Friday Catastrophic - 82461NV0010001 Health Insurance Plan
Friday Health Plans of Nevada, Inc. health insurance plan with the Plan ID 82461NV0010001. The plan is called Friday Catastrophic.
| Health Insurance Plan ID | 82461NV0010001 | ||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Health Insurance Plan Year | 2023 | ||||||||||||||||||
| State | Nevada | ||||||||||||||||||
| Health Insurance Issuer | Friday Health Plans of Nevada, Inc. | ||||||||||||||||||
| Health Insurance Plan Variant | 82461NV0010001-01 | ||||||||||||||||||
| Provider Network(s) | ['NVN001'] | ||||||||||||||||||
| In Network Doctors
*The data available in our database based on Health Insurance Company Open Data (update: Tue, 07 May 2024 06:08 GMT). |
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| Available Variants of the Health Plan | |||||||||||||||||||
| Last Plan Update Date | Mon, 17 Apr 2023 00:00 GMT | ||||||||||||||||||
| Last Import Date | Tue, 07 May 2024 06:08 GMT |
FRIDAY Catastrophic: $0 Well Visit + 3 $0 Primary Care Visits Health Insurance Plan Variant 82461NV0010001-01 Attributes
| Plan Attribute | Value |
|---|---|
| Business Year | 2023 |
| Child-Only Offering | Allows Adult and Child-Only |
| Composite Rating Offered | No |
| CSR Variation Type | Standard Catastrophic On Exchange Plan |
| Dental Only Plan | No |
| Design Type | Not Applicable |
| Disease Management Programs Offered | Diabetes |
| EHB Percent of Total Premium | 100% |
| First Tier Utilization | 100% |
| Formulary ID | NVF001 |
| HIOS Product ID | 82461NV001 |
| Import Date | 4/17/2023 |
| HSA Eligible | No |
| IsItANewPlan | Existing |
| Notice Required for Pregnancy | No |
| Is a Referral Required for Specialist? | No |
| Issuer ID | 82461 |
| Market Coverage | Individual |
| Medical Drug Deductibles Integrated | Yes |
| Medical Drug Maximum Out of Pocket Integrated | Yes |
| Metal Level | Catastrophic |
| Multiple In Network Tiers | No |
| National Network | No |
| Network ID | NVN001 |
| Out of Country Coverage | Yes |
| Out of Country Coverage Description | Urgent and Emergent only |
| Out of Service Area Coverage | Yes |
| Out of Service Area Coverage Description | Urgent and Emergent only |
| Plan Effective Date | 1/1/2023 |
| Plan Expiration Date | 12/31/2023 |
| Plan ID (Standard Component ID with Variant) | 82461NV0010001-01 |
| Plan Marketing Name | Friday Catastrophic |
| Plan Type | EPO |
| Plan Variant Marketing Name | FRIDAY Catastrophic: $0 Well Visit + 3 $0 Primary Care Visits |
| QHP/Non QHP | Both |
| SBC Scenario, Having a Baby, Coinsurance | $0 |
| SBC Scenario, Having a Baby, Copayment | $0 |
| SBC Scenario, Having a Baby, Deductible | $9,100 |
| SBC Scenario, Having a Baby, Limit | $60 |
| SBC Scenario, Having Diabetes, Coinsurance | $0 |
| SBC Scenario, Having Diabetes, Copayment | $0 |
| SBC Scenario, Having Diabetes, Deductible | $9,100 |
| SBC Scenario, Having Diabetes, Limit | $20 |
| SBC Scenario, Treatment of a Simple Fracture, Coinsurance | $0 |
| SBC Scenario, Treatment of a Simple Fracture, Copayment | $0 |
| SBC Scenario, Treatment of a Simple Fracture, Deductible | $9,100 |
| SBC Scenario, Treatment of a Simple Fracture, Limit | $0 |
| Service Area ID | NVS001 |
| Source Name | SERFF |
| Plan ID | 82461NV0010001 |
| State Code | NV |
| Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Combined In/Out Network, Family | $9100 per person | $18200 per group |
| Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Combined In/Out Network, Individual | $9,100 |
| Combined Medical and Drug EHB Deductible, Combined In/Out of Network, Family | $9100 per person | $18200 per group |
| Combined Medical and Drug EHB Deductible, Combined In/Out of Network, Individual | $9,100 |
| Combined Medical and Drug EHB Deductible, In Network (Tier 1), Default Coinsurance | 0.00% |
| Combined Medical and Drug EHB Deductible, In Network (Tier 1), Family | $9100 per person | $18200 per group |
| Combined Medical and Drug EHB Deductible, In Network (Tier 1), Individual | $9,100 |
| TEHBDedOutofNetFamily | per person not applicable | per group not applicable |
| Combined Medical and Drug EHB Deductible, Out of Network, Individual | Not Applicable |
| Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), In Network (Tier 1), Family | $9100 per person | $18200 per group |
| Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), In Network (Tier 1), Individual | $9,100 |
| Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Out of Network, Family | per person not applicable | per group not applicable |
| Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Out of Network, Individual | Not Applicable |
| Unique Plan Design | No |
| Version Number | 1 |
| Wellness Program Offered | Yes |
Copay & Coinsurance of Friday Catastrophic Health Insurance Plan, 82461NV0010001
| Drug Tier | Pharmacy Type | Copay amount | Copay option | Coinsurance rate | Coinsurance option | Mail Order |
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Frequently Asked Questions(FAQ) about Friday Catastrophic, 82461NV0010001 Health Insurance Plan, 82461NV0010001
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Does Friday Catastrophic Health Insurance Plan, 82461NV0010001 support Mail Ordering?
Unfortunately, this health insurance plan does not support mail ordering or the plan data in not available.
Does (82461NV0010001) Health Insurance Plan, Variant (82461NV0010001-01) offer Disease Management Programs?
Yes, and here is the list of available programs: Diabetes
Does (82461NV0010001) Health Insurance Plan, Variant (82461NV0010001-01) have Out Of Country Coverage?
Yes. Details: Urgent and Emergent only
Does (82461NV0010001) Health Insurance Plan, Variant (82461NV0010001-01) have Out of Service Area Coverage?
Yes. Details: Urgent and Emergent only
Does (82461NV0010001) Health Insurance Plan, Variant (82461NV0010001-01) offer Disease Management Programs?
Yes, and here is the list of available programs: Diabetes
Does FRIDAY Catastrophic: $0 Well Visit + 3 $0 Primary Care Visits Health Insurance Plan, Variant (82461NV0010001-01) offer Disease Management Programs for Diabetes?
Yes, the FRIDAY Catastrophic: $0 Well Visit + 3 $0 Primary Care Visits Health Insurance Plan Variant
82461NV0010001-01 offers Disease
Management Program for Diabetes.
Disclaimer: This is based on the import(Date: Tue, 07 May 2024 06:08 GMT) of the data from Healthcare Issuers listed by CMS. While we make every effort to ensure that data is accurate, you should assume all results are unvalidated. Source: CMS.gov, HealthPorta HEALTHCARE MRF API