Covered California Silver Plan 94
Blue shield silver 94 ppo plan summary of benefits the summary of benefits is provided with and is incorporated as part of the evidence of coverage.
Covered california silver plan 94. It sets forth the member s share of costs for covered services under the benefit plan. As the metal category increases in value so does the percentage of medical expenses that a health insurance plan covers compared with what you are. Generic drugs are 3. Members with silver 70 gold 80 and platinum 90 plans will be charged no more than 250 per month for one 30 day supply.
Bronze 60 plan members will pay no more than 500 per 30 day supply. 3 tiers of cost sharing reduction on the silver plan 73 87 and 94 the standard silver plan covers 70 of your out of pocket costs. Earlier this year many people enrolled on a covered california health plan just to comply with the mandate and avoid the tax penalty. If ineligible for medi cal consumers may qualify for a covered california health plan with financial help including.
Federal tax credit california state subsidy enhanced silver plans and aian plans. 0 copay for preventive services. Individual 75 family 150. Bronze silver gold and platinum.
Of all the covered california metal plans the silver 94 offers the lowest out of pocket costs for medical services. Vhp silver 94 hmo plan highlights 2020. Please read both documents carefully. Prescription drugs not covered by a health plan.
Covered california silver plans are a popular choice for many people. The summary of benefits and coverage sbc document will help you choose a health plan. More often than not they provide the best bang for your buck the affordable monthly premiums mid size deductibles and discounted fees for commonly needed medical services make silver plans an attractive option for those who are trying to balance cost with benefits. Enhanced silver plans 100 250 fpl silver 94 100 150 fpl silver 87 over 150 200 fpl silver 73 over 200 250 fpl.
Summary of benefits and coverage. Vhp silver hmo plans covered california. Covered california health insurance plans and all health plans in the individual and small group markets are sold in four primary levels of coverage. Since then however another issue has arisen.
Most x rays are 8 lab tests are 8. What this plan covers and what you pay for covered servicescoverage period. Beginning on or after 01 01 2019kaiser permanente. For example office visits are a flat fee of 5 or 8 for a specialist.
The sbc shows you how you and the. If you qualify for cost sharing reduction you may qualify for the silver 73 the silver 87 or the silver 94. Finding a doctor who accepts covered california health plans.