MyHPN Catastrophic Plan - 95865NV0030023 Health Insurance Plan
Health Plan of Nevada, Inc. health insurance plan with the Plan ID 95865NV0030023. The plan is called MyHPN Catastrophic Plan.
| Health Insurance Plan ID | 95865NV0030023 | ||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Health Insurance Plan Year | 2024 | ||||||||||||||||||
| State | Nevada | ||||||||||||||||||
| Health Insurance Issuer | Health Plan of Nevada, Inc. | ||||||||||||||||||
| Health Insurance Plan Variant | 95865NV0030023-01 | ||||||||||||||||||
| Provider Network(s) | ['NVN001'] | ||||||||||||||||||
| In Network Doctors
*The data available in our database based on Health Insurance Company Open Data (update: Thu, 21 Nov 2024 00:44 GMT). |
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| Available Variants of the Health Plan | |||||||||||||||||||
| Last Plan Update Date | Mon, 12 Feb 2024 00:00 GMT | ||||||||||||||||||
| Last Import Date | Thu, 21 Nov 2024 00:44 GMT |
MyHPN Catastrophic Plan Health Insurance Plan Variant 95865NV0030023-01 Attributes
| Plan Attribute | Value |
|---|---|
| Business Year | 2024 |
| Child-Only Offering | Allows Adult and Child-Only |
| Composite Rating Offered | No |
| CSR Variation Type | Standard Catastrophic On Exchange Plan |
| Dental Only Plan | No |
| Design Type | Not Applicable |
| Disease Management Programs Offered | Pregnancy, High Blood Pressure & High Cholesterol, Weight Loss Programs, Pain Management, Depression, Diabetes, Heart Disease, Asthma |
| EHB Percent of Total Premium | 100% |
| First Tier Utilization | 100% |
| Formulary ID | NVF022 |
| HIOS Product ID | 95865NV003 |
| Import Date | 2/12/2024 |
| HSA Eligible | No |
| IsItANewPlan | Existing |
| Notice Required for Pregnancy | No |
| Is a Referral Required for Specialist? | Yes |
| Issuer ID | 95865 |
| Market Coverage | Individual |
| Medical Drug Deductibles Integrated | Yes |
| Medical Drug Maximum Out of Pocket Integrated | Yes |
| Metal Level | Catastrophic |
| Multiple In Network Tiers | No |
| National Network | No |
| Network ID | NVN001 |
| Out of Country Coverage | No |
| Out of Service Area Coverage | Yes |
| Out of Service Area Coverage Description | Urgent and Emergent only |
| Plan Effective Date | 1/1/2024 |
| Plan Expiration Date | 12/31/2024 |
| Plan ID (Standard Component ID with Variant) | 95865NV0030023-01 |
| Plan Marketing Name | MyHPN Catastrophic Plan |
| Plan Type | HMO |
| Plan Variant Marketing Name | MyHPN Catastrophic Plan |
| QHP/Non QHP | Both |
| SBC Scenario, Having a Baby, Coinsurance | $0 |
| SBC Scenario, Having a Baby, Copayment | $0 |
| SBC Scenario, Having a Baby, Deductible | $9,100 |
| SBC Scenario, Having a Baby, Limit | $80 |
| SBC Scenario, Having Diabetes, Coinsurance | $0 |
| SBC Scenario, Having Diabetes, Copayment | $0 |
| SBC Scenario, Having Diabetes, Deductible | $5,300 |
| SBC Scenario, Having Diabetes, Limit | $40 |
| SBC Scenario, Treatment of a Simple Fracture, Coinsurance | $0 |
| SBC Scenario, Treatment of a Simple Fracture, Copayment | $0 |
| SBC Scenario, Treatment of a Simple Fracture, Deductible | $2,800 |
| SBC Scenario, Treatment of a Simple Fracture, Limit | $0 |
| Service Area ID | NVS001 |
| Source Name | SERFF |
| Specialist Requiring a Referral | All |
| Plan ID | 95865NV0030023 |
| State Code | NV |
| Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Combined In/Out Network, Family | $9450 per person | $18900 per group |
| Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Combined In/Out Network, Individual | $9,450 |
| Combined Medical and Drug EHB Deductible, Combined In/Out of Network, Family | $9450 per person | $18900 per group |
| Combined Medical and Drug EHB Deductible, Combined In/Out of Network, Individual | $9,450 |
| Combined Medical and Drug EHB Deductible, In Network (Tier 1), Default Coinsurance | 0.00% |
| Combined Medical and Drug EHB Deductible, In Network (Tier 1), Family | $9450 per person | $18900 per group |
| Combined Medical and Drug EHB Deductible, In Network (Tier 1), Individual | $9,450 |
| TEHBDedOutofNetFamily | per person not applicable | per group not applicable |
| Combined Medical and Drug EHB Deductible, Out of Network, Individual | Not Applicable |
| Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), In Network (Tier 1), Family | $9450 per person | $18900 per group |
| Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), In Network (Tier 1), Individual | $9,450 |
| Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Out of Network, Family | per person not applicable | per group not applicable |
| Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Out of Network, Individual | Not Applicable |
| Unique Plan Design | No |
| Version Number | 1 |
| Wellness Program Offered | Yes |
Copay & Coinsurance of MyHPN Catastrophic Plan Health Insurance Plan, 95865NV0030023
| Drug Tier | Pharmacy Type | Copay amount | Copay option | Coinsurance rate | Coinsurance option | Mail Order |
|---|
Frequently Asked Questions(FAQ) about MyHPN Catastrophic Plan, 95865NV0030023 Health Insurance Plan, 95865NV0030023
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Does MyHPN Catastrophic Plan Health Insurance Plan, 95865NV0030023 support Mail Ordering?
Unfortunately, this health insurance plan does not support mail ordering or the plan data in not available.
Does (95865NV0030023) Health Insurance Plan, Variant (95865NV0030023-01) offer Disease Management Programs?
Yes, and here is the list of available programs: Pregnancy, High Blood Pressure & High Cholesterol, Weight Loss Programs, Pain Management, Depression, Diabetes, Heart Disease, Asthma
Does (95865NV0030023) Health Insurance Plan, Variant (95865NV0030023-01) have Out Of Country Coverage?
No, unfortunately there
is no Out Of Country Coverage for this Health Insurance Plan
(variant of plan).
Does (95865NV0030023) Health Insurance Plan, Variant (95865NV0030023-01) have Out of Service Area Coverage?
Yes. Details: Urgent and Emergent only
Does (95865NV0030023) Health Insurance Plan, Variant (95865NV0030023-01) offer Disease Management Programs?
Yes, and here is the list of available programs: Pregnancy, High Blood Pressure & High Cholesterol, Weight Loss Programs, Pain Management, Depression, Diabetes, Heart Disease, Asthma
Does MyHPN Catastrophic Plan Health Insurance Plan, Variant (95865NV0030023-01) offer Disease Management Programs for Asthma?
Yes, the MyHPN Catastrophic Plan Health Insurance Plan Variant
95865NV0030023-01 offers Disease
Management Program for Asthma.
Does MyHPN Catastrophic Plan Health Insurance Plan, Variant (95865NV0030023-01) offer Disease Management Programs for Heart disease?
Yes, the MyHPN Catastrophic Plan Health Insurance Plan Variant
95865NV0030023-01 offers Disease
Management Program for Heart disease.
Does MyHPN Catastrophic Plan Health Insurance Plan, Variant (95865NV0030023-01) offer Disease Management Programs for Depression?
Yes, the MyHPN Catastrophic Plan Health Insurance Plan Variant
95865NV0030023-01 offers Disease
Management Program for Depression.
Does MyHPN Catastrophic Plan Health Insurance Plan, Variant (95865NV0030023-01) offer Disease Management Programs for Diabetes?
Yes, the MyHPN Catastrophic Plan Health Insurance Plan Variant
95865NV0030023-01 offers Disease
Management Program for Diabetes.
Does MyHPN Catastrophic Plan Health Insurance Plan, Variant (95865NV0030023-01) offer Disease Management Programs for High blood pressure & high cholesterol?
Yes, the MyHPN Catastrophic Plan Health Insurance Plan Variant
95865NV0030023-01 offers Disease
Management Program for High blood pressure & high cholesterol.
Does MyHPN Catastrophic Plan Health Insurance Plan, Variant (95865NV0030023-01) offer Disease Management Programs for Pregnancy?
Yes, the MyHPN Catastrophic Plan Health Insurance Plan Variant
95865NV0030023-01 offers Disease
Management Program for Pregnancy.
Does MyHPN Catastrophic Plan Health Insurance Plan, Variant (95865NV0030023-01) offer Disease Management Programs for Weight loss programs?
Yes, the MyHPN Catastrophic Plan Health Insurance Plan Variant
95865NV0030023-01 offers Disease
Management Program for Weight loss programs.
Disclaimer: This is based on the import(Date: Thu, 21 Nov 2024 00:44 GMT) of the data from Healthcare Issuers listed by CMS. While we make every effort to ensure that data is accurate, you should assume all results are unvalidated. Source: CMS.gov, HealthPorta HEALTHCARE MRF API