Principal Silver
SilverSummit Healthplan, Inc. · 2027 plan year
Silver
- Ind. deductible
- $9,400
- Family deductible
- $18,800
- Ind. OOP max
- $9,400
- Family OOP max
- $18,800
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 SilverSummit Healthplan, Inc. plans in NV
Monthly premiums by age
Rating Area 1 — the lowest-priced of the 4 areas this plan covers. Premiums differ by area.
| Age | Individual | Individual + tobacco |
|---|---|---|
| Under 15 | $362 | $362 |
| 21 | $473 | $544 |
| 30 | $537 | $617 |
| 40 | $604 | $695 |
| 50 | $845 | $971 |
| 60 | $1,283 | $1,476 |
| 64 and over | $1,419 | $1,631 |
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 | $30.00 |
Specialist
| Benefit | In-network |
|---|---|
| Specialist Visit | $60.00 |
Hospital
| Benefit | In-network |
|---|---|
| Emergency Room Services | No Charge after deductible |
| Inpatient Hospital Services (e.g., Hospital Stay) | No Charge after deductible |
| Mental/Behavioral Health Emergency Room | No Charge after deductible |
| Mental/Behavioral Health Urgent Care | $30.00 |
| Outpatient Surgery Physician/Surgical Services | No Charge after deductible |
| Substance Use Disorder Emergency Room | No Charge after deductible |
| Substance Use Disorder Urgent Care | $30.00 |
| Urgent Care Centers or Facilities | $50.00 |
Pharmacy
| Benefit | In-network |
|---|---|
| Generic Drugs | $3.00 |
| Non-Preferred Brand Drugs | No Charge after deductible |
| Preferred Brand Drugs | $50.00 |
| Specialty Drugs | No Charge after deductible |
| Tier 1b Generic Drugs | $15.00 |
Mental Health
| Benefit | In-network |
|---|---|
| Mental/Behavioral Health Emergency Transportation/Ambulance | No Charge after deductible |
| Mental/Behavioral Health ER Physician Fee | No Charge after deductible |
| Mental/Behavioral Health Inpatient Services | No Charge after deductible |
| Mental/Behavioral Health Outpatient Other Services | No Charge after deductible |
| Mental/Behavioral Health Outpatient Services | $30.00 |
| Substance Use Disorder Emergency Transportation/Ambulance | No Charge after deductible |
| Substance Use Disorder ER Physician Fee | No Charge after deductible |
| Substance Use Disorder Outpatient Other Services | No Charge after deductible |
Other
| Benefit | In-network |
|---|---|
| Accidental Dental | No Charge after deductible |
| Allergy Testing | $60.00 |
| Bariatric Surgery | No Charge after deductible |
| Chemotherapy | No Charge after deductible |
| Chiropractic Care | No Charge after deductible |
| Delivery and All Inpatient Services for Maternity Care | No Charge after deductible |
| Diabetes Education | No Charge after deductible |
| Dialysis | No Charge after deductible |
| Durable Medical Equipment | No Charge after deductible |
| Emergency Transportation/Ambulance | No Charge after deductible |
| Eye Glasses for Children | No charge |
| Gender Affirming Care | No Charge after deductible |
| Habilitation Services | No Charge after deductible |
| Hearing Aids | No Charge after deductible |
| Home Health Care Services | No Charge after deductible |
| Hospice Services | No Charge after deductible |
| Imaging (CT/PET Scans, MRIs) | No Charge after deductible |
| Infertility Treatment | No Charge after deductible |
| Infusion Therapy | No Charge after deductible |
| Inpatient Physician and Surgical Services | No Charge after deductible |
| Laboratory Outpatient and Professional Services | No Charge after deductible |
| Nutritional Counseling | $60.00 |
| Other Practitioner Office Visit (Nurse, Physician Assistant) | $30.00 |
| Outpatient Facility Fee (e.g., Ambulatory Surgery Center) | No Charge after deductible |
| Outpatient Rehabilitation Services | No Charge after deductible |
| Prenatal and Postnatal Care | $30.00 |
| Private-Duty Nursing | No Charge after deductible |
| Prosthetic Devices | No Charge after deductible |
| Radiation | No Charge after deductible |
| Reconstructive Surgery | No Charge after deductible |
| Rehabilitative Occupational and Rehabilitative Physical Therapy | No Charge after deductible |
| Rehabilitative Speech Therapy | No Charge after deductible |
| Routine Eye Exam for Children | No charge |
| Routine Foot Care | $60.00 |
| Skilled Nursing Facility | No Charge after deductible |
| Substance Abuse Disorder Inpatient Services | No Charge after deductible |
| Substance Abuse Disorder Outpatient Services | $30.00 |
| Transplant | No Charge after deductible |
| Treatment for Temporomandibular Joint Disorders | No Charge after deductible |
| Well Baby Visits and Care | No charge |
| X-rays and Diagnostic Imaging | No Charge after deductible |
Service area
This plan covers 1 geographic area.
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