SelectHealth Value Expanded Bronze 6950 HSA Qualified Plan Details for 2021- HealthPocket

SelectHealth Value Expanded Bronze 6950 HSA Qualified

$299.48/mo

Apply For This Plan

Zip Code89110
Applicant8/8/1987 Male
Apply Now

Benefits & Coverage

Insurance TypeACA (Obamacare)
Plan NameSelectHealth Value Expanded Bronze 6950 HSA Qualified
Plan IDhhs-84445NV0030005
Plan Year2021
Insurance ProviderSelectHealth
Metal LevelExpanded Bronze
Plan TypeHMO
Deductible$6,950
Out-of-Pocket Maximum$6,950
Plan Highlights

Costs for Medical Care

Primary Care Visit to Treat an Injury or IllnessNot Applicable
Specialist VisitNot Applicable
Laboratory Outpatient and Professional ServicesNo Charge after deductible
X-rays and Diagnostic ImagingNo Charge after deductible
Diagnostic Imaging such as MRIs, CT, and PET scansNo Charge after deductible
Deductible - Family$13900 per group
Out-of-Pocket Maximum - Family$13900 per group

Prescription drug coverage

Generic DrugsNot Applicable
Preferred Brand DrugsNo Charge after deductible
Non-Preferred Brand DrugsNo Charge after deductible
Specialty DrugsNo Charge after deductible

Access to doctors and hospitals

Provider directory URLhttp://selecthealth.org/find-a-doctor
Does this plan have access to a national provider network?No
Is a referral required to see a Specialist?Yes - Except for general ophthalmology, gynecological and obstetrical, general podiatry, mental health and substance abuse, services received from a Secondary Care Provider or ancillary Provider require a referral from your Primary Care Provider.
Does this plan cover services outside plan service area?No - Urgent or Emergency Care Only
Does this plan cover services outside the country?No - Urgent or Emergency Care Only

Hospital services

Emergency Room ServicesNot Applicable
Inpatient Hospital Services (e.g., Hospital Stay)No Charge after deductible
Inpatient Physician and Surgical ServicesNo Charge after deductible
Emergency Transportation or Ambulance ServiceNo Charge after deductible

Maternity

Prenatal and Postnatal CareNo Charge after deductible
Delivery and all inpatient services for maternity careNo Charge after deductible

Mental Health

Mental/Behavioral Health Outpatient ServicesNo Charge after deductible
Mental/Behavioral Health Inpatient ServicesNo Charge after deductible
Substance use disorder outpatient servicesNo Charge after deductible
Substance use disorder inpatient servicesNo Charge after deductible

Medical Management Programs

Does this plan offer disease managment programs?Asthma, Depression, Diabetes, Heart Disease, High Blood Pressure & High Cholesterol, Low Back Pain, Pain Management, Pregnancy, Weight Loss Programs
Does this plan offer a wellness program?Covered

Vision Coverage

Routine Eye Exam for ChildrenCovered
Eye Glasses for ChildrenCovered
Routine Eye Exam for AdultsNot Covered

Child Dental Coverage

Child Dental Coverage - Routine Dental CareNot Covered
Child Dental Coverage - Basic Dental CareNot Covered
Child Dental Coverage - OrthodontiaNot Covered
Child Dental Coverage - Major Dental CareNot Covered

Adult Dental Coverage

Adult Dental Coverage - Routine Dental CareNot Covered
Adult Dental Coverage - Basic Dental CareNot Covered
Adult Dental Coverage - OrthodontiaNot Covered
Adult Dental Coverage - Major Dental CareNot Covered

Exclusions and Limitations

More Included BenefitsOther Practitioner Office Visit (Nurse, Physician Assistant)
Preventive Care/Screening/Immunization
Private-Duty Nursing
Imaging (CT/PET Scans, MRIs)
Outpatient Surgery Physician/Surgical Services
Urgent Care Centers or Facilities
Inpatient Physician and Surgical Services
Home Health Care Services
Accidental Dental
Allergy Testing
Chemotherapy
Diabetes Education
Dialysis
Infusion Therapy
Laboratory Outpatient and Professional Services
Radiation
Reconstructive Surgery
Transplant
Treatment for Temporomandibular Joint Disorders
Well Baby Visits and Care
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)
More Limited BenefitsSkilled Nursing Facility
Bariatric Surgery
Hearing Aids
Infertility Treatment
Outpatient Rehabilitation Services
Habilitation Services
Durable Medical Equipment
Hospice Services
Chiropractic Care
Nutritional Counseling
Prosthetic Devices
Rehabilitative Occupational and Rehabilitative Physical Therapy
Rehabilitative Speech Therapy
More Excluded BenefitsAcupuncture
Cosmetic Surgery
Weight Loss Programs
Dental Check-Up for Children
Routine Foot Care
Abortion for Which Public Funding is Prohibited
Long-Term/Custodial Nursing Home Care
PremiumPlan NameDeductible
from $267SelectHealth Value Expanded Bronze 7000 - no deductible for urgent care and PCP office visits$7,000.00Select
from $290MySHL Solutions EPO Bronze 13$6,900.00Select
from $300MyHPN Plus Bronze 6$6,900.00Select
from $308SelectHealth Value Expanded Bronze 6900 - no deductible for urgent care and PCP office visits$6,900.00Select
from $309Anthem Bronze Pathway Guided Access HMO 7000 for HSA$7,000.00Select
/
Please select the correct zip
Carlos, Ezpeleta
View All Details
Ahmad, Saab
View All Details
Richard, Orr
View All Details
Chris, Nurre
View All Details
Olivia, Yuson
View All Details
Stephanneth, Adams
View All Details
Rahul, Sharma
View All Details
Paola, Diaz
View All Details
Anais, Rodriguez
View All Details
Anyi, Sepulveda
View All Details
Thelma, Durbin
View All Details
Jessica, Sanabria
View All Details
Binh, Nguyen
View All Details
New Mind Primary Care Clinic
View All Details
Ronualdo, Robina
View All Details
Kallee, Oxborrow
View All Details
Logan, Klahn
View All Details
Octavia, Maufas
View All Details
Joseph, Santos
View All Details
Elizabeth, Chapa
View All Details
Laura, Girgash
View All Details
Carlos Ezpeleta, M.D.
View All Details
  • Phone Number
    (702) 383-6250
  • Office Locations
    61 N. Nellis Blvd.
    Las Vegas, NV 89110
61 N. Nellis Blvd. Las Vegas NV, 89110

HealthPocket.com is a free information source. 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. Our website is not a health insurance agency and not affiliated with and does not represent or endorse any health plan. While on our site, if you click on a plan or link, you may be directed to one of our partners who offers health insurance products. HealthPocket, Inc. is part of the Benefytt Technologies, Inc. family of companies.

Health Plans Found

 

HealthPocket.com provides information on insurance products. If you choose to obtain a quote or apply for an insurance plan, you may be transferred to a partner website to complete your request. Always review the privacy and terms of use of the partner website.

HealthPocket.com is a free information source. 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. Our website is not a health insurance agency and not affiliated with and does not represent or endorse any health plan. While on our site, if you click on a plan or link, you may be directed to one of our partners who offers health insurance products. HealthPocket, Inc. is part of the Benefytt Technologies, Inc. family of companies.