Sparrow PHP Silver 4000 HMO
| Plan Type: | HMO |
| Plan Tier: | Silver |
| Individual Deductible | $4,000.00 |
| Family Deductible | $8,000.00 |
| Individual Out of Pocket Max | $7,350.00 |
| Family Out of Pocket Max | $14,700.00 |
| Primary Care Visit: | $45.00 |
| Specialist Visit: | $80.00 |
| Emergency Room: | 40% Coinsurance after deductible |
| Hospital - Physician: | 40% Coinsurance after deductible |
| Hospital - Facility: | 40% Coinsurance after deductible |
| Link to Full SBC: | https://www.phpmichigan.com/upload/docs/ChoosePHPMI/SBCs/2021Plans/60829MI0200017_Ind2020S_Silver4000HMO_OnBase_SNA06800RX08E543.pdf |
| Plan Brochure: | https://www.phpmichigan.com/upload/docs/ChoosePHPMI/COCs/2021Plans/60829MI0200017_Ind2020C_Silver4000HMO_OnBase_SNA06800RX08E543.pdf |
Other Coverage:
| Child Dental: | No |
| Adult Dental | No |
Prescription Drug Pricing:
| Generic Drugs: | $30.00 |
| Non-Preferred Brand Drugs: | $200.00 |
| Preferred Brand Drugs: | $80.00 |
| Specialty Drugs: | 20% |
| 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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