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MVP Premier Plus Bronze 7, Expanded Bronze, NS, INN, NY Individual Off Exchange HMO, Dep25, Acupuncture, Preferred Facilities, Telemedicine, Wellness
Health Insurance Plan Details (2025 Plan)
by MVP Health Care
Monthly Premium
HMO
$ubsidy
Bronze
- Deductible
- $9,200 /yr
- Max Out-of-Pocket
- $9,200 /yr
Details
Deductible (per individual) | $9,200 /yr |
Deductible (per family) | $18,400 /yr |
Max Out-of-Pocket (per individual) | $9,200 /yr |
Max Out-of-Pocket (per family) | $18,400 /yr |
Drug Deductible (per individual) | |
Drug Deductible (per family) | |
Drug Max Out-of-Pocket (per individual) | |
Drug Max Out-of-Pocket (per family) | |
Plan Type | HMO |
Includes Child Dental? | No |
Includes Adult Dental? | No |
Out-of-Pocket Costs
Preventive Care | No Charge |
Primary Care Visit | Not Applicable |
Specialist Visit | Not Applicable |
Emergency Room | Not Applicable |
Inpatient Facility | Not Applicable |
Inpatient Physician | Not Applicable |
Generic Drugs | $5 Copay |
Preferred Brand Drugs | Not Applicable |
Non-preferred Brand Drugs | Not Applicable |
Specialty Drugs | Not Applicable |
Plan Documents
Summary of Benefits and Coverage | SBC doc |
Provider Directory | Doctor lookup |
Drug Formulary List | n/a |
* Figures shown are only for in-network medical costs
** Please check with insurance company if Copay and Coinsurance rates are before or after the deductible
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