Neighborhood COMMUNITY – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: 15% after deductible
Specialist visit: 15% after deductible
Urgent care visit: 15% after deductible
Description
Health Care Plan Details
| Network type | HMO |
| Deductible | $3,600 per person $3,600 per person |
| Out-of-pocket max | $7,500 per person $15,000 per family |
| Metal tier | Silver |
Visit Copay
| Primary care visit | 15% after deductible |
| Specialist visit | 15% after deductible |
| Preventive care visit | No charge |
Urgent, Emergency Care, and Hospital Care
| Urgent care | 15% after deductible |
| Emergency room | 15% after deductible |
| Hospital stay (facility) | 15% after deductible |
Maternitowny and Pregnancy
Pharmacy, Drugs, and Medication
| Generic | $5 copay after deductible |
| Brand | $35 copay after deductible |
| Non-preferred Brand | $50 copay after deductible |
| Specialty | 50% after deductible |
