Sparrow PHP Bronze 7600 Exclusive

Plan Type: HMO
Plan Tier: Expanded Bronze
Individual Deductible $7,600.00
Family Deductible $15,200.00
Individual Out of Pocket Max $8,550.00
Family Out of Pocket Max $17,100.00
Primary Care Visit: $80.00
Specialist Visit: $125.00
Emergency Room: 60% Coinsurance after deductible
Hospital - Physician: 60% Coinsurance after deductible
Hospital - Facility: 60% Coinsurance after deductible
Link to Full SBC: https://www.phpmichigan.com/upload/docs/ChoosePHPMI/SBCs/2021Plans/60829MI0190015_Ind2021S_Bronze7600Exc_OnBase_BNN00100RX09E600.pdf
Plan Brochure: https://www.phpmichigan.com/upload/docs/ChoosePHPMI/COCs/2021Plans/60829MI0190015_Ind2021C_Bronze7600Exc_OnBase_BNN00100RX09E600.pdf

Other Coverage:

Child Dental: No
Adult Dental No

Prescription Drug Pricing:

Generic Drugs: $40.00
Non-Preferred Brand Drugs: 60% Coinsurance after deductible
Preferred Brand Drugs: 60% Coinsurance after deductible
Specialty Drugs: 60% Coinsurance after deductible
Summary of Benefits https://www.phpmichigan.com/upload/docs/Providers/Pharmacy/Prescription%20Drug%20List%20Tier%205.pdf

This Carrier Offers:



About The Carrier

Physicians Health Plan began in 1980, when Sparrow Health System and a group of visionary physicians began developing mid-Michigan’s first broad-based independent practice association (IPA), a type of health maintenance organization. An IPA is made up of a network of local physicians, hospitals and other professionals who deliver a full continuum of care. In 1982, PHP introduced its first products to the market. Today PHP remains a subsidiary of Sparrow, and it has more than 3,100 practitioners and 31 hospitals participating in its provider network.

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