Health Net Health Net Standard Bronze 60/5000/6400 OR

Plan Information
Company Health Net Health Plan of Oregon
State OR
Metal Tier Bronze
Plan Type PPO

Cost Sharing Benefits

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.

Deductibles and Cost Sharing In Network Out of Network
Deductible (Individual) $5,000 Data Not Available
Deductible (Family) $10,000 Data Not Available
Coinsurance 50% Data Not Available
Out of Pocket Maximum (Individual) $6,350 $0
Out of Pocket Maximum (Family) $12,700 $0
Services In Network Out of Network
Primary Care Visit $60 copay Data Not Available
Specialist Visit $100 copay Data Not Available
In Patient Hospital Services 50% coinsurance Data Not Available
Emergency Room Services 50% coinsurance 50% coinsurance
Mental / Behavioral Health 50% coinsurance Data Not Available
Imaging (CT/PET Scans, MRIs) 50% coinsurance Data Not Available
Rehabilitative Speech Therapy 50% coinsurance Data Not Available
Rehabilitative Occupational & Physical Therapy 50% coinsurance Data Not Available
Preventative Care $0 Data Not Available
Laboratory Outpatient and Professional Services 50% coinsurance Data Not Available
X-ray and Diagnostic Imaging 50% coinsurance Data Not Available
Outpatient Facility 50% coinsurance Data Not Available
Outpatient Surgery 50% coinsurance Data Not Available
Prescription Drugs In Network Out of Network
Generic Rx $20 copay
Preferred Brand Rx $80 copay
Non Preferred Brand Rx 50% coinsurance
Specialty Drugs

Other Plans

Other plans that are available in the state.

Plan Name
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