MyHPN Gold 6

Health Plan of Nevada, Inc. · 2027 plan year

Gold
Ind. medical deductible
$2,350
Rx deductible (separate)
$650
Family deductible
$4,700
Ind. OOP max
$8,500
Family OOP max
$17,000

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

Compare with other Gold 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$503$503
21$657$657
30$746$925
40$840$1,126
50$1,174$1,667
60$1,784$2,676
64 and over$1,972$2,958

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 IllnessNo charge

Specialist

BenefitIn-network
Specialist Visit$50.00

Hospital

BenefitIn-network
Emergency Room Services30.00% Coinsurance after deductible
Inpatient Hospital Services (e.g., Hospital Stay)30.00% Coinsurance after deductible
Outpatient Surgery Physician/Surgical Services30.00% Coinsurance after deductible
Urgent Care Centers or Facilities$50.00

Pharmacy

BenefitIn-network
Generic Drugs$5.00
Non-Preferred Brand Drugs30.00% Coinsurance after deductible
Preferred Brand Drugs$50.00
Prescription Drugs Other50.00% Coinsurance after deductible
Specialty Drugs50.00% Coinsurance after deductible

Mental Health

BenefitIn-network
Mental/Behavioral Health Inpatient Services30.00% Coinsurance after deductible
Mental/Behavioral Health Outpatient ServicesNo charge

Other

BenefitIn-network
Accidental Dental30.00% Coinsurance after deductible
Allergy Testing$65.00
Bariatric Surgery30.00% Coinsurance after deductible
Chemotherapy30.00% Coinsurance after deductible
Chiropractic CareNo charge
Clinical TrialsNo charge
Delivery and All Inpatient Services for Maternity Care30.00% Coinsurance after deductible
Diabetes Care ManagementNo charge
Diabetes EducationNo charge
Diagnostic Breast Cancer ImagingNo charge
Dialysis30.00% Coinsurance after deductible
Durable Medical Equipment$100.00 + 50.00%
Emergency Transportation/Ambulance30.00% Coinsurance after deductible
Eye Glasses for ChildrenNo charge
Gender Affirming CareNo charge
Habilitation Services30.00% Coinsurance after deductible
Hearing Aids$100.00 + 50.00%
Home Health Care ServicesNo charge
Hospice Services30.00% Coinsurance after deductible
Imaging (CT/PET Scans, MRIs)30.00% Coinsurance after deductible
Infertility Treatment$50.00
Infusion Therapy30.00% Coinsurance after deductible
Inherited Metabolic Disorder - PKUNo charge
Inpatient Physician and Surgical Services30.00% Coinsurance after deductible
Laboratory Outpatient and Professional Services$15.00
Nutritional CounselingNo charge
Other Practitioner Office Visit (Nurse, Physician Assistant)No charge
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)30.00% Coinsurance after deductible
Outpatient Rehabilitation Services30.00% Coinsurance after deductible
Prenatal and Postnatal CareNo charge
Private-Duty NursingNo charge
Prosthetic Devices$100.00
Radiation30.00% Coinsurance after deductible
Reconstructive Surgery30.00% Coinsurance after deductible
Rehabilitative Occupational and Rehabilitative Physical Therapy30.00% Coinsurance after deductible
Rehabilitative Speech Therapy30.00% Coinsurance after deductible
Routine Eye Exam for ChildrenNo charge
Skilled Nursing Facility30.00% Coinsurance after deductible
Substance Abuse Disorder Inpatient Services30.00% Coinsurance after deductible
Substance Abuse Disorder Outpatient ServicesNo charge
Transplant30.00% Coinsurance after deductible
Treatment for Temporomandibular Joint Disorders50.00% Coinsurance after deductible
Virtual Visits/Now ClinicNo charge
Well Baby Visits and CareNo charge
X-rays and Diagnostic Imaging$65.00

Service area

This plan covers 3 geographic areas.

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