Physicians - Sparrow PHP Bronze 6550 H.S.A. Exclusive

Michigan, 2017

  • Plan Type

    HMO

  • Metal Tier

    Bronze

  • Out of Pocket Maximum

    $6,550

  • Deductible

    $6,550

Enroll Now
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Call (855) 866-5590 to speak with a licensed agent about a new health plan.

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Cost Sharing Benefits (In Network)

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) $6,550
Deductible (Family) $13,100
Coinsurance Not applicable
Out of Pocket Maximum (Individual) $6,550
Out of Pocket Maximum (Family) $13,100

Doctor Visits

Primary Care Visit 0% Coinsurance after deductible
Specialist Visit 0% Coinsurance after deductible
Inpatient Facility 0% Coinsurance after deductible
Inpatient Physician 0% Coinsurance after deductible
Emergency Room Services 0% Coinsurance after deductible

Tests and Imaging

Imaging (CT/PET Scans, MRIs) 0% Coinsurance after deductible
Laboratory Outpatient and Professional Services 0% Coinsurance after deductible
X-Ray and Diagnostic Imaging 0% Coinsurance after deductible

Health Management Programs

Asthma Available
Depression Not available
Diabetes Available
Heart Disease Not available
High Blood Pressure / High Cholesterol Not available
Lower Back Pain Not available
Pain Management Not available
Pregnancy Available
Weight Loss Available

Other

Mental / Behavioral Health Inpatient 0% Coinsurance after deductible
Mental / Behavioral Health Outpatient 0% Coinsurance after deductible
Rehabilitative Speech Therapy 0% Coinsurance after deductible
Rehabilitative Occupational & Physical Therapy 0% Coinsurance after deductible
Outpatient Facility 0% Coinsurance after deductible
Outpatient Surgery 0% Coinsurance after deductible

Prescription Drugs

Generic Rx 0% Coinsurance after deductible
Preferred Brand Rx 0% Coinsurance after deductible
Non Preferred Brand Rx 0% Coinsurance after deductible
Specialty Drugs 0% Coinsurance after deductible

Other Plans in Michigan

Plan Sparrow PHP Silver 3500 HMO Deductible $3,500 Coinsurance Not applicable Out of Pocket $7,150
Plan Sparrow PHP Gold 1250 HMO Deductible $1,250 Coinsurance Not applicable Out of Pocket $4,750
Plan Sparrow PHP Bronze 6650 HMO Deductible $6,650 Coinsurance Not applicable Out of Pocket $7,150
Plan Sparrow PHP Silver 4000 Exclusive Deductible $4,000 Coinsurance Not applicable Out of Pocket $6,600
Plan Sparrow PHP Silver 2500 HMO Deductible $2,500 Coinsurance Not applicable Out of Pocket $6,500
Plan Sparrow PHP Silver 3000 Exclusive Deductible $3,000 Coinsurance Not applicable Out of Pocket $6,600
Plan Sparrow PHP Gold 500 Basic Exclusive Deductible $500 Coinsurance Not applicable Out of Pocket $7,150
Plan Sparrow PHP Silver HDHP Exclusive Deductible $2,700 Coinsurance Not applicable Out of Pocket $4,000
Plan Sparrow PHP Healthy HMO Deductible $7,150 Coinsurance Not applicable Out of Pocket $7,150
Plan Sparrow PHP Silver 5000 Exclusive Deductible $5,000 Coinsurance Not applicable Out of Pocket $7,150
Plan Sparrow PHP Silver 3000 HMO Deductible $3,000 Coinsurance Not applicable Out of Pocket $6,600
Plan Sparrow PHP Bronze 6650 Exclusive Deductible $6,650 Coinsurance Not applicable Out of Pocket $7,150
Plan Sparrow PHP Silver HDHP HMO Deductible $2,700 Coinsurance Not applicable Out of Pocket $4,000
Plan Sparrow PHP Bronze 5500 H.S.A. HMO Deductible $5,500 Coinsurance Not applicable Out of Pocket $6,500
Plan Sparrow PHP Gold 500 Exclusive Deductible $500 Coinsurance Not applicable Out of Pocket $4,200
Plan Sparrow PHP Gold 500 HMO Deductible $500 Coinsurance Not applicable Out of Pocket $4,200
Plan Sparrow PHP Silver 3500 Exclusive Deductible $3,500 Coinsurance Not applicable Out of Pocket $7,150
Plan Sparrow PHP Gold 1000 HMO Deductible $1,000 Coinsurance Not applicable Out of Pocket $5,000
Plan Sparrow PHP Silver 5000 HMO Deductible $5,000 Coinsurance Not applicable Out of Pocket $7,150
Plan Sparrow PHP Silver 2000 Exclusive Deductible $2,000 Coinsurance Not applicable Out of Pocket $6,800
Plan Sparrow PHP Silver 4000 HMO Deductible $4,000 Coinsurance Not applicable Out of Pocket $6,600
Plan Sparrow PHP Platinum 250 Exclusive Deductible $250 Coinsurance Not applicable Out of Pocket $1,250
Plan Sparrow PHP Bronze 5500 H.S.A. Exclusive Deductible $5,500 Coinsurance Not applicable Out of Pocket $6,500
Plan Sparrow PHP Silver 2500 Exclusive Deductible $2,500 Coinsurance Not applicable Out of Pocket $6,500
Plan Sparrow PHP Platinum 500-100Percent HMO Deductible $500 Coinsurance Not applicable Out of Pocket $1,800
Plan Sparrow PHP Gold 1400 H.S.A. HMO Deductible $1,400 Coinsurance Not applicable Out of Pocket $3,000
Plan Sparrow PHP Gold 1400 H.S.A. Exclusive Deductible $1,400 Coinsurance Not applicable Out of Pocket $3,000
Plan Sparrow PHP Bronze 6550 H.S.A. HMO Deductible $6,550 Coinsurance Not applicable Out of Pocket $6,550
Plan Sparrow PHP Gold 500 Basic HMO Deductible $500 Coinsurance Not applicable Out of Pocket $7,150
Plan Sparrow PHP Platinum 250 HMO Deductible $250 Coinsurance Not applicable Out of Pocket $1,250
Plan Sparrow PHP Gold 1250 Exclusive Deductible $1,250 Coinsurance Not applicable Out of Pocket $4,750
Plan Sparrow PHP Platinum 500-100Percent Exclusive Deductible $500 Coinsurance Not applicable Out of Pocket $1,800
Plan Sparrow PHP Silver 2000 HMO Deductible $2,000 Coinsurance Not applicable Out of Pocket $6,800
Plan Sparrow PHP Gold 1000 Exclusive Deductible $1,000 Coinsurance Not applicable Out of Pocket $5,000
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Cost Sharing Benefits (In Network)

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) $6,550
Deductible (Family) $13,100
Coinsurance Not applicable
Out of Pocket Maximum (Individual) $6,550
Out of Pocket Maximum (Family) $13,100

Doctor Visits

Primary Care Visit 0% Coinsurance after deductible
Specialist Visit 0% Coinsurance after deductible
Inpatient Facility 0% Coinsurance after deductible
Inpatient Physician 0% Coinsurance after deductible
Emergency Room Services 0% Coinsurance after deductible

Tests and Imaging

Imaging (CT/PET Scans, MRIs) 0% Coinsurance after deductible
Laboratory Outpatient and Professional Services 0% Coinsurance after deductible
X-Ray and Diagnostic Imaging 0% Coinsurance after deductible

Health Management Programs

Asthma Available
Depression Not available
Diabetes Available
Heart Disease Not available
High Blood Pressure / High Cholesterol Not available
Lower Back Pain Not available
Pain Management Not available
Pregnancy Available
Weight Loss Available

Other

Mental / Behavioral Health Inpatient 0% Coinsurance after deductible
Mental / Behavioral Health Outpatient 0% Coinsurance after deductible
Rehabilitative Speech Therapy 0% Coinsurance after deductible
Rehabilitative Occupational & Physical Therapy 0% Coinsurance after deductible
Outpatient Facility 0% Coinsurance after deductible
Outpatient Surgery 0% Coinsurance after deductible

Prescription Drugs

Generic Rx 0% Coinsurance after deductible
Preferred Brand Rx 0% Coinsurance after deductible
Non Preferred Brand Rx 0% Coinsurance after deductible
Specialty Drugs 0% Coinsurance after deductible

Other Plans in Michigan

Plan Sparrow PHP Silver 3500 HMO Deductible $3,500 Coinsurance Not applicable Out of Pocket $7,150
Plan Sparrow PHP Gold 1250 HMO Deductible $1,250 Coinsurance Not applicable Out of Pocket $4,750
Plan Sparrow PHP Bronze 6650 HMO Deductible $6,650 Coinsurance Not applicable Out of Pocket $7,150
Plan Sparrow PHP Silver 4000 Exclusive Deductible $4,000 Coinsurance Not applicable Out of Pocket $6,600
Plan Sparrow PHP Silver 2500 HMO Deductible $2,500 Coinsurance Not applicable Out of Pocket $6,500
Plan Sparrow PHP Silver 3000 Exclusive Deductible $3,000 Coinsurance Not applicable Out of Pocket $6,600
Plan Sparrow PHP Gold 500 Basic Exclusive Deductible $500 Coinsurance Not applicable Out of Pocket $7,150
Plan Sparrow PHP Silver HDHP Exclusive Deductible $2,700 Coinsurance Not applicable Out of Pocket $4,000
Plan Sparrow PHP Healthy HMO Deductible $7,150 Coinsurance Not applicable Out of Pocket $7,150
Plan Sparrow PHP Silver 5000 Exclusive Deductible $5,000 Coinsurance Not applicable Out of Pocket $7,150
Plan Sparrow PHP Silver 3000 HMO Deductible $3,000 Coinsurance Not applicable Out of Pocket $6,600
Plan Sparrow PHP Bronze 6650 Exclusive Deductible $6,650 Coinsurance Not applicable Out of Pocket $7,150
Plan Sparrow PHP Silver HDHP HMO Deductible $2,700 Coinsurance Not applicable Out of Pocket $4,000
Plan Sparrow PHP Bronze 5500 H.S.A. HMO Deductible $5,500 Coinsurance Not applicable Out of Pocket $6,500
Plan Sparrow PHP Gold 500 Exclusive Deductible $500 Coinsurance Not applicable Out of Pocket $4,200
Plan Sparrow PHP Gold 500 HMO Deductible $500 Coinsurance Not applicable Out of Pocket $4,200
Plan Sparrow PHP Silver 3500 Exclusive Deductible $3,500 Coinsurance Not applicable Out of Pocket $7,150
Plan Sparrow PHP Gold 1000 HMO Deductible $1,000 Coinsurance Not applicable Out of Pocket $5,000
Plan Sparrow PHP Silver 5000 HMO Deductible $5,000 Coinsurance Not applicable Out of Pocket $7,150
Plan Sparrow PHP Silver 2000 Exclusive Deductible $2,000 Coinsurance Not applicable Out of Pocket $6,800
Plan Sparrow PHP Silver 4000 HMO Deductible $4,000 Coinsurance Not applicable Out of Pocket $6,600
Plan Sparrow PHP Platinum 250 Exclusive Deductible $250 Coinsurance Not applicable Out of Pocket $1,250
Plan Sparrow PHP Bronze 5500 H.S.A. Exclusive Deductible $5,500 Coinsurance Not applicable Out of Pocket $6,500
Plan Sparrow PHP Silver 2500 Exclusive Deductible $2,500 Coinsurance Not applicable Out of Pocket $6,500
Plan Sparrow PHP Platinum 500-100Percent HMO Deductible $500 Coinsurance Not applicable Out of Pocket $1,800
Plan Sparrow PHP Gold 1400 H.S.A. HMO Deductible $1,400 Coinsurance Not applicable Out of Pocket $3,000
Plan Sparrow PHP Gold 1400 H.S.A. Exclusive Deductible $1,400 Coinsurance Not applicable Out of Pocket $3,000
Plan Sparrow PHP Bronze 6550 H.S.A. HMO Deductible $6,550 Coinsurance Not applicable Out of Pocket $6,550
Plan Sparrow PHP Gold 500 Basic HMO Deductible $500 Coinsurance Not applicable Out of Pocket $7,150
Plan Sparrow PHP Platinum 250 HMO Deductible $250 Coinsurance Not applicable Out of Pocket $1,250
Plan Sparrow PHP Gold 1250 Exclusive Deductible $1,250 Coinsurance Not applicable Out of Pocket $4,750
Plan Sparrow PHP Platinum 500-100Percent Exclusive Deductible $500 Coinsurance Not applicable Out of Pocket $1,800
Plan Sparrow PHP Silver 2000 HMO Deductible $2,000 Coinsurance Not applicable Out of Pocket $6,800
Plan Sparrow PHP Gold 1000 Exclusive Deductible $1,000 Coinsurance Not applicable Out of Pocket $5,000