SHARP Health Plan Bronze 60 Performance HMO Plan Details for 2020- HealthPocket

ZIP Code
County
Applicant Info
Applicant
Date of birth
//
Gender
male
female
Income
$

Apply For This Plan

Zip Code	90011 (edit)
Applicant	2/27/1985 Male (edit)

Apply Now

Insurance Type	ACA (Obamacare)
Plan Name	SHARP Health Plan Bronze 60 Performance HMO
Plan ID	exch-CA2020SHARPHealthPlanBronze60PerformanceHMO
Plan Year	2020
Insurance Provider	Sharp Health Plan
Metal Level	Bronze HMO
Plan Type	HMO
Deductible	$6,300
Out-of-Pocket Maximum	$7,800
Plan Highlights

Yearly Deductible & Out-of-Pocket
Yearly Deductible - Individual	$6300
Yearly Deductible - Family	$12600
Separate Drug Deductible - Individual	$500
Separate Drug Deductible - Family	$1000
Out-of-Pocket Max - Individual	$7800
Out-of-Pocket Max - Family	$15600
Maximum Cost per Prescription	$500

Doctor Visit
Primary Care Visit	First 3 visits at $65 Copay before deductible
Specialist Visit	$95 Copay after deductible
Other Practitioner Office Visit	$65 Copay after deductible
Preventive Care/Screening/Immunization	No Charge

Tests
Laboratory Tests	$40 Copay
X-rays and Diagnostic Imaging	40% Coinsurance after deductible
Imaging (CT/PET Scans, MRIs)	40% Coinsurance after deductible

Drugs
Tier 1 (Most Generic Drugs)	$18 Copay after deductible
Tier 2 (Preferred Brand Drugs)	40% Coinsurance after deductible
Tier 3 (Non-Preferred Brand Drugs)	40% Coinsurance after deductible
Tier 4 (Specialty Drugs)	40% Coinsurance after deductible

Outpatient Services
Outpatient Facility Fee	40% Coinsurance after deductible
Outpatient Surgery Physician/Surgical Services	40% Coinsurance after deductible
Outpatient Services Office Visits	40% Coinsurance after deductible

ER & Urgent Care
Emergency Room Facility Fee	40% Coinsurance after deductible
Emergency Transportation	40% Coinsurance after deductible
Urgent Care	$65 Copay after deductible
Emergency Room Professional Fee	No Charge

Hospital
Inpatient Hospital Services	40% Coinsurance after deductible
Inpatient Physician and Surgical Services	40% Coinsurance after deductible

Mental/Behavioral Health
Mental/Behavioral Health Outpatient Services	$65 Copay before deductible
Mental/Behavioral Health Inpatient Facility Fee	40% Coinsurance after deductible
Mental/Behavioral Health Inpatient Professional Fee	40% Coinsurance after deductible
Substance Use Disorder Outpatient Services	$65 Copay before deductible
Substance Use Disorder Inpatient Facility Fee	40% Coinsurance after deductible
Substance Use Disorder Inpatient Professional Fee	40% Coinsurance after deductible

Pregnancy
Prenatal Care	No Charge
Delivery and Maternity Care Inpatient Facility Fee	40% Coinsurance after deductible
Delivery and Maternity Care Inpatient Professional Fee	40% Coinsurance after deductible

Other Special Needs
Home Health Care Services	40% Coinsurance after deductible
Outpatient Rehabilitation Services	$65 Copay
Habilitation Services	$65 Copay
Skilled Nursing Facility	40% Coinsurance after deductible
Durable Medical Equipment	40% Coinsurance after deductible
Hospice Services	No Charge
Acupuncture	$65 Copay after deductible
Rehabilitative Speech Therapy	$65 Copay
Rehabilitative Occupational and Rehabilitative Physical Therapy	$65 Copay
Well Baby Visits and Care	No Charge
Allergy Testing	$95 Copay after deductible
Diabetes Education	No Charge
Nutritional Counseling	Not covered

Children's Vision
Eye Exam for Children	No Charge
Eyeglasses for Children	No Charge

Children's Dental
Child Filling - One Surface	$25 Copay
Child Dental Checkup	No Charge
Child Root Canal - Molar	$300 Copay
Child Medically Necessary Orthodontia	$1000 Copay

+ See All Coverage Details

Premium

Plan Name

Deductible

from $0

Anthem Blue Cross Bronze 60 EPO

$6,300.00

Select

from $0

Anthem Blue Cross Bronze 60 HMO

$6,300.00

Select

from $0

Blue Shield Bronze 60 PPO

$6,300.00

Select

from $0

Chinese Community Bronze 60 HMO

$6,300.00

Select

from $0

Health Net Bronze 60 PureCare HSP

$6,300.00

Select

Last Name

Location/Distance

Please select the correct zip

Tracie, Harvey

Naeemah, Ghafur

Romyliza, Castillo

Mansi, Patel

Del Refugio Healthcare Inc

View All Details

Justin, Ramirez

View All Details

Bennyt Productions, Llc

Tiffani, Mullen

Denise, La Lande

Tiana, Pastor

Lizet, Moreno

Nancy, Delgado

Central Medical Clinic Inc

View All Details

Sam Ghalili Md Inc

View All Details

Kaechian, Saelee

View All Details

Dornika Medical, Inc.

View All Details

Universal Community Health Center

View All Details

Tracie Harvey, M.D.

View All Details

Phone Number
(323) 233-0425
Office Locations
4211 Avalon Blvd
Los Angeles, CA 90011

HealthPocket is a free information source designed to help consumers find medical coverage. Whether you are looking for Medicare, or an individual and family health insurance plan, we will help you find the right healthcare option and save on your out of pocket healthcare costs. We receive our data from government, non-profit and private sources, and you should confirm key provisions of your coverage with your selected health plan. If you select a plan presented on our site, you will be directed (via a click or a call) to one of our partners who can help you with your application. Our website is not a health insurance agency and not affiliated with and does not represent or endorse any health plan. HealthPocket, Inc. is part of the Health Insurance Innovations, Inc. family of companies (NASDAQ: HIIQ).

ZIP Code
County
Applicant Info
Applicant
Date of birth
//
Gender
male
female
Income
$

Health Plans Found

Sort by

Sorry, there are no plans available in your area.

SHARP Health Plan Bronze 60 Performance HMO

Apply For This Plan

Benefits & Coverage

Yearly Deductible & Out-of-Pocket

Doctor Visit

Tests

Drugs

Outpatient Services

ER & Urgent Care

Hospital

Mental/Behavioral Health

Pregnancy

Other Special Needs

Children's Vision

Children's Dental

Similar Plans

Physician Finder

Related Articles

Related Searches

Apply For This Plan

Health Plans Found