Physicians - Sparrow PHP Bronze 6000 H.S.A. Exclusive

Michigan, 2018

  • Plan Type

    HMO

  • Metal Tier

    Expanded Bronze

  • Out of Pocket Maximum

    $6,000

  • Deductible

    $6,000

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) $6,000
Deductible (Family) $12,000
Coinsurance Not applicable
Out of Pocket Maximum (Individual) $6,000
Out of Pocket Maximum (Family) $12,000

Doctor Visits

Primary Care Visit No charge after deductible
Specialist Visit No charge after deductible
Inpatient Facility No charge after deductible
Inpatient Physician 0% Coinsurance after deductible
Emergency Room Services No charge after deductible

Tests and Imaging

Imaging (CT/PET Scans, MRIs) No charge after deductible
Laboratory Outpatient and Professional Services No charge after deductible
X-Ray and Diagnostic Imaging No charge 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 No charge after deductible
Mental / Behavioral Health Outpatient No charge after deductible
Rehabilitative Speech Therapy No charge after deductible
Rehabilitative Occupational & Physical Therapy No charge after deductible
Outpatient Facility No charge after deductible
Outpatient Surgery No charge after deductible

Prescription Drugs

Generic Rx No charge after deductible
Preferred Brand Rx No charge after deductible
Non Preferred Brand Rx No charge after deductible
Specialty Drugs No charge after deductible

Other Plans in Michigan

Plan Sparrow PHP Silver 2000 Exclusive Deductible $2,000 Coinsurance Not applicable Out of Pocket $7,350
Plan Sparrow PHP Silver 3500 Exclusive Deductible $3,500 Coinsurance Not applicable Out of Pocket $7,350
Plan Sparrow PHP Gold 500 Exclusive Deductible $500 Coinsurance Not applicable Out of Pocket $5,200
Plan Sparrow PHP Gold 1400 H.S.A. Exclusive Deductible $1,400 Coinsurance Not applicable Out of Pocket $4,000
Plan Sparrow PHP Silver 3000 HMO Deductible $3,000 Coinsurance Not applicable Out of Pocket $7,350
Plan Sparrow PHP Bronze 6650 Exclusive Deductible $6,650 Coinsurance Not applicable Out of Pocket $7,350
Plan Sparrow PHP Healthy HMO Deductible $7,350 Coinsurance Not applicable Out of Pocket $7,350
Plan Sparrow PHP Silver 5000 Exclusive Deductible $5,000 Coinsurance Not applicable Out of Pocket $7,350
Plan Sparrow PHP Silver HDHP Exclusive Deductible $2,700 Coinsurance Not applicable Out of Pocket $4,000
Plan Sparrow PHP Gold 500 Basic Exclusive Deductible $500 Coinsurance Not applicable Out of Pocket $7,350
Plan Sparrow PHP Silver 3000 Exclusive Deductible $3,000 Coinsurance Not applicable Out of Pocket $7,350
Plan Sparrow PHP Silver 4000 Exclusive Deductible $4,000 Coinsurance Not applicable Out of Pocket $7,350
Plan Sparrow PHP Gold 1000 Exclusive Deductible $1,000 Coinsurance Not applicable Out of Pocket $5,000
Plan Sparrow PHP Platinum 500-100Percent Exclusive Deductible $500 Coinsurance Not applicable Out of Pocket $2,200
Plan Sparrow PHP Platinum 250 HMO Deductible $250 Coinsurance Not applicable Out of Pocket $1,500
Plan Sparrow PHP Gold 1400 Exclusive Deductible $1,400 Coinsurance Not applicable Out of Pocket $5,000
Plan Sparrow PHP Gold 500 Basic HMO Deductible $500 Coinsurance Not applicable Out of Pocket $7,350
Plan Sparrow PHP Gold 2000 Exclusive Deductible $2,000 Coinsurance Not applicable Out of Pocket $6,800
Plan Sparrow PHP Bronze 6550 H.S.A. HMO Deductible $6,550 Coinsurance Not applicable Out of Pocket $6,550
Plan Sparrow PHP Bronze 6550 H.S.A. Exclusive Deductible $6,550 Coinsurance Not applicable Out of Pocket $6,550
Plan Sparrow PHP Silver 7000 Exclusive Deductible $7,000 Coinsurance Not applicable Out of Pocket $7,350
Plan Sparrow PHP Silver 2500 Exclusive Deductible $2,500 Coinsurance Not applicable Out of Pocket $7,350
Plan Sparrow PHP Bronze 5500 H.S.A. Exclusive Deductible $5,500 Coinsurance Not applicable Out of Pocket $6,500
Plan Sparrow PHP Platinum 250 Exclusive Deductible $250 Coinsurance Not applicable Out of Pocket $1,500
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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) $6,000
Deductible (Family) $12,000
Coinsurance Not applicable
Out of Pocket Maximum (Individual) $6,000
Out of Pocket Maximum (Family) $12,000

Doctor Visits

Primary Care Visit No charge after deductible
Specialist Visit No charge after deductible
Inpatient Facility No charge after deductible
Inpatient Physician 0% Coinsurance after deductible
Emergency Room Services No charge after deductible

Tests and Imaging

Imaging (CT/PET Scans, MRIs) No charge after deductible
Laboratory Outpatient and Professional Services No charge after deductible
X-Ray and Diagnostic Imaging No charge 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 No charge after deductible
Mental / Behavioral Health Outpatient No charge after deductible
Rehabilitative Speech Therapy No charge after deductible
Rehabilitative Occupational & Physical Therapy No charge after deductible
Outpatient Facility No charge after deductible
Outpatient Surgery No charge after deductible

Prescription Drugs

Generic Rx No charge after deductible
Preferred Brand Rx No charge after deductible
Non Preferred Brand Rx No charge after deductible
Specialty Drugs No charge after deductible

Other Plans in Michigan

Plan Sparrow PHP Silver 2000 Exclusive Deductible $2,000 Coinsurance Not applicable Out of Pocket $7,350
Plan Sparrow PHP Silver 3500 Exclusive Deductible $3,500 Coinsurance Not applicable Out of Pocket $7,350
Plan Sparrow PHP Gold 500 Exclusive Deductible $500 Coinsurance Not applicable Out of Pocket $5,200
Plan Sparrow PHP Gold 1400 H.S.A. Exclusive Deductible $1,400 Coinsurance Not applicable Out of Pocket $4,000
Plan Sparrow PHP Silver 3000 HMO Deductible $3,000 Coinsurance Not applicable Out of Pocket $7,350
Plan Sparrow PHP Bronze 6650 Exclusive Deductible $6,650 Coinsurance Not applicable Out of Pocket $7,350
Plan Sparrow PHP Healthy HMO Deductible $7,350 Coinsurance Not applicable Out of Pocket $7,350
Plan Sparrow PHP Silver 5000 Exclusive Deductible $5,000 Coinsurance Not applicable Out of Pocket $7,350
Plan Sparrow PHP Silver HDHP Exclusive Deductible $2,700 Coinsurance Not applicable Out of Pocket $4,000
Plan Sparrow PHP Gold 500 Basic Exclusive Deductible $500 Coinsurance Not applicable Out of Pocket $7,350
Plan Sparrow PHP Silver 3000 Exclusive Deductible $3,000 Coinsurance Not applicable Out of Pocket $7,350
Plan Sparrow PHP Silver 4000 Exclusive Deductible $4,000 Coinsurance Not applicable Out of Pocket $7,350
Plan Sparrow PHP Gold 1000 Exclusive Deductible $1,000 Coinsurance Not applicable Out of Pocket $5,000
Plan Sparrow PHP Platinum 500-100Percent Exclusive Deductible $500 Coinsurance Not applicable Out of Pocket $2,200
Plan Sparrow PHP Platinum 250 HMO Deductible $250 Coinsurance Not applicable Out of Pocket $1,500
Plan Sparrow PHP Gold 1400 Exclusive Deductible $1,400 Coinsurance Not applicable Out of Pocket $5,000
Plan Sparrow PHP Gold 500 Basic HMO Deductible $500 Coinsurance Not applicable Out of Pocket $7,350
Plan Sparrow PHP Gold 2000 Exclusive Deductible $2,000 Coinsurance Not applicable Out of Pocket $6,800
Plan Sparrow PHP Bronze 6550 H.S.A. HMO Deductible $6,550 Coinsurance Not applicable Out of Pocket $6,550
Plan Sparrow PHP Bronze 6550 H.S.A. Exclusive Deductible $6,550 Coinsurance Not applicable Out of Pocket $6,550
Plan Sparrow PHP Silver 7000 Exclusive Deductible $7,000 Coinsurance Not applicable Out of Pocket $7,350
Plan Sparrow PHP Silver 2500 Exclusive Deductible $2,500 Coinsurance Not applicable Out of Pocket $7,350
Plan Sparrow PHP Bronze 5500 H.S.A. Exclusive Deductible $5,500 Coinsurance Not applicable Out of Pocket $6,500
Plan Sparrow PHP Platinum 250 Exclusive Deductible $250 Coinsurance Not applicable Out of Pocket $1,500