ViiP $100000 Deductible

Individual Health Insurance (Obamacare)

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Benefits & Coverage

Plan Name
ViiP $100000 Deductible
Plan ID
92802VT0100005
Plan Year
2013
Insurance Type
Individual Health Insurance (Obamacare)
Insurance Provider
MVP
Plan Type
INDEMNITY
Deductible
$100,000
Out-of-Pocket Maximum
0
Plan Highlights

Cost & Coverage

Estimated Monthly Base Rate
Estimated monthly premium starts at $20.65
How many applications are denied?
0% of the applicants were denied
How accurate is this estimate?
0% of the applicants ended up paying a higher amount than the quoted price
Deductible
Individual: $100000
Family: $200000
In-Network Out-of-Pocket Limit
Individual: No Maximum
Family: No Maximum
What is included in the in-network out-of-pocket limit?
None
Is this plan Health Savings Account (HSA) eligible?
No
How can I find a doctor in this plan's network?
Plan Type
INDEMNITY

Health Services Options

Service
In Network
Out of Network
Primary care physician office visit
No Charge after deductible
No Charge after deductible
Specialist
No Charge after deductible
No Charge after deductible
Diagnostic Test (X-ray, blood work)
30% Coinsurance after deductible
30% Coinsurance after deductible
Outpatient Facility Fee
30% Coinsurance after deductible
30% Coinsurance after deductible
Outpatient Physician/Surgeon Fee
No Charge after deductible
No Charge after deductible
Hospital facility fee
No Charge after deductible
No Charge after deductible
Hospital physician/surgeon fee
No Charge after deductible
No Charge after deductible
Emergency Room
30% Coinsurance after deductible
30% Coinsurance after deductible

Drug Services

Generic Drugs
Coverage: 50% Coinsurance after deductible
Preferred Brand Drugs
Coverage: 50% Coinsurance after deductible
Specialty Drugs
Coverage: 52% Coinsurance after deductible
What drugs are covered in the formulary?

Mental Health or Substance Abuse Services

Service
In Network
Out of Network
Mental/behavioral health outpatient services
No Charge after deductible
Not Covered
Mental/behavioral health inpatient services
No Charge after deductible
Not Covered
Substance use disorder inpatient services
No Charge after deductible
Not Covered
Substance use disorder outpatient services
No Charge after deductible
Not Covered

Maternity Services

Service
In Network
Out of Network
Prenatal/postnatal care
No Charge after deductible
No Charge after deductible
Delivery and all inpatient services for maternity care
No Charge after deductible
No Charge after deductible

Coverage Options Summary

Included Benefits
  • Durable medical equipment
  • Emergency Transportation
  • Home health care
  • Hospice
  • Imaging (CT/PET scans, MRIs)
  • Inpatient rehabilitation
  • Non-preferred brand drugs
  • Skilled nursing care
  • Other practitioner office visit
  • Outpatient rehabilitation
  • Preventive care, screening, immunization
  • Urgent Care
Excluded Benefits
  • Acupuncture
  • Cosmetic surgery
  • Dental care adult
  • Dental check up children
  • Eye exam adult
  • Eye glasses children
  • Habilitation
  • Hearing Aid
  • Infertility treatment
  • Long Term Care
  • Private duty nursing
  • Routine eye exam children
  • Routine foot care
  • Routine hearing tests
  • Weight loss program
Limited Benefits
  • Bariatric surgery
  • Chiropractic
  • Non-emergency care outside U.S.

What To Know

  • 0%of the applicants were denied
  • 0%of the applicants ended up paying a higher amount than the quoted price
  • Deductible amount is NOT included as part of the out-of-pocket limit

Physician Directory

List of doctors that accepts ViiP $100000 Deductible Plan in Vermont

/
FISHER, PATRICIA
617 RIVERSIDE AVE
BURLINGTON, VT 05401
WILLINGHAM, JENNIFER
617 RIVERSIDE AVE
BURLINGTON, VT 05401
BROOKLYN, JOHN
617 RIVERSIDE AVE
BURLINGTON, VT 05401
HILL, JESSICA
426 INDUSTRIAL AVE
WILLISTON, VT 05495
HAGAN, RINEHART & CONNOLLY PEDIATRICIANS, PLLC
128 LAKESIDE AVE
BURLINGTON, VT 05401
RINEHART, JILL
128 LAKESIDE AVE
BURLINGTON, VT 05401
FANTELLI, KERRY
617 RIVERSIDE AVE
BURLINGTON, VT 05401
GOULETTE, KERRY
617 RIVERSIDE AVE
BURLINGTON, VT 05401
HAGAN, JOSEPH
128 LAKESIDE AVE
BURLINGTON, VT 05401
GAMBINO, JACQUELINE
11 KILBURN ST
BURLINGTON, VT 05401
LOBEL, ROBERT
111 COLCHESTER AVE
BURLINGTON, VT 05401
ABAJIAN, JOHN
111 COLCHESTER AVE
BURLINGTON, VT 05401
TRANMER, BRUCE
111 COLCHESTER AVE
BURLINGTON, VT 05401
BORRAZZO, EDWARD
111 COLCHESTER AVE
BURLINGTON, VT 05401
HOMANS, ALAN
111 COLCHESTER AVE
BURLINGTON, VT 05401
LEFFLER, STEPHEN
111 COLCHESTER AVE
BURLINGTON, VT 05401
HARLOW, SETH
111 COLCHESTER AVE
BURLINGTON, VT 05401
RIDDICK, DANIEL
111 COLCHESTER AVE
BURLINGTON, VT 05401
CAPELESS, MARK
111 COLCHESTER AVE
BURLINGTON, VT 05401
BUSHNELL, ANDREW
111 COLCHESTER AVE
BURLINGTON, VT 05401
ELSINGER, ERIC
85 MAIN ST
BURLINGTON, VT 05401
BOWEN, ANDREW
90 MAIN ST
BURLINGTON, VT 05401
ALLEN, GILMAN
111 COLCHESTER AVE
BURLINGTON, VT 05401
DUNNING, SUSAN
111 COLCHESTER AVENUE
BURLINGTON, VT 05401
ROOMET, ANDRES
89 S WILLIAMS ST
BURLINGTON, VT 05401
Details
PATRICIA FISHER, M.D.
Phone Number
(802) 864-6309
Office Locations
617 RIVERSIDE AVE
BURLINGTON, VT 05401
617 RIVERSIDE AVE BURLINGTON VT, 05401

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