Nevada Health Coop Southern Star Silver (Nevada)

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Company Nevada Health Co-Op
Plan Year 2014
State Nevada
Metal Tier Silver
Plan Type
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Cost Sharing Benefits (In Network)

These details are for the standard Silver plan. For reduced Cost Sharing versions scroll down below

Policyholders are generally responsible for 100% of costs until the deductible amount is met. After the deductible has been met the policyholder is responsible for the coinsurance / copay until the out of pocket maximum is reached at which point the insurance company assumes 100% of all costs.

Deductible (Individual) $4,250
Deductible (Family) $8,500
Coinsurance 30%
Out of Pocket Maximum (Individual) $6,350
Out of Pocket Maximum (Family) $12,700

Doctors Visits

Primary Care Visit $15 copay
Specialist Visit $50 copay
In Patient Hospital Services 30% coinsurance
Emergency Room Services 100 for first visit, 600 for subsequent visits

Tests and Imaging

Imaging (CT/PET Scans, MRIs) $40 copay
Laboratory Outpatient and Professional Services $40 copay
X-ray and Diagnostic Imaging $40 copay


Mental / Behavioral Health 30% coinsurance
Rehabilitative Speech Therapy $15 copay
Rehabilitative Occupational & Physical Therapy $15 copay
Outpatient Facility 30% coinsurance
Outpatient Surgery 30% coinsurance

Prescription Drugs

Generic Rx $10 copay
Preferred Brand Rx $35 copay
Non Preferred Brand Rx $50 copay
Specialty Drugs 0.3

Other Plans

Other plans that are available in the state.

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