LifeWise Essential Bronze

LifeWise Health Plan of Washington · 2027 plan year

Expanded BronzeHSA eligible
Ind. deductible
$6,700
Family deductible
$13,400
Ind. OOP max
$9,600
Family OOP max
$19,200

More LifeWise Health Plan of Washington plans in WA

Live premium estimate

$

Benefits & cost sharing

Primary Care

BenefitIn-network
Preventive Care/Screening/ImmunizationNo charge
Primary Care Visit to Treat an Injury or Illness$50.00

Specialist

BenefitIn-network
Specialist Visit$110.00 Copay after deductible

Hospital

BenefitIn-network
Emergency Room Services35.00% Coinsurance after deductible
Inpatient Hospital Services (e.g., Hospital Stay)35.00% Coinsurance after deductible
Outpatient Surgery Physician/Surgical Services35.00% Coinsurance after deductible
Urgent Care Centers or Facilities$110.00 Copay after deductible

Pharmacy

BenefitIn-network
Generic Drugs$35.00
Non-Preferred Brand Drugs40.00% Coinsurance after deductible
Preferred Brand Drugs35.00% Coinsurance after deductible
Specialty Drugs50.00% Coinsurance after deductible

Mental Health

BenefitIn-network
Mental/Behavioral Health Inpatient Services35.00% Coinsurance after deductible
Mental/Behavioral Health Outpatient Services$75.00

Other

BenefitIn-network
Abortion for Which Public Funding is ProhibitedNo charge
Acupuncture35.00% Coinsurance after deductible
Chemotherapy35.00% Coinsurance after deductible
Chiropractic Care35.00% Coinsurance after deductible
Cosmetic Surgery35.00% Coinsurance after deductible
Delivery and All Inpatient Services for Maternity Care35.00% Coinsurance after deductible
Dental Anesthesia35.00% Coinsurance after deductible
Diabetes Care ManagementNo charge
Diabetes EducationNo charge
Dialysis35.00% Coinsurance after deductible
Durable Medical Equipment35.00% Coinsurance after deductible
Emergency Transportation/Ambulance35.00% Coinsurance after deductible
Eye Glasses for ChildrenNo charge
Gender Affirming Care35.00% Coinsurance after deductible
Habilitation Services35.00% Coinsurance after deductible
Hearing Aids35.00%
Hearing Exams$110.00 Copay after deductible
Home Health Care Services35.00% Coinsurance after deductible
Hospice Services35.00% Coinsurance after deductible
Imaging (CT/PET Scans, MRIs)35.00% Coinsurance after deductible
Infertility Treatment35.00% Coinsurance after deductible
Infusion Therapy35.00% Coinsurance after deductible
Inherited Metabolic Disorder - PKU35.00% Coinsurance after deductible
Inpatient Physician and Surgical Services35.00% Coinsurance after deductible
Laboratory Outpatient and Professional Services35.00% Coinsurance after deductible
Long-Term/Custodial Nursing Home Care35.00% Coinsurance after deductible
Nutritional CounselingNo charge
Other Practitioner Office Visit (Nurse, Physician Assistant)$50.00
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)35.00% Coinsurance after deductible
Outpatient Rehabilitation Services35.00% Coinsurance after deductible
Prenatal and Postnatal CareNo charge
Prosthetic Devices35.00% Coinsurance after deductible
Radiation35.00% Coinsurance after deductible
Reconstructive Surgery35.00% Coinsurance after deductible
Rehabilitative Occupational and Rehabilitative Physical Therapy35.00% Coinsurance after deductible
Rehabilitative Speech Therapy35.00% Coinsurance after deductible
Routine Eye Exam for Children$30.00
Routine Foot Care$50.00
Skilled Nursing Facility35.00% Coinsurance after deductible
Substance Abuse Disorder Inpatient Services35.00% Coinsurance after deductible
Substance Abuse Disorder Outpatient Services$75.00
Transplant35.00% Coinsurance after deductible
Treatment for Temporomandibular Joint Disorders35.00% Coinsurance after deductible
Well Baby Visits and CareNo charge
X-rays and Diagnostic Imaging35.00% Coinsurance after deductible

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