Value Silver 7500 Health Deductible - No deductible for office visits

SelectHealth, Inc. · 2027 plan year

Silver

Ind. deductible: $5,000
Family deductible: $10,000
Ind. OOP max: $9,000
Family OOP max: $18,000

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 SelectHealth, Inc. plans in NV

Med Exp Bronze 10500 Health Deductible - HSA Eligible Value Gold 1500 Medical Deductible - No deductible for office visits Value Exp Bronze 7500 Medical Deductible - HSA Eligible Value Exp Bronze 10500 Health Deductible - HSA Eligible Value Silver 5500 Medical Deductible - No deductible for office visits

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Benefits & cost sharing

Primary Care

Benefit	In-network
Preventive Care/Screening/Immunization	No charge
Primary Care Visit to Treat an Injury or Illness	$10.00

Specialist

Benefit	In-network
Specialist Visit	$45.00

Hospital

Benefit	In-network
Emergency Room Services	$600.00 Copay after deductible
Inpatient Hospital Services (e.g., Hospital Stay)	40.00% Coinsurance after deductible
Outpatient Surgery Physician/Surgical Services	40.00% Coinsurance after deductible
Urgent Care Centers or Facilities	$25.00

Pharmacy

Benefit	In-network
Generic Drugs	$25.00
Non-Preferred Brand Drugs	50.00% Coinsurance after deductible
Preferred Brand Drugs	25.00% Coinsurance after deductible
Specialty Drugs	50.00% Coinsurance after deductible

Mental Health

Benefit	In-network
Mental/Behavioral Health Inpatient Services	40.00% Coinsurance after deductible
Mental/Behavioral Health Outpatient Services	$20.00

Other

Benefit	In-network
Accidental Dental	$600.00 Copay after deductible
Allergy Testing	$45.00
Bariatric Surgery	40.00% Coinsurance after deductible
Chemotherapy	50.00% Coinsurance after deductible
Chiropractic Care	$10.00
Delivery and All Inpatient Services for Maternity Care	40.00% Coinsurance after deductible
Diabetes Education	$10.00
Dialysis	40.00% Coinsurance after deductible
Durable Medical Equipment	40.00% Coinsurance after deductible
Emergency Transportation/Ambulance	40.00% Coinsurance after deductible
Eye Glasses for Children	No charge
Gender Affirming Care	40.00% Coinsurance after deductible
Habilitation Services	$30.00 Copay after deductible
Hearing Aids	40.00% Coinsurance after deductible
Home Health Care Services	40.00% Coinsurance after deductible
Hospice Services	40.00% Coinsurance after deductible
Imaging (CT/PET Scans, MRIs)	40.00% Coinsurance after deductible
Infertility Treatment	50.00% Coinsurance after deductible
Infusion Therapy	40.00% Coinsurance after deductible
Inpatient Physician and Surgical Services	40.00% Coinsurance after deductible
Laboratory Outpatient and Professional Services	$20.00
Nutritional Counseling	$10.00
Other Practitioner Office Visit (Nurse, Physician Assistant)	$10.00
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)	40.00% Coinsurance after deductible
Outpatient Rehabilitation Services	$30.00
Prenatal and Postnatal Care	$10.00
Private-Duty Nursing	40.00% Coinsurance after deductible
Prosthetic Devices	40.00% Coinsurance after deductible
Radiation	40.00% Coinsurance after deductible
Reconstructive Surgery	40.00% Coinsurance after deductible
Rehabilitative Occupational and Rehabilitative Physical Therapy	40.00% Coinsurance after deductible
Rehabilitative Speech Therapy	40.00% Coinsurance after deductible
Routine Eye Exam for Children	No charge
Skilled Nursing Facility	40.00% Coinsurance after deductible
Substance Abuse Disorder Inpatient Services	40.00% Coinsurance after deductible
Substance Abuse Disorder Outpatient Services	$20.00
Transplant	40.00% Coinsurance after deductible
Treatment for Temporomandibular Joint Disorders	40.00% Coinsurance after deductible
Well Baby Visits and Care	No charge
X-rays and Diagnostic Imaging	$20.00

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