Neighborhood ECONOMY – HMO

Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: No charge after deductible
Specialist visit: No charge after deductible
Urgent care visit: No charge after deductible

Description

Health Care Plan Details

Network type HMO
Deductible $6,800 per person $6,800 per person
Out-of-pocket max $7,225 per person $14,450 per family
Metal tier Expanded Bronze

Visit Copay

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

Urgent, Emergency Care, and Hospital Care

Urgent care No charge after deductible
Emergency room No charge after deductible
Hospital stay (facility) No charge 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 30% after deductible

Lab Tests and Diagnostic Procedures

Mental and Psychiatric Health Care

Health Plan Provider Information