Sierra Health and Life

Sierra Health and Life | MySHL Solutions PPO Bronze 10

  • MySHL Solutions PPO Bronze 10 is an Obamacare health insurance plan offered by Sierra Health and Life that is available for individuals and families.

  • This plan is a PPO, meaning you will have the flexibility to visit a preferred healthcare provider network that have preferred rates for in-network physicians. (Read more about PPOs.)

  • This plan is a Bronze metal level plan, which generally has a lower monthly cost but higher annual deductible (and co-pay), and provides basic insurance coverage for people who do not spend regularly on health care (i.e., doctors, prescription drugs, etc.).

  • Deductible amount of $5,500. A deductible is the amount of healthcare costs you will pay on your own each year before the insurance company.

  • Max out-of-pocket of $6,850, which is the most you will pay in a plan year outside of premiums, out-of-network providers and non-essential health benefits.


Ways to Enroll or Learn More

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Plan Summary

Monthly Cost

Plan Name:
MySHL Solutions PPO Bronze 10

Plan ID:
83198NV0030036

Plan Type:
PPO

Deductible:
$5,500

Maximum Out-of-Pocket:
$6,850

Provider Information:

Who is this plan for?

This plan with a lower monthly cost is great for healthy individuals and families who rarely, if ever, visit the doctor or use prescription drugs. The very high deductible on this plan means you will pay a significant amount of money of pocket for medical care and prescriptions before your insurance kicks in. The very high out-of-pocket maximum on this plan means you could be faced with a very expensive medical bill if an emergency happens. Plans with this type of provider network tend to have a more broad provider network.

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Highlights


Emergency Room:
$850 Copay after deductible

Retail Drugs:
$50 Copay after deductible

Generic Drugs:
$25

Overview


Plan Type:
PPO

Metal Level:
Bronze

Health Spending Account:
No

Primary Care Office Visit:
$25

Specialist Office Visit:
$75

Out of Network Coverage:
No

Out of Country Coverage:
No

Coverage Details

Preventive Care

Periodic Health Exam
In Network:
No Charge

Out of Network:
50%
Well Baby Care
In Network:
No Charge

Out of Network:
50%

Inpatient

Hospital Services
In Network:
No Charge after deductible

Out of Network:
50% Coinsurance after deductible
Physician Fee
In Network:
No Charge after deductible

Out of Network:
50% Coinsurance after deductible
Skilled Nursing Facility
In Network:
No Charge after deductible

Out of Network:
50% Coinsurance after deductible
Mental Health
In Network:
No Charge after deductible

Out of Network:
50% Coinsurance after deductible
Substance Abuse
In Network:
No Charge after deductible

Out of Network:
50% Coinsurance after deductible
Home Healthcare
In Network:
$25

Out of Network:
50%

Outpatient

Surgery
In Network:
No Charge after deductible

Out of Network:
50% Coinsurance after deductible
X-ray and Diagnostics
In Network:
$75 Copay after deductible

Out of Network:
50% Coinsurance after deductible
Labs
In Network:
$35 Copay after deductible

Out of Network:
50% Coinsurance after deductible
Facility Fee
In Network:
No Charge after deductible

Out of Network:
50% Coinsurance after deductible
Mental Health
In Network:
$25

Out of Network:
50%
Substance Abuse
In Network:
$25

Out of Network:
50%
Rehabilitation Services
In Network:
$35 Copay after deductible

Out of Network:
50% Coinsurance after deductible

Maternity/Pregnancy

Pre & Postnatal Care
In Network:
$25

Out of Network:
50%
Infertility Treatment
In Network:
$75

Out of Network:
50%
Labor and Delivery Inpatient Services
In Network:
No Charge after deductible

Out of Network:
50% Coinsurance after deductible

Dental

Accidental Care
In Network:
$850 Copay after deductible

Out of Network:
$850 Copay after deductible

Vision

Eye Exam (Child)
In Network:
No Charge

Out of Network:
40%
Glasses (Child)
In Network:
No Charge

Out of Network:
40%

Additional Coverage

Chiropractic Care
In Network:
No Charge after deductible

Out of Network:
50% Coinsurance after deductible
Habilitation Services
In Network:
No Charge after deductible

Out of Network:
50% Coinsurance after deductible
Rehabilitation Services (Speech)
In Network:
No Charge after deductible

Out of Network:
50% Coinsurance after deductible
Rehabilitation Services (Occupational Therapy)
In Network:
No Charge after deductible

Out of Network:
50% Coinsurance after deductible
Hospice Service
In Network:
No Charge after deductible

Out of Network:
50% Coinsurance after deductible
Diabetes Care Management
In Network:
$35

Out of Network:
50%
Durable Medical Equipment
In Network:
No Charge after deductible

Out of Network:
50% Coinsurance after deductible
Hearing Aids
In Network:
No Charge after deductible

Out of Network:
50% Coinsurance after deductible
Nutritional Consuleling
In Network:
$25

Out of Network:
50%
Reconstructive Surgery
In Network:
No Charge after deductible

Out of Network:
50% Coinsurance after deductible

Doctor Visits

Primary Care Visit
In Network:
$25

Out of Network:
50%
Specialist Visit
In Network:
$75

Out of Network:
50%
Other Practitioner Office Visit
In Network:
$15

Out of Network:
50%
Preventative Care / Screening / Immunization
In Network:
No Charge

Out of Network:
50%

Emergency Room and Urgent Care

Emergency Room Services
In Network:
$850 Copay after deductible

Out of Network:
$850 Copay after deductible
Urgent Care Services
In Network:
$50

Out of Network:
50%
Ambulance/Transportation Services
In Network:
No Charge after deductible

Out of Network:
No Charge after deductible

Drugs

Generic Prescription
In Network:
$25

Out of Network:
50%
Retail Brand Drugs
In Network:
$50 Copay after deductible

Out of Network:
50% Coinsurance after deductible
Non Retail Brand Drugs
In Network:
$75 Copay after deductible

Out of Network:
50% Coinsurance after deductible
Specialty Drugs
In Network:
$250 Copay after deductible

Out of Network:
50% Coinsurance after deductible

Additional Plan Information

Provider Information:

HealthCare.com is a privately owned website, and monthly costs shown above are estimates only. Your monthly premium may change based on the data provided, outside fees, optional benefits or if other factors take effect before your coverage start date. Note that insurance companies reserve the right to change your premium rate and the policy terms at any time. Effective date, benefit amounts and other conditions may apply at the discretion of the insurance carrier you select. Depending on your state of residence, this website may not display all plans available by state. The Obamacare Tax Subsidy Calculator amounts are estimates only and the actual amount of subsidy eligibility may differ. Access to your physician depends on network selected, and networks can change without notice. Contact your health insurance company to confirm your healthcare provider is still available in the network you select.

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