2017 MySHL Solutions PPO Catastrophic 1 Plan Details - HealthPocket

MySHL Solutions PPO Catastrophic 1

$193.07/mo

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Zip Code89110
Applicant1/16/1984 Male
Coverage Start1/17/2019

Benefits & Coverage

Insurance TypeACA (Obamacare)
Plan NameMySHL Solutions PPO Catastrophic 1
Plan IDhhs-83198NV0030028
Plan Year2017
Insurance ProviderUnitedHealthcare
Metal LevelCatastrophic
Plan TypePPO
Deductible$7,150
Out-of-Pocket Maximum$7,150
Plan Highlights

Costs for Medical Care

Deductible - Family$14300 per group
Out-of-Pocket Maximum - Family$14300 per group

Access to doctors and hospitals

Provider directory URLhttp://myshlonline.com/body.cfm?id=25
Does this plan have access to a national provider network?No
Is a referral required to see a Specialist?Yes - ALL
Does this plan cover services outside plan service area?Yes - ALL
Does this plan cover services outside the country?Not Covered

Medical Management Programs

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

Vision Coverage

Routine Eye Exam for ChildrenIncluded
Eye Glasses for ChildrenIncluded
Routine Eye Exam for AdultsNot Covered

Child Dental Coverage

Child Dental Coverage - Routine Dental CareIncluded
Child Dental Coverage - Basic Dental CareIncluded
Child Dental Coverage - OrthodontiaIncluded
Child Dental Coverage - Major Dental CareIncluded

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 Facility Fee (e.g., Ambulatory Surgery Center)
Outpatient Surgery Physician/Surgical Services
Urgent Care Centers or Facilities
Inpatient Physician and Surgical Services
Home Health Care Services
Diabetes Care Management
Inherited Metabolic Disorder - PKU
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
Clinical Trials
Prescription Drugs Other
Gastric Restrictive Surgery Complications
Genetic Disease Testing Services
Infertility Office Visit Evaluation
Inpatient Respite Services
Outpatient Respite Services
ABA for Autism Spectrum Disorders
More Limited BenefitsSkilled Nursing Facility
Bariatric Surgery
Hearing Aids
Infertility Treatment
Outpatient Rehabilitation Services
Habilitation Services
Durable Medical Equipment
Hospice Services
Dental Check-Up for Children
Chiropractic Care
Nutritional Counseling
Prosthetic Devices
Rehabilitative Occupational and Rehabilitative Physical Therapy
Rehabilitative Speech Therapy
More Excluded BenefitsAcupuncture
Cosmetic Surgery
Long-Term/Custodial Nursing Home Care
Weight Loss Programs
Routine Foot Care
Non-Emergency Care When Traveling Outside the U.S.
Abortion for Which Public Funding is Prohibited
PremiumPlan NameDeductible
from $228
MyHPN Bronze 10
$7,000.00Select
from $235
MyHPN Bronze 7
$7,000.00Select
from $261
MySHL Solutions EPO Bronze 9
$7,000.00Select
from $279
MyHPN Bronze 10
$7,000.00Select
from $288
MyHPN Bronze 7
$7,000.00Select
/
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Ezpeleta, Carlos
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Saab, Ahmad
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Chien, Jerry
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Sataray, Justo
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Sanchez, Francisco
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Klahn, Logan
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Maufas, Octavia
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Santos, Joseph
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Chapa, Elizabeth
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Wilson, Trenise
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Acosta Vazquez, Kirenia
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Mitzel, Paul
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Garrett, Antoinette
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Sudweeks, Skyler
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Flores, Melissa
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Smith, Michael
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Lewis, Labrina
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Ranson, Dynasty
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Ati Physical Therapy
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Alexander, John
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Carlos Ezpeleta, M.D.
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  • Phone Number
    (702) 383-6250
  • Office Locations
    61 N. Nellis Blvd.
    Las Vegas, NV 89110
61 N. Nellis Blvd. Las Vegas NV, 89110
  • What is the Catastrophic Plan?

    Catastrophic health insurance is a type of medical coverage under the Affordable Care Act. This is a type of high-deductible health plan for people under 30 or those who qualify for a "hardship exemption."

  • How are Catastrophic Plans different than other Obamacare health plans?

    The fundamental difference among the new Obamacare health plans is the percentage of covered medical costs paid by the health plan. There is no actuarial value associated with catastrophic plans but other Obamacare metal plans pay a higher percentage of these costs.

  • How much does a Catastrophic Plan cost?

    The monthly premium for a Catastrophic Plan depends on the insurer from whom you purchase the plan, the number of people to be insured by the plan, your age, whether you smoke, and the region in which you live. You can use HealthPocket’s comparison tool to compare Catastrophic Plan premiums in your area.

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HealthPocket is a free information source designed to help consumers find medical coverage. Whether you are looking for Medicare, Medicaid or an individual 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.

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HealthPocket is a free information source designed to help consumers find medical coverage. Whether you are looking for Medicare, Medicaid or an individual 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.