MVP Premier Gold 1, Gold, ST, INN, NY Individual Off Exchange HMO, Dep25, Telemedicine, Unlimited SNF, Wellness

Health Insurance Plan Details (2024 Plan)

by MVP Health Care

Monthly Premium

HMO
$ubsidy
Gold
Deductible
$600 /yr
Max Out-of-Pocket
$5,900 /yr

Details

Deductible (per individual) $600 /yr
Deductible (per family) $1,200 /yr
Max Out-of-Pocket (per individual) $5,900 /yr
Max Out-of-Pocket (per family) $11,800 /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
Medical Services
Preventive Care No Charge
Primary Care Visit $25 Copay after deductible
Specialist Visit $40 Copay after deductible
Emergency Room $150 Copay after deductible
Inpatient Facility $1000 Copay per Stay after deductible
Inpatient Physician $100 Copay after deductible
Drug Costs
Generic Drugs $10 Copay
Preferred Brand Drugs $35 Copay
Non-preferred Brand Drugs $70 Copay
Specialty Drugs $70 Copay

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


Request a phone call from an agent

Advertisement

Health Insurance Plans

Obamacare Plans

Off-Exchange Plans

Sign Up Help
Quote & Compare

 

 

Get advice from Licensed Insurance Agents


Looking for Other Options?

Short Term Health Insurance Plans

  • Top Insurance Carriers
  • No Enrollment Period Restrictions
  • Choose Your Coverage Level
  • Emergency & Hospital Coverage
Health Plan Radar
Health Plan Radar
Partner

Call for a free quote & benefits review

Find the right short term coverage for your needs.