Physicians - Sparrow PHP Bronze 7300 Exclusive

Michigan, 2019

  • Plan Type

    HMO

  • Metal Tier

    Expanded Bronze

  • Out of Pocket Maximum

    $7,900

  • Deductible

    $7,300

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) $7,300
Deductible (Family) $14,600
Coinsurance Not applicable
Out of Pocket Maximum (Individual) $7,900
Out of Pocket Maximum (Family) $15,800

Doctor Visits

Primary Care Visit Data Not Available
Specialist Visit Data Not Available
Inpatient Facility 50% Coinsurance after deductible
Inpatient Physician 50% Coinsurance after deductible
Emergency Room Services $500 Copay after deductible

Tests and Imaging

Imaging (CT/PET Scans, MRIs) $150 Copay after deductible
Laboratory Outpatient and Professional Services 50% Coinsurance after deductible
X-Ray and Diagnostic Imaging 50% 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 50% Coinsurance after deductible
Mental / Behavioral Health Outpatient Data Not Available
Rehabilitative Speech Therapy $100 Copay after deductible
Rehabilitative Occupational & Physical Therapy $100 Copay after deductible
Outpatient Facility 50% Coinsurance after deductible
Outpatient Surgery 50% Coinsurance after deductible

Prescription Drugs

Generic Rx Data Not Available
Preferred Brand Rx 35% Coinsurance after deductible
Non Preferred Brand Rx 40% Coinsurance after deductible
Specialty Drugs 45% Coinsurance after deductible

Other Plans in Michigan

Plan Sparrow PHP Bronze 6650 H.S.A. Exclusive Deductible $6,650 Coinsurance Not applicable Out of Pocket $6,650
Plan Sparrow PHP Silver 7000 Exclusive Deductible $7,000 Coinsurance Not applicable Out of Pocket $7,900
Plan Sparrow PHP Bronze 5500 H.S.A. Exclusive Deductible $5,500 Coinsurance Not applicable Out of Pocket $6,650
Plan Sparrow PHP Silver 4000 HMO Deductible $4,000 Coinsurance Not applicable Out of Pocket $7,350
Plan Sparrow PHP Gold 500 HMO Deductible $500 Coinsurance Not applicable Out of Pocket $6,500
Plan Sparrow PHP Gold 2000 Exclusive Deductible $2,000 Coinsurance Not applicable Out of Pocket $6,800
Plan Sparrow PHP Bronze 6650 H.S.A. HMO Deductible $6,650 Coinsurance Not applicable Out of Pocket $6,650
Plan Sparrow PHP Healthy HMO Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
Plan Sparrow PHP Silver 2500 Basic Exclusive Deductible $2,500 Coinsurance Not applicable Out of Pocket $7,900
Plan Sparrow PHP Silver 3200 H.S.A. Exclusive Deductible $3,200 Coinsurance Not applicable Out of Pocket $6,650
Plan Sparrow PHP Gold 500 Exclusive Deductible $500 Coinsurance Not applicable Out of Pocket $6,500
Plan Sparrow PHP Silver 4000 Exclusive Deductible $4,000 Coinsurance Not applicable Out of Pocket $7,350
Plan Sparrow PHP Platinum 500 Exclusive Deductible $500 Coinsurance Not applicable Out of Pocket $2,300
Plan Sparrow PHP Silver 2000 Exclusive Deductible $2,000 Coinsurance Not applicable Out of Pocket $7,900
Plan Sparrow PHP Gold 1500 Exclusive Deductible $1,500 Coinsurance Not applicable Out of Pocket $5,000
Plan Sparrow PHP Platinum 500 HMO Deductible $500 Coinsurance Not applicable Out of Pocket $2,300
Plan Sparrow PHP Gold 1600 H.S.A. Exclusive Deductible $1,600 Coinsurance Not applicable Out of Pocket $3,000
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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) $7,300
Deductible (Family) $14,600
Coinsurance Not applicable
Out of Pocket Maximum (Individual) $7,900
Out of Pocket Maximum (Family) $15,800

Doctor Visits

Primary Care Visit Data Not Available
Specialist Visit Data Not Available
Inpatient Facility 50% Coinsurance after deductible
Inpatient Physician 50% Coinsurance after deductible
Emergency Room Services $500 Copay after deductible

Tests and Imaging

Imaging (CT/PET Scans, MRIs) $150 Copay after deductible
Laboratory Outpatient and Professional Services 50% Coinsurance after deductible
X-Ray and Diagnostic Imaging 50% 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 50% Coinsurance after deductible
Mental / Behavioral Health Outpatient Data Not Available
Rehabilitative Speech Therapy $100 Copay after deductible
Rehabilitative Occupational & Physical Therapy $100 Copay after deductible
Outpatient Facility 50% Coinsurance after deductible
Outpatient Surgery 50% Coinsurance after deductible

Prescription Drugs

Generic Rx Data Not Available
Preferred Brand Rx 35% Coinsurance after deductible
Non Preferred Brand Rx 40% Coinsurance after deductible
Specialty Drugs 45% Coinsurance after deductible

Other Plans in Michigan

Plan Sparrow PHP Bronze 6650 H.S.A. Exclusive Deductible $6,650 Coinsurance Not applicable Out of Pocket $6,650
Plan Sparrow PHP Silver 7000 Exclusive Deductible $7,000 Coinsurance Not applicable Out of Pocket $7,900
Plan Sparrow PHP Bronze 5500 H.S.A. Exclusive Deductible $5,500 Coinsurance Not applicable Out of Pocket $6,650
Plan Sparrow PHP Silver 4000 HMO Deductible $4,000 Coinsurance Not applicable Out of Pocket $7,350
Plan Sparrow PHP Gold 500 HMO Deductible $500 Coinsurance Not applicable Out of Pocket $6,500
Plan Sparrow PHP Gold 2000 Exclusive Deductible $2,000 Coinsurance Not applicable Out of Pocket $6,800
Plan Sparrow PHP Bronze 6650 H.S.A. HMO Deductible $6,650 Coinsurance Not applicable Out of Pocket $6,650
Plan Sparrow PHP Healthy HMO Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
Plan Sparrow PHP Silver 2500 Basic Exclusive Deductible $2,500 Coinsurance Not applicable Out of Pocket $7,900
Plan Sparrow PHP Silver 3200 H.S.A. Exclusive Deductible $3,200 Coinsurance Not applicable Out of Pocket $6,650
Plan Sparrow PHP Gold 500 Exclusive Deductible $500 Coinsurance Not applicable Out of Pocket $6,500
Plan Sparrow PHP Silver 4000 Exclusive Deductible $4,000 Coinsurance Not applicable Out of Pocket $7,350
Plan Sparrow PHP Platinum 500 Exclusive Deductible $500 Coinsurance Not applicable Out of Pocket $2,300
Plan Sparrow PHP Silver 2000 Exclusive Deductible $2,000 Coinsurance Not applicable Out of Pocket $7,900
Plan Sparrow PHP Gold 1500 Exclusive Deductible $1,500 Coinsurance Not applicable Out of Pocket $5,000
Plan Sparrow PHP Platinum 500 HMO Deductible $500 Coinsurance Not applicable Out of Pocket $2,300
Plan Sparrow PHP Gold 1600 H.S.A. Exclusive Deductible $1,600 Coinsurance Not applicable Out of Pocket $3,000