Sparrow PHP Healthy Exclusive

Plan Type: HMO
Plan Tier: Catastrophic
Individual Deductible $8,550.00
Family Deductible $17,100.00
Individual Out of Pocket Max $8,550.00
Family Out of Pocket Max $17,100.00
Primary Care Visit: No Charge after Deductible
Specialist Visit: No Charge after Deductible
Emergency Room: No Charge after Deductible
Hospital - Physician: No Charge after Deductible
Hospital - Facility: No Charge after Deductible
Link to Full SBC: https://www.phpmichigan.com/upload/docs/ChoosePHPMI/SBCs/2021Plans/60829MI0190026_Ind2021S_HealthyExc_OnBase_XNR00100RX09E592.pdf
Plan Brochure: https://www.phpmichigan.com/upload/docs/ChoosePHPMI/COCs/2021Plans/60829MI0190026_Ind2021C_HealthyExc_OnBase_XNR00100RX09E592.pdf

Other Coverage:

Child Dental: No
Adult Dental No

Prescription Drug Pricing:

Generic Drugs: No Charge after Deductible
Non-Preferred Brand Drugs: No Charge after Deductible
Preferred Brand Drugs: No Charge after Deductible
Specialty Drugs: No Charge 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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