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Prominence - Gold 2 Premier
Nevada, 2017
Plan Type
HMO
Metal Tier
Gold
Out of Pocket Maximum
$6,100
Deductible
$0
Call (855) 866-5590 to speak with a licensed agent about a new health plan.
Emergency Room Care: Data Not Available
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) | $0 |
|---|---|
| Deductible (Family) | $0 |
| Coinsurance | Not applicable |
| Out of Pocket Maximum (Individual) | $6,100 |
| Out of Pocket Maximum (Family) | $12,200 |
Doctor Visits
| Primary Care Visit | Data Not Available |
|---|---|
| Specialist Visit | Data Not Available |
| Inpatient Facility | $500 Copay per stay |
| Inpatient Physician | No charge |
| Emergency Room Services | Data Not Available |
Tests and Imaging
| Imaging (CT/PET Scans, MRIs) | Data Not Available |
|---|---|
| Laboratory Outpatient and Professional Services | No charge |
| X-Ray and Diagnostic Imaging | Data Not Available |
Health Management Programs
| Asthma | Not available |
|---|---|
| Depression | Available |
| Diabetes | Available |
| Heart Disease | Available |
| High Blood Pressure / High Cholesterol | Available |
| Lower Back Pain | Not available |
| Pain Management | Not available |
| Pregnancy | Available |
| Weight Loss | Available |
Other
| Mental / Behavioral Health Inpatient | $500 Copay per stay |
|---|---|
| Mental / Behavioral Health Outpatient | Data Not Available |
| Rehabilitative Speech Therapy | Data Not Available |
| Rehabilitative Occupational & Physical Therapy | Data Not Available |
| Outpatient Facility | Data Not Available |
| Outpatient Surgery | Data Not Available |
Prescription Drugs
| Generic Rx | Data Not Available |
|---|---|
| Preferred Brand Rx | Data Not Available |
| Non Preferred Brand Rx | Data Not Available |
| Specialty Drugs |
Other Plans in Nevada
| Plan | Deductible | Coinsurance | Out of Pocket |
|---|---|---|---|
| Plan Bronze 10 Premier | Deductible $6,500 | Coinsurance Not applicable | Out of Pocket $7,000 |
| Plan Gold 2 HealthCare Partners | Deductible $0 | Coinsurance Not applicable | Out of Pocket $6,100 |
| Plan HSA 1 Premier | Deductible $6,000 | Coinsurance Not applicable | Out of Pocket $6,550 |
| Plan Silver 50 Premier | Deductible $5,000 | Coinsurance Not applicable | Out of Pocket $6,000 |
| Plan Bronze 7 Premier | Deductible $7,150 | Coinsurance Not applicable | Out of Pocket $7,150 |
| Plan Silver 50 HealthCare Partners | Deductible $5,000 | Coinsurance Not applicable | Out of Pocket $6,000 |
| Plan Silver 70 HealthCare Partners | Deductible $4,000 | Coinsurance Not applicable | Out of Pocket $6,850 |
| Plan Bronze 7 HealthCare Partners | Deductible $7,150 | Coinsurance Not applicable | Out of Pocket $7,150 |
| Plan Silver 70 Premier | Deductible $4,000 | Coinsurance Not applicable | Out of Pocket $6,850 |