Sierra Health and Life

Sierra Health and Life | MySHL Solutions PPO Platinum 2

  • MySHL Solutions PPO Platinum 2 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 Platinum metal level plan, which has the highest monthly cost, and for that cost provides the highest coverage (in terms of lowest deductibles and co-pays). Platinum plans are best for those who expect to use their health care benefits a lot throughout the year.

  • Deductible amount of Not Applicable. 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 $2,000, 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

SPEAK WITH A LICENSED AGENT

Plan Summary

Monthly Cost

Plan Name:
MySHL Solutions PPO Platinum 2

Plan ID:
83198NV0030021

Plan Type:
PPO

Deductible:
Not Applicable

Maximum Out-of-Pocket:
$2,000

Provider Information:

Who is this plan for?

This plan with a higher monthly cost is great for individuals and families who have multiple, serious, or chronic health needs, regularly visit the doctor, and regularly use multiple prescription drugs. The low deductible on this plan means you won't have to pay as much money out of pocket for medical care and prescriptions before your insurance kicks in. Plans with this type of provider network tend to have a more broad provider network.

HealthCare.com is a privately-held internet start-up for healthcare consumers. We’re not the government website.

Highlights


Emergency Room:
10%

Retail Drugs:
$25

Generic Drugs:
$10

Overview


Plan Type:
PPO

Metal Level:
Platinum

Health Spending Account:
No

Primary Care Office Visit:
$10

Specialist Office Visit:
$20

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:
10%

Out of Network:
50%
Physician Fee
In Network:
10%

Out of Network:
50%
Skilled Nursing Facility
In Network:
10%

Out of Network:
50%
Mental Health
In Network:
10%

Out of Network:
50%
Substance Abuse
In Network:
10%

Out of Network:
50%
Home Healthcare
In Network:
10%

Out of Network:
50%

Outpatient

Surgery
In Network:
10%

Out of Network:
50%
X-ray and Diagnostics
In Network:
$15

Out of Network:
50%
Labs
In Network:
$5

Out of Network:
50%
Facility Fee
In Network:
10%

Out of Network:
50%
Mental Health
In Network:
$10

Out of Network:
50%
Substance Abuse
In Network:
$10

Out of Network:
50%
Rehabilitation Services
In Network:
$10

Out of Network:
50%

Maternity/Pregnancy

Pre & Postnatal Care
In Network:
$10

Out of Network:
50%
Infertility Treatment
In Network:
$20

Out of Network:
50%
Labor and Delivery Inpatient Services
In Network:
10%

Out of Network:
50%

Dental

Accidental Care
In Network:
10%

Out of Network:
10%

Vision

Eye Exam (Child)
In Network:
No Charge

Out of Network:
50%
Glasses (Child)
In Network:
No Charge

Out of Network:
50%

Additional Coverage

Chiropractic Care
In Network:
$10

Out of Network:
50%
Habilitation Services
In Network:
10%

Out of Network:
50%
Rehabilitation Services (Speech)
In Network:
10%

Out of Network:
50%
Rehabilitation Services (Occupational Therapy)
In Network:
10%

Out of Network:
50%
Hospice Service
In Network:
10%

Out of Network:
50%
Diabetes Care Management
In Network:
$10

Out of Network:
50%
Durable Medical Equipment
In Network:
10%

Out of Network:
50%
Hearing Aids
In Network:
10%

Out of Network:
50%
Nutritional Consuleling
In Network:
$10

Out of Network:
50%
Reconstructive Surgery
In Network:
10%

Out of Network:
50%

Doctor Visits

Primary Care Visit
In Network:
$10

Out of Network:
50%
Specialist Visit
In Network:
$20

Out of Network:
50%
Other Practitioner Office Visit
In Network:
$5

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:
10%

Out of Network:
10%
Urgent Care Services
In Network:
$35

Out of Network:
50%
Ambulance/Transportation Services
In Network:
10%

Out of Network:
10%

Drugs

Generic Prescription
In Network:
$10

Out of Network:
50%
Retail Brand Drugs
In Network:
$25

Out of Network:
50%
Non Retail Brand Drugs
In Network:
$60

Out of Network:
50%
Specialty Drugs
In Network:
$250

Out of Network:
50%
Drug Deductible
In Network:
Individual: Not Applicable Family: Not Applicable

Out of Network:
Individual: Not Applicable Family: Not Applicable

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.

Powered by Quotit -quotit.com

LOOKING FOR A NEW HEALTH INSURANCE QUOTE?
Talk to one of our partner agents:*

* Note: This number does not reach HealthCare.com personnel.
For frequently-asked questions and support documentation:
Visit the HealthCare.com Help Center >