MyHPN Copay Focus Bronze 1

Health Plan of Nevada, Inc. · 2027 plan year

Expanded BronzeHSA eligible
Ind. medical deductible
$0
Rx deductible (separate)
$3,000
Family deductible
$0
Ind. OOP max
$12,000
Family OOP max
$24,000

This plan sets a separate deductible for prescription drugs. The medical deductible shown does not cover prescriptions; they have their own.

Compare with other Expanded Bronze plans in NV

Side by side: deductibles, out-of-pocket limits and copays.

More Health Plan of Nevada, Inc. plans in NV

Monthly premiums by age

Rating Area 1 — the lowest-priced of the 2 areas this plan covers. Premiums differ by area.

AgeIndividualIndividual + tobacco
Under 15$311$311
21$407$407
30$462$573
40$520$697
50$727$1,032
60$1,104$1,656
64 and over$1,221$1,831

Live premium estimate

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Benefits & cost sharing

Primary Care

BenefitIn-network
Preventive Care/Screening/ImmunizationNo charge
Primary Care Visit to Treat an Injury or Illness$45.00

Specialist

BenefitIn-network
Specialist Visit$130.00

Hospital

BenefitIn-network
Emergency Room Services$2,200.00
Inpatient Hospital Services (e.g., Hospital Stay)$3,000.00 Copay per Stay
Outpatient Surgery Physician/Surgical Services$300.00
Urgent Care Centers or Facilities$70.00

Pharmacy

BenefitIn-network
Generic Drugs$25.00
Non-Preferred Brand Drugs45.00% Coinsurance after deductible
Preferred Brand Drugs40.00% Coinsurance after deductible
Prescription Drugs Other50.00% Coinsurance after deductible
Specialty Drugs50.00% Coinsurance after deductible

Mental Health

BenefitIn-network
Mental/Behavioral Health Inpatient Services$3,000.00
Mental/Behavioral Health Outpatient Services$45.00

Other

BenefitIn-network
Accidental Dental50.00% Coinsurance after deductible
Allergy Testing$120.00
Bariatric Surgery$1,200.00
Chemotherapy$700.00
Chiropractic Care$45.00
Clinical Trials$45.00
Delivery and All Inpatient Services for Maternity Care$3,000.00
Diabetes Care Management$45.00
Diabetes Education50.00%
Diagnostic Breast Cancer ImagingNo charge
Dialysis$500.00
Durable Medical Equipment50.00%
Emergency Transportation/Ambulance$2,200.00
Eye Glasses for ChildrenNo charge
Gender Affirming Care$45.00
Habilitation Services$100.00
Hearing Aids50.00%
Home Health Care Services50.00%
Hospice Services$3,000.00
Imaging (CT/PET Scans, MRIs)$400.00
Infertility Treatment50.00%
Infusion Therapy$120.00
Inherited Metabolic Disorder - PKU50.00%
Inpatient Physician and Surgical ServicesNo charge
Laboratory Outpatient and Professional Services$45.00
Nutritional Counseling$45.00
Other Practitioner Office Visit (Nurse, Physician Assistant)50.00%
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)$700.00
Outpatient Rehabilitation Services$100.00
Prenatal and Postnatal Care$45.00
Private-Duty Nursing$45.00
Prosthetic Devices50.00%
Radiation$120.00
Reconstructive Surgery$3,000.00
Rehabilitative Occupational and Rehabilitative Physical Therapy$100.00
Rehabilitative Speech Therapy$100.00
Routine Eye Exam for ChildrenNo charge
Skilled Nursing Facility$3,000.00 Copay per Stay
Substance Abuse Disorder Inpatient Services$3,000.00
Substance Abuse Disorder Outpatient Services$45.00
Transplant$3,000.00
Treatment for Temporomandibular Joint Disorders50.00%
Virtual Visits/Now ClinicNo charge
Well Baby Visits and CareNo charge
X-rays and Diagnostic Imaging$120.00

Service area

This plan covers 3 geographic areas.

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