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
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

/
LOBEL, ROBERT
111 COLCHESTER AVE
BURLINGTON, VT 05401
MAHONEY, ANDREW
111 COLCHESTER AVE
BURLINGTON, VT 05401
BOWEN, ANDREW
90 MAIN ST
BURLINGTON, VT 05401
ELDAKAR-HEIN, SHADEN
111 COLCHESTER AVE
BURLINGTON, VT 05401
WALSH, KATHERINE
111 COLCHESTER AVE
BURLINGTON, VT 05401
IRWIN, BRIAN
111 COLCHESTER AVE. ACC/ EP5
BURLINGTON, VT 05401
BINTER, NANCY
94 COLCHESTER AVE
BURLINGTON, VT 05401
POLISH, LOUIS
111 COLCHESTER AVE
BURLINGTON, VT 05401
CAPELESS, MARK
111 COLCHESTER AVE
BURLINGTON, VT 05401
ROOMET, ANDRES
89 S WILLIAMS ST
BURLINGTON, VT 05401
DALPE, JOANNE
111 COLCHESTER AVE
BURLINGTON, VT 05401
REVILLE, JULIE
2 CHURCH ST
BURLINGTON, VT 05401
GRACE, CHRISTOPHER
111 COLCHESTER AVENUE
BURLINGTON, VT 05401
WATKINS, MATTHEW
CARD UNIT, MCCLURE 1
BURLINGTON, VT 05401
ATWEH, GEORGE
111 COLCHESTER AVE.
BURLINGTON, VT 05401
HETZLER, THERESA
617 RIVERSIDE AVE
BURLINGTON, VT 05401
WARNKEN, WAYNE
617 RIVERSIDE AVE
BURLINGTON, VT 05401
DAUERMAN, HAROLD
111 COLCHESTER AVE
BURLINGTON, VT 05401
STERNBERG, KEVAN
111 COLCHESTER AVE
BURLINGTON, VT 05401
CONNOLLY, GREGORY
128 LAKESIDE AVE
BURLINGTON, VT 05401
ON TRACK, LLP
1 MAIN ST STE 102A
BURLINGTON, VT 05401
RICHARDS, ALISSON
111 COLCHESTER AVE
BURLINGTON, VT 05401
HAKEY, DIANE
111 COLCHESTER AVE
BURLINGTON, VT 05401
GREEN MOUNTAIN REHABILITATION & SPORTS MEDICINE LLC
90 MAIN ST
BURLINGTON, VT 05401
GIBSON, ERICA
1 S PROSPECT ST
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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