MyHPN Select Network Silver 4

Health Plan of Nevada, Inc. · 2027 plan year

Silver

Ind. deductible: $5,450
Family deductible: $10,900
Ind. OOP max: $9,600
Family OOP max: $19,200

Other cost-sharing reduction variants for this plan:

87% AV Level Silver Plan 94% 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 Health Plan of Nevada, Inc. plans in NV

MyHPN Copay Focus Bronze 1 Battle Born State Plan MyHPN Bronze 1.3 Battle Born State Plan MyHPN Gold 1.3 Battle Born State Plan MyHPN Silver 1.4

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	$60.00

Hospital

Benefit	In-network
Emergency Room Services	$750.00 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	No charge

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	No charge
Clinical Trials	No charge
Delivery and All Inpatient Services for Maternity Care	35.00% Coinsurance after deductible
Diabetes Care Management	No charge
Diabetes Education	No charge
Diagnostic Breast Cancer Imaging	No charge
Dialysis	35.00% Coinsurance after deductible
Durable Medical Equipment	$150.00 + 50.00%
Emergency Transportation/Ambulance	$750.00 Copay after deductible
Eye Glasses for Children	No charge
Gender Affirming Care	No charge
Habilitation Services	35.00% Coinsurance after deductible
Hearing Aids	$150.00 + 50.00%
Home Health Care Services	No charge
Hospice Services	35.00% Coinsurance after deductible
Imaging (CT/PET Scans, MRIs)	35.00% Coinsurance after deductible
Infertility Treatment	$60.00
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	No charge
Other Practitioner Office Visit (Nurse, Physician Assistant)	No charge
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	No charge
Private-Duty Nursing	No charge
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	No charge
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

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