Neighborhood COMMUNITY (CSR73) – HMO

73% cost sharing reduction [Popular Plan]
Network type: HMO
Coverage tier: Silver
Primary care visit: 10% after deductible
Specialist visit: 10% after deductible
Urgent care visit: 10% after deductible

SKU: 77514RI001000204 Category:

Description

This plan has 73% cost sharing reduction [Popular Plan]

Health Care Plan Details

Network type HMO
Deductible $3,175 per person $3,175 per person
Out-of-pocket max $7,425 per person $14,850 per family
Metal tier Silver

Visit Copay

Primary care visit 10% after deductible
Specialist visit 10% after deductible
Preventive care visit No charge

Urgent, Emergency Care, and Hospital Care

Urgent care 10% after deductible
Emergency room 10% after deductible
Hospital stay (facility) 10% 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 10% after deductible

Lab Tests and Diagnostic Procedures

Mental and Psychiatric Health Care

Health Plan Provider Information