Scribd Logo
Upload

Welcome to Scribd!

  • 2021 THNM Individual Health Plans

    Uploaded by

    Sara Snow
    18 views1 page
    This document outlines the benefits and costs of 11 individual health insurance plans from True Health New Mexico for 2021. Plan details include deductibles, coinsurance, out-of-pocket maximums, and costs for services like primary care visits, prescriptions, and hospital care. Monthly premiums range from $226.37 to $322.54 for a 33-year-old enrollee. Chiropractic and acupuncture are each limited to 20 visits per year. Out-of-network coverage is limited to urgent and emergency care only.

    Original Description:

    Copyright

    © © All Rights Reserved

    Available Formats

    XLSX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    This document outlines the benefits and costs of 11 individual health insurance plans from True Health New Mexico for 2021. Plan details include deductibles, coinsurance, out-of-pocket maximums, and costs for services like primary care visits, prescriptions, and hospital care. Monthly premiums range from $226.37 to $322.54 for a 33-year-old enrollee. Chiropractic and acupuncture are each limited to 20 visits per year. Out-of-network coverage is limited to urgent and emergency care only.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    18 views1 page

    2021 THNM Individual Health Plans

    Uploaded by

    Sara Snow
    This document outlines the benefits and costs of 11 individual health insurance plans from True Health New Mexico for 2021. Plan details include deductibles, coinsurance, out-of-pocket maximums, and costs for services like primary care visits, prescriptions, and hospital care. Monthly premiums range from $226.37 to $322.54 for a 33-year-old enrollee. Chiropractic and acupuncture are each limited to 20 visits per year. Out-of-network coverage is limited to urgent and emergency care only.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    Sara Snow- ABQ Area

    2021 True Health New Mexico Individual HMO Plans


    Effective: 1/1/2021

    THNM THNM THNM THNM THNM THNM THNM THNM THNM THNM
    True Gold True Gold True Gold True Silver True Silver True Silver True Silver True Bronze True Bronze True Bronze
    Premier 2 Premier Premier A HDHP Premier HDHP
    Calendar Year Benefits/Limits HMO HMO HMO HMO HMO HMO HMO HMO HMO HMO

    Deductible $500 $1,500 $2,500 $4,000 $5,000 $5,500 $3,000 $6,750 $8,550 $6,900
    Coinsurance 30% 30% 20% 30% 30% 40% 20% 40% 0% 0%
    Out of Pocket Maximum $8,550 $5,000 $8,550 $8,550 $8,550 $8,550 $6,000 $8,550 $8,550 $6,900
    Primary Care $10 $25 $15 $25 $20 $20 20% after deductible $35 $35 0% after deductible
    Specialist Care $50 $75 $75 $75 $100 $100 20% after deductible 40% after deductible 0% after deductible 0% after deductible
    Chiropractic & Acupuncture $10 $25 $15 $25 $20 $20 20% after deductible $35 $35 0% after deductible
    Behavioral Health Outpatient No Charge No Charge No Charge No Charge No Charge No Charge 20% after deductible No Charge No Charge 0% after deductible
    $15 lab/20% after ded $25 lab/ 40% after ded
    $15 lab/$75 e-ray 30% after deductible x-ray $25 lab/$100 x-ray $5 lab/$100 x-ray x-ray 20% after deductible 40% after deductible 0% after deductible 0% after deductible
    Lab and X-ray Services
    Urgent Care $15 $30 $20 $30 $20 $25 20% after deductible $40 $40 0% after deductible
    Emergency Room 30% after deductible 30% after deductible 20% after deductible 30% after deductible 30% after deductible 40% after deductible 20% after deductible 40% after deductible 0% after deductible 0% after deductible
    MRI/CT/PET $350 30% after deductible 20% after deductible 30% after deductible $500 40% after deductible 20% after deductible 40% after deductible 0% after deductible 0% after deductible
    PT/OT/ST $10 $25 $15 $25 $20 $20 20% after deductible $35 $35 0% after deductible
    Outpatient Hospital 30% after deductible 30% after deductible 20% after deductible 30% after deductible 30% after deductible 40% after deductible 20% after deductible 40% after deductible 0% after deductible 0% after deductible
    Inpatient Hospital 30% after deductible 30% after deductible 20% after deductible 30% after deductible 30% after deductible 40% after deductible 20% after deductible 40% after deductible 0% after deductible 0% after deductible
    Prescription Drugs
    Generic (Preferred) No Charge No Charge No Charge No Charge No Charge No Charge 20% after deductible No Charge No Charge 0% after deductible
    Generic (Non-Preferred) $10 $10 $10 $25 $25 $25 20% after deductible $50 0% after deductible 0% after deductible
    Brand (Preferred) $50 $75 $50 $75 $85 $75 20% after deductible 40% after deductible 0% after deductible 0% after deductible
    Brand (Non-Preferred) $125 30% after deductible $125 $150 $150 40% after deductible 20% after deductible 40% after deductible 0% after deductible 0% after deductible
    Specialty (Preferred) 40% after deductible 40% after deductible 40% after deductible 40% after deductible 40% after deductible 40% after deductible 20% after deductible 40% after deductible 0% after deductible 0% after deductible
    Specialty (Non-Preferred) 50% after deductible 50% after deductible 50% after deductible 50% after deductible 50% after deductible 50% after deductible 20% after deductible 40% after deductible 0% after deductible 0% after deductible

    Not Covered except Not Covered except Not Covered except Not Covered except Not Covered except Not Covered except Not Covered except Not Covered except Not Covered except Not Covered except
    Out-of-Network Services Urgent and ER Care Urgent and ER Care Urgent and ER Care Urgent and ER Care Urgent and ER Care Urgent and ER Care Urgent and ER Care Urgent and ER Care Urgent and ER Care Urgent and ER Care

    Chiropractic & Acupuncture limited to 20 visits per year each

    Monthly Premiums: $317.13 $322.54 $308.25 $317.36 $288.71 $303.25 $293.81 $248.14 $226.37 $255.59
    Age 33

    You might also like