Benefits & Coverage

Insurance Type
Individual Health Insurance (Obamacare)
Insurance Provider
Network Health
Metal Level
Silver
Plan Type
HMO
Deductible
$2000
Out-of-Pocket Maximum
$6350
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

/
SRA, JASBIR
2801 W KINNICKINNIC RIVER PKWY
MILWAUKEE, WI 53215
INGLESE, CHRISTOPHER
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
DHALA, ANWER
2801 W KINNICKINNIC RIVER PARKWAY
MILWAUKEE, WI 53215
BLANCK, ZALMEN
2801 W KINNICKINNIC RIVER PKWY
MILWAUKEE, WI 53215
AKBAR, MUHAMMAD
2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215
CHAYER, ROBERT
1155 N MAYFAIR RD
MILWAUKEE, WI 53226
BECKER, MICHAEL
2801 W KINNICKINNIC RIVER PKWY
MILWAUKEE, WI 53215
CO,, EDDY
3267 S 16TH ST
MILWAUKEE, WI 53215
NEUBAUER, JOSHUA
3237 S 16TH ST
MILWAUKEE, WI 53215
SHAH, ANKUR
2801 W KK RIVER PKWY
MILWAUKEE, WI 53215
NGUYEN, NANCY
2906 S 20TH ST
MILWAUKEE, WI 53215
GRAYBURN, RYAN
2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215
ADAMS, CHRISTOPHER
3267 S 16TH ST
MILWAUKEE, WI 53215
BERLIN, JON
1155 N MAYFAIR RD
MILWAUKEE, WI 53226
MURPHY, STEVEN
1032 S CESAR E CHAVEZ DR
MILWAUKEE, WI 53204
LEO, GARY
2311 N PROSPECT AVE
MILWAUKEE, WI 53211
KUESTER, JESSICA
50000 W NATIONAL AVE
MILWAUKEE, WI 53295
RAHMAN, MOHAMED
2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215
REDDY, MOITREYEE
9000 W.WISCONSIN AVENUE
MILWAUKEE, WI 53201
GAYLORD, GREGG
4131 W LOOMIS RD
GREENFIELD, WI 53221
STAUSS, THOMAS
4131 W. LOOMIS RD.
GREENFIELD, WI 53221
PATEL, NIKHIL
4131 W LOOMIS RD
GREENFIELD, WI 53221
SADLER, DENISE
4131 W LOOMIS RD
GREENFIELD, WI 53221
BHARAT, YOGENDRA
4131 W LOOMIS RD
GREENFIELD, WI 53221
NOSIR, HANY
4131 W LOOMIS RD
GREENFIELD, WI 53221
Details
JASBIR SRA, MD
Phone Number
(414) 649-3390
Office Locations
2801 W KINNICKINNIC RIVER PKWY
MILWAUKEE, WI 53215
2801 W KINNICKINNIC RIVER PKWY MILWAUKEE WI, 53215

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