20.00% Coinsurance after deductible
Inpatient Physician and Surgical Services20.00% Coinsurance after deductible
Laboratory Outpatient and Professional Services20.00% Coinsurance after deductible
Nutritional CounselingNo charge
Other Practitioner Office Visit (Nurse, Physician Assistant)20.00% Coinsurance after deductible
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)20.00% Coinsurance after deductible
Outpatient Rehabilitation Services20.00% Coinsurance after deductible
Prenatal and Postnatal CareNo charge
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 Services20.00% Coinsurance after deductible
Transplant20.00% Coinsurance after deductible
Treatment for Temporomandibular Joint Disorders20.00% Coinsurance after deductible
Well Baby Visits and CareNo charge
X-rays and Diagnostic Imaging20.00% Coinsurance after deductible

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