Neighborhood VALUE (CSR87) – HMO
87% cost sharing reduction [Popular Plan]
Network type: HMO
Coverage tier: Silver
Primary care visit: $10 copay
Specialist visit: $20 copay
Urgent care visit: $20 copay
Description
This plan has 87% cost sharing reduction [Popular Plan]
Health Care Plan Details
| Network type | HMO |
| Deductible | $1,200 per person $1,200 per person |
| Out-of-pocket max | $3,000 per person $6,000 per family |
| Metal tier | Silver |
Visit Copay
| Primary care visit | $10 copay |
| Specialist visit | $20 copay |
| Preventive care visit | No charge |
Urgent, Emergency Care, and Hospital Care
| Urgent care | $20 copay |
| Emergency room | 10% after deductible |
| Hospital stay (facility) | 10% after deductible |
Maternitowny and Pregnancy
Pharmacy, Drugs, and Medication
| Generic | $5 copay |
| Brand | $35 copay |
| Non-preferred Brand | $50 copay |
| Specialty | 10% after deductible |
