Benefits & Coverage

Insurance Type
Individual Health Insurance
Insurance Provider
MVP
Plan Type
INDEMNITY
Deductible
$100000
Out-of-Pocket Maximum
No Maximum
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
    Not Covered
    Not Covered
    Specialist
    Not Covered
    Not Covered
    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
    Not Covered
    Not Covered
    Hospital facility fee
    Not Covered
    Not Covered
    Hospital physician/surgeon fee
    Not Covered
    Not Covered
    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
    Not Covered
    Not Covered
    Mental/behavioral health inpatient services
    Not Covered
    Not Covered
    Substance use disorder inpatient services
    Not Covered
    Not Covered
    Substance use disorder outpatient services
    Not Covered
    Not Covered

    Maternity Services

    Service
    In Network
    Out of Network
    Prenatal/postnatal care
    Not Covered
    Not Covered
    Delivery and all inpatient services for maternity care
    Not Covered
    Not Covered

    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

    /
    LOBEL, ROBERT
    111 COLCHESTER AVE
    BURLINGTON, VT 05401
    ABAJIAN, JOHN
    111 COLCHESTER AVE
    BURLINGTON, VT 05401
    HOMANS, ALAN
    111 COLCHESTER AVE
    BURLINGTON, VT 05401
    SOULTANAKIS, EMMANUEL
    102 CAMPUS DR
    SCARBOROUGH, ME 04074
    CASSON, PETER
    111 COLCHESTER AVE
    BURLINGTON, VT 05401
    WATKINS, MATTHEW
    CARD UNIT, MCCLURE 1
    BURLINGTON, VT 05401
    BISSON, JOHN
    64 COLCHESTER AVE
    BURLINGTON, VT 05401
    CONNOLLY, GREGORY
    128 LAKESIDE AVE
    BURLINGTON, VT 05401
    BORRAZZO, EDWARD
    111 COLCHESTER AVE
    BURLINGTON, VT 05401
    HARLOW, SETH
    111 COLCHESTER AVE
    BURLINGTON, VT 05401
    CAPELESS, MARK
    111 COLCHESTER AVE
    BURLINGTON, VT 05401
    LIDOFSKY, STEVEN
    111 COLCHESTER AVE
    BURLINGTON, VT 05401
    POLISH, LOUIS
    111 COLCHESTER AVE
    BURLINGTON, VT 05401
    BROWNLOWE, KATHERINE
    1670 UPHAM DR
    COLUMBUS, OH 43210
    IRWIN, BRIAN
    111 COLCHESTER AVE. ACC/ EP5
    BURLINGTON, VT 05401
    WALSH, KATHERINE
    111 COLCHESTER AVE
    BURLINGTON, VT 05401
    RINEHART, JILL
    128 LAKESIDE AVE
    BURLINGTON, VT 05401
    HAGAN, JOSEPH
    128 LAKESIDE AVE
    BURLINGTON, VT 05401
    TRANMER, BRUCE
    111 COLCHESTER AVE
    BURLINGTON, VT 05401
    LEFFLER, STEPHEN
    111 COLCHESTER AVE
    BURLINGTON, VT 05401
    RIDDICK, DANIEL
    111 COLCHESTER AVE
    BURLINGTON, VT 05401
    BUSHNELL, ANDREW
    111 COLCHESTER AVE
    BURLINGTON, VT 05401
    MURRAY, CHRISTINE
    111 COLCHESTER AVE
    BURLINGTON, VT 05401
    DAUERMAN, HAROLD
    111 COLCHESTER AVE
    BURLINGTON, VT 05401
    ALLEN, GILMAN
    111 COLCHESTER AVE
    BURLINGTON, VT 05401
    Details
    ROBERT LOBEL, MD
    Phone Number
    (802) 847-3734
    Office Locations
    111 COLCHESTER AVE
    BURLINGTON, VT 05401
    111 COLCHESTER AVE BURLINGTON VT, 05401

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