MVP Premier Bronze 2, Expanded Bronze, ST, INN, NY Individual Off Exchange HMO, Dep29, 3PCP, Telemedicine, Unlimited SNF, Wellness

Health Insurance Plan Details (2024 Plan)

by MVP Health Care

Monthly Premium

HMO
$ubsidy
Bronze
Deductible
$4,600 /yr
Max Out-of-Pocket
$9,450 /yr

Details

Deductible (per individual) $4,600 /yr
Deductible (per family) $9,200 /yr
Max Out-of-Pocket (per individual) $9,450 /yr
Max Out-of-Pocket (per family) $18,900 /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 $50 Copay after deductible
Specialist Visit $75 Copay after deductible
Emergency Room $500 Copay after deductible
Inpatient Facility $1500 Copay per Stay after deductible
Inpatient Physician $150 Copay after deductible
Drug Costs
Generic Drugs $10 Copay after deductible
Preferred Brand Drugs $35 Copay after deductible
Non-preferred Brand Drugs $70 Copay after deductible
Specialty Drugs $70 Copay after deductible

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.