MHP Silver Exchange Rewards – HMO
94% cost sharing reduction [Popular Plan]
Network type: HMO
Coverage tier: Silver
Primary care visit: No charge
Specialist visit: No charge
Urgent care visit: No charge
Description
This plan has 94% cost sharing reduction [Popular Plan]
Health Care Plan Details
| Network type | HMO |
| Deductible | $0 per person $0 per person |
| Out-of-pocket max | $850 per person $1,700 per family |
| Metal tier | Silver |
Visit Copay
| Primary care visit | No charge |
| Specialist visit | No charge |
| Preventive care visit | No charge |
Urgent, Emergency Care, and Hospital Care
| Urgent care | No charge |
| Emergency room | No charge |
| Ambulance | No charge |
| Hospital stay (facility) | No charge |
| Hospital stay (physician) | No charge |
| Outpatient procedure (facility) | No charge |
| Outpatient procedure (physician) | No charge |
| Physical rehabilitation | No charge |
Maternitowny and Pregnancy
| Well baby care | No charge |
| Labor, delivery, hospital stay | No charge |
Pharmacy, Drugs, and Medication
| Generic | $2 copay |
| Brand | $25 copay |
| Non-preferred Brand | 25% coinsurance |
| Specialty | 25% coinsurance |
Lab Tests and Diagnostic Procedures
| X-rays | No charge |
| Imaging (CT/PET/MRI) | No charge |
| Blood work | No charge |
Mental and Psychiatric Health Care
| Mental Health outpatient services | No charge |
| Psychiatric hospital stay | No charge |
Health Plan Provider Information
| Health Plan Benefits | https://www.mclarenhealthplan.org/Uploads/Public/Documents/HealthPlan/documents/community/2024/2024_Cmty_INDV_HMO-Rewards_Silver_94_SBC.pdf |
| Drug and medication plan formulary | https://www.mclarenhealthplan.org/mclaren-health-plan/drug-formulary-search-and-resources |
| Search doctor list | https://www.mclarenhealthplan.org/mclaren-health-plan/provider-directory-mhp |
