Neighborhood VALUE Modified (CSR94) – HMO
94% cost sharing reduction [Popular Plan]
Network type: HMO
Coverage tier: Silver
Primary care visit: $5 copay
Specialist visit: $15 copay
Urgent care visit: $15 copay
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 | $2,150 per person $4,300 per family |
| Metal tier | Silver |
Visit Copay
| Primary care visit | $5 copay |
| Specialist visit | $15 copay |
| Preventive care visit | No charge |
Urgent, Emergency Care, and Hospital Care
| Urgent care | $15 copay |
| Emergency room | 10% coinsurance |
| Hospital stay (facility) | 10% coinsurance |
Maternitowny and Pregnancy
Pharmacy, Drugs, and Medication
| Generic | $2 copay |
| Brand | $15 copay |
| Non-preferred Brand | $30 copay |
| Specialty | 10% coinsurance |
