SelectHealth Med Silver 6500 - no deductible for office visits - 84445NV0040002 Health Insurance Plan
SelectHealth health insurance plan with the Plan ID 84445NV0040002. The plan is called SelectHealth Med Silver 6500 - no deductible for office visits.
Based on the AV Calculator by CMS.gov, the plan has an actuarial value of 70.11% (we converted the output of AV Calculator to percentage to compare with data provided by Issuer, it shows the percentage of total average costs for covered benefits that a plan will cover). So, on average, you would be responsible for 29.89% of the costs of all covered benefits (according to the AV Calculator by CMS.gov). More information about AV Calculator methodology.
| Health Insurance Plan ID | 84445NV0040002 | ||||||||||||||||||
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| Health Insurance Plan Year | 2023 | ||||||||||||||||||
| State | Nevada | ||||||||||||||||||
| Health Insurance Issuer | SelectHealth | ||||||||||||||||||
| Health Insurance Plan Variant | 84445NV0040002-01 | ||||||||||||||||||
| Provider Network(s) | ['NVN002'] | ||||||||||||||||||
| 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 | Standard On Exchange Plan - 84445NV0040002-01 Open to Indians below 300% FPL - 84445NV0040002-02 Open to Indians above 300% FPL - 84445NV0040002-03 73% AV Silver Plan - 84445NV0040002-04 |
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| Last Plan Update Date | Mon, 17 Apr 2023 00:00 GMT | ||||||||||||||||||
| Last Import Date | Tue, 07 May 2024 06:08 GMT |
SelectHealth Med Silver 6500 - no deductible for office visits Health Insurance Plan Variant 84445NV0040002-01 Attributes
| Plan Attribute | Value |
|---|---|
| AV Calculator Output Number | 0.701051369 |
| Business Year | 2023 |
| Child-Only Offering | Allows Adult and Child-Only |
| Composite Rating Offered | No |
| CSR Variation Type | Standard Silver On Exchange Plan |
| Dental Only Plan | No |
| Design Type | Not Applicable |
| Disease Management Programs Offered | Asthma, Heart Disease, Depression, Diabetes, Pain Management, Pregnancy, Weight Loss Programs, Low Back Pain, High Blood Pressure & High Cholesterol |
| EHB Percent of Total Premium | 100% |
| First Tier Utilization | 100% |
| Formulary ID | NVF002 |
| HIOS Product ID | 84445NV004 |
| Import Date | 4/17/2023 |
| HSA Eligible | No |
| IsItANewPlan | Existing |
| Notice Required for Pregnancy | No |
| Is a Referral Required for Specialist? | No |
| Issuer ID | 84445 |
| Market Coverage | Individual |
| Medical Drug Deductibles Integrated | Yes |
| Medical Drug Maximum Out of Pocket Integrated | Yes |
| Metal Level | Silver |
| Multiple In Network Tiers | No |
| National Network | No |
| Network ID | NVN002 |
| Out of Country Coverage | No |
| Out of Service Area Coverage | No |
| Plan Effective Date | 1/1/2023 |
| Plan Expiration Date | 12/31/2023 |
| Plan ID (Standard Component ID with Variant) | 84445NV0040002-01 |
| Plan Level Exclusions | Abortions/Termination of Pregnancy (except to save the life of the mother or when caused by rape/incest); Acupuncture/Acupressure; Administrative Services/Charges; Certain Allergy Tests; Biofeedback/Neurofeedback; Certain Cancer Therapies; Certain Illegal Activities; Claims After One Year; Complementary/Alternative Medicine; Complications of a Non-Covered Service; Custodial Care; Debarred Providers; Dental Anesthesia where criteria is not met; Duplication of Coverage; Exercise Equipment/Fitness Training; Experimental/Investigational Services (except for approved clinical trials); Refractive Eye Surgery; Food Supplements; Gene Therapy; Certain Immunizations; Certain Pain Management Services; Certain Prescription/Injectable Drugs and Specialty Medications; Reconstructive, Corrective, and Cosmetic Services; Vision Rehabilitation Therapy Services; Sexual Dysfunction; Certain Specialty Services; Travel-Related Expenses; computer-assisted interpretation of X-rays; Computer-assisted navigation for orthopedic procedures; Home A1C testing; Magnetic Source Imaging (MSI); Manipulation under anesthesia; Oncofertility; Radiofrequency ablation for lateral epicondylitis; Virtual colonoscopy screening; and certain DME items. |
| Plan Marketing Name | SelectHealth Med Silver 6500 - no deductible for office visits |
| Plan Type | HMO |
| Plan Variant Marketing Name | SelectHealth Med Silver 6500 - no deductible for office visits |
| QHP/Non QHP | Both |
| SBC Scenario, Having a Baby, Coinsurance | $1,200 |
| SBC Scenario, Having a Baby, Copayment | $300 |
| SBC Scenario, Having a Baby, Deductible | $6,500 |
| SBC Scenario, Having a Baby, Limit | $60 |
| SBC Scenario, Having Diabetes, Coinsurance | $0 |
| SBC Scenario, Having Diabetes, Copayment | $700 |
| SBC Scenario, Having Diabetes, Deductible | $800 |
| SBC Scenario, Having Diabetes, Limit | $20 |
| SBC Scenario, Treatment of a Simple Fracture, Coinsurance | $0 |
| SBC Scenario, Treatment of a Simple Fracture, Copayment | $300 |
| SBC Scenario, Treatment of a Simple Fracture, Deductible | $2,100 |
| SBC Scenario, Treatment of a Simple Fracture, Limit | $0 |
| Service Area ID | NVS001 |
| Source Name | SERFF |
| Plan ID | 84445NV0040002 |
| State Code | NV |
| Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Combined In/Out Network, Family | per person not applicable | per group not applicable |
| Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Combined In/Out Network, Individual | Not Applicable |
| Combined Medical and Drug EHB Deductible, Combined In/Out of Network, Family | per person not applicable | per group not applicable |
| Combined Medical and Drug EHB Deductible, Combined In/Out of Network, Individual | Not Applicable |
| Combined Medical and Drug EHB Deductible, In Network (Tier 1), Default Coinsurance | 50.00% |
| Combined Medical and Drug EHB Deductible, In Network (Tier 1), Family | $6500 per person | $13000 per group |
| Combined Medical and Drug EHB Deductible, In Network (Tier 1), Individual | $6,500 |
| 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 | $8000 per person | $16000 per group |
| Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), In Network (Tier 1), Individual | $8,000 |
| 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 SelectHealth Med Silver 6500 - no deductible for office visits Health Insurance Plan, 84445NV0040002
| Drug Tier | Pharmacy Type | Copay amount | Copay option | Coinsurance rate | Coinsurance option | Mail Order |
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Frequently Asked Questions(FAQ) about SelectHealth Med Silver 6500 - no deductible for office visits, 84445NV0040002 Health Insurance Plan, 84445NV0040002
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Does SelectHealth Med Silver 6500 - no deductible for office visits Health Insurance Plan, 84445NV0040002 support Mail Ordering?
Unfortunately, this health insurance plan does not support mail ordering or the plan data in not available.
Does (84445NV0040002) Health Insurance Plan, Variant (84445NV0040002-01) offer Disease Management Programs?
Yes, and here is the list of available programs: Asthma, Heart Disease, Depression, Diabetes, Pain Management, Pregnancy, Weight Loss Programs, Low Back Pain, High Blood Pressure & High Cholesterol
Does (84445NV0040002) Health Insurance Plan, Variant (84445NV0040002-01) have Out Of Country Coverage?
No, unfortunately there
is no Out Of Country Coverage for this Health Insurance Plan
(variant of plan).
Does (84445NV0040002) Health Insurance Plan, Variant (84445NV0040002-01) have Out of Service Area Coverage?
No, unfortunately there
is no Out of Service Area Coverage for this Health Insurance
Plan (variant of plan).
Does (84445NV0040002) Health Insurance Plan, Variant (84445NV0040002-01) offer Disease Management Programs?
Yes, and here is the list of available programs: Asthma, Heart Disease, Depression, Diabetes, Pain Management, Pregnancy, Weight Loss Programs, Low Back Pain, High Blood Pressure & High Cholesterol
Does SelectHealth Med Silver 6500 - no deductible for office visits Health Insurance Plan, Variant (84445NV0040002-01) offer Disease Management Programs for Asthma?
Yes, the SelectHealth Med Silver 6500 - no deductible for office visits Health Insurance Plan Variant
84445NV0040002-01 offers Disease
Management Program for Asthma.
Does SelectHealth Med Silver 6500 - no deductible for office visits Health Insurance Plan, Variant (84445NV0040002-01) offer Disease Management Programs for Heart disease?
Yes, the SelectHealth Med Silver 6500 - no deductible for office visits Health Insurance Plan Variant
84445NV0040002-01 offers Disease
Management Program for Heart disease.
Does SelectHealth Med Silver 6500 - no deductible for office visits Health Insurance Plan, Variant (84445NV0040002-01) offer Disease Management Programs for Depression?
Yes, the SelectHealth Med Silver 6500 - no deductible for office visits Health Insurance Plan Variant
84445NV0040002-01 offers Disease
Management Program for Depression.
Does SelectHealth Med Silver 6500 - no deductible for office visits Health Insurance Plan, Variant (84445NV0040002-01) offer Disease Management Programs for Diabetes?
Yes, the SelectHealth Med Silver 6500 - no deductible for office visits Health Insurance Plan Variant
84445NV0040002-01 offers Disease
Management Program for Diabetes.
Does SelectHealth Med Silver 6500 - no deductible for office visits Health Insurance Plan, Variant (84445NV0040002-01) offer Disease Management Programs for High blood pressure & high cholesterol?
Yes, the SelectHealth Med Silver 6500 - no deductible for office visits Health Insurance Plan Variant
84445NV0040002-01 offers Disease
Management Program for High blood pressure & high cholesterol.
Does SelectHealth Med Silver 6500 - no deductible for office visits Health Insurance Plan, Variant (84445NV0040002-01) offer Disease Management Programs for Low back pain?
Yes, the SelectHealth Med Silver 6500 - no deductible for office visits Health Insurance Plan Variant
84445NV0040002-01 offers Disease
Management Program for Low back pain.
Does SelectHealth Med Silver 6500 - no deductible for office visits Health Insurance Plan, Variant (84445NV0040002-01) offer Disease Management Programs for Pregnancy?
Yes, the SelectHealth Med Silver 6500 - no deductible for office visits Health Insurance Plan Variant
84445NV0040002-01 offers Disease
Management Program for Pregnancy.
Does SelectHealth Med Silver 6500 - no deductible for office visits Health Insurance Plan, Variant (84445NV0040002-01) offer Disease Management Programs for Weight loss programs?
Yes, the SelectHealth Med Silver 6500 - no deductible for office visits Health Insurance Plan Variant
84445NV0040002-01 offers Disease
Management Program for Weight loss programs.
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