IFP_SILVER_HDHP_HMO_2000_20

Individual Health Insurance (Obamacare)

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Benefits & Coverage

Plan Name
IFP_SILVER_HDHP_HMO_2000_20
Plan ID
81413WI0420003
Plan Year
2014
Insurance Type
Individual Health Insurance (Obamacare)
Insurance Provider
Network Health
Metal Level
Silver
Plan Type
HMO
Deductible
$2,000
Out-of-Pocket Maximum
$6,350
Plan Highlights

Cost & Coverage

Estimated Monthly Base Rate
Estimated monthly premium starts at $1767.63
Deductible
Individual: $2000
Family: $4000
In-Network Out-of-Pocket Limit
Individual: $6350
Family: $12700
What is included in the in-network out-of-pocket limit?
Deductible + Coinsurance
Is this plan Health Savings Account (HSA) eligible?
No
How can I find a doctor in this plan's network?
Plan Type
HMO

Health Services Options

Service
In Network
Out of Network
Primary care physician office visit
20% Coinsurance after deductible
Not Covered
Specialist
20% Coinsurance after deductible
Not Covered
Diagnostic Test (X-ray, blood work)
20% Coinsurance after deductible
Not Covered
Outpatient Facility Fee
20% Coinsurance after deductible
Not Covered
Outpatient Physician/Surgeon Fee
20% Coinsurance after deductible
Not Covered
Hospital facility fee
20% Coinsurance after deductible
Not Covered
Hospital physician/surgeon fee
20% Coinsurance after deductible
Not Covered
Emergency Room
20% Coinsurance after deductible
20% Coinsurance after deductible

Drug Services

Generic Drugs
Coverage: 20% Coinsurance after deductible
Preferred Brand Drugs
Coverage: 20% Coinsurance after deductible
Specialty Drugs
Coverage: 20% 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
20% Coinsurance after deductible
Not Covered
Mental/behavioral health inpatient services
20% Coinsurance after deductible
Not Covered
Substance use disorder inpatient services
20% Coinsurance after deductible
Not Covered
Substance use disorder outpatient services
20% Coinsurance after deductible
Not Covered

Maternity Services

Service
In Network
Out of Network
Prenatal/postnatal care
20% Coinsurance after deductible
Not Covered
Delivery and all inpatient services for maternity care
20% Coinsurance after deductible
Not Covered

Coverage Options Summary

Included Benefits
  • Chiropractic
  • Durable medical equipment
  • Emergency Transportation
  • Eye glasses children
  • Habilitation
  • Hearing Aid
  • 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
  • Routine eye exam children
  • Routine hearing tests
  • Urgent Care
Excluded Benefits
  • Acupuncture
  • Bariatric surgery
  • Cosmetic surgery
  • Dental care adult
  • Dental check up children
  • Eye exam adult
  • Infertility treatment
  • Long Term Care
  • Non-emergency care outside U.S.
  • Private duty nursing
  • Weight loss program
Limited Benefits
  • Routine foot care

What To Know

  • This is an ACA (Obamacare) compliant health plan.

Physician Directory

List of doctors that accepts IFP_SILVER_HDHP_HMO_2000_20 Obamacare Plan in Wisconsin

/
REDDY, MOITREYEE
9000 W.WISCONSIN AVENUE
MILWAUKEE, WI 53201
GAYLORD, GREGG
4131 W LOOMIS RD
GREENFIELD, WI 53221
SADLER, DENISE
4131 W LOOMIS RD
GREENFIELD, WI 53221
GERHART, JACQUELINE
4131 MERIDIAN LANE
WINDSOR, WI 53278
BARRON, MARGARET
111 E WISCONSIN AVE
MILWAUKEE, WI 53202
FELDMAN, STUART
111 E WISCONSIN AVE
MILWAUKEE, WI 53202
GERSCHKE, GARY
111 E WISCONSIN AVE
MILWAUKEE, WI 53202
GUMMIN, DAVID
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
ERICKSON, JAMES
111 E WISCONSIN AVE STE 2000
MILWAUKEE, WI 53202
QUALIO, ANGIE
111 E WISCONSIN AVE
MILWAUKEE, WI 53202
GERWING, CHRISTOPHER
111 E WISCONSIN AVE
MILWAUKEE, WI 53202
POLGLAZE, KEVIN
111 E WISCONSIN AVE
MILWAUKEE, WI 53202
ZIERKE, ELIZABETH
544 E OGDEN AVE
MILWAUKEE, WI 53202
PIERSTORFF, CRAIG
1229 S 58TH ST
WEST ALLIS, WI 53214
BROOR, APOORV
5000 W CHAMBERS ST
MILWAUKEE, WI 53210
ALLADA, VENKATA
5000 W CHAMBERS ST
MILWAUKEE, WI 53210
CHIRILLO, PATRICIA
10243 W NATIONAL AVE
WEST ALLIS, WI 53227
PIFEL, TIFFANY
2023 E LAKE BLUFF BLVD
MILWAUKEE, WI 53211
HARRISON, REBECCA
2323 N LAKE DR
MILWAUKEE, WI 53211
ALI, LAEEKHA
11020 W PLANK CT
WAUWATOSA, WI 53226
KLAJBOR, SARAH
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
LIND, GEOGRE
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
RUNGE, CHRISTINA
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
GULLY, JONATHAN
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
SCHMIDT, SHANNON
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Details
MOITREYEE REDDY, M.D.
Phone Number
(414) 266-2932
Office Locations
9000 W.WISCONSIN AVENUE
MILWAUKEE, WI 53201
9000 W.WISCONSIN AVENUE MILWAUKEE WI, 53201

Community Q&A

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