VHP Silver HMO Plans - Covered California

VHP Silver 70 HMO  |  Plan Highlights 2021

  • Overall Medical Deductible: Individual $4,000| Family $8,000
  • Pharmacy Deductible: Individual $300 | Family $600
  • $0 Copay for Preventive Services
  • $0 Copay for Prenatal & Preconception Services
  • $40 Copay for Primary Care Services
  • $40 Copay for Lab Tests
  • Maximum out-of-pocket: Individual $8,200 / Family $16,400

VHP Silver 73 HMO  |  Plan Highlights 2021

  • Overall Medical Deductible: Individual $3,700 | Family $7,400
  • Pharmacy Deductible: Individual $275 | Family $550
  • $0 Copay for Preventive Services
  • $0 Copay for Prenatal & Preconception Services
  • $35 Copay for Primary Care Services
  • $40 Copay for Lab Tests
  • Maximum out-of-pocket: Individual $6,500 / Family $13,000​

VHP Silver 87 HMO  |  Plan Highlights 2021

  • Overall Medical Deductible: Individual $1,400 | Family $2,800
  • Pharmacy Deductible: Individual $100| Family $200
  • $0 Copay for Preventive Services
  • $0 Copay for Prenatal & Preconception Services
  • $15 Copay for Primary Care Services
  • $20 Copay for Lab Tests
  • Maximum out-of-pocket: Individual $2,850 / Family $5,700

VHP Silver 94 HMO  |  Plan Highlights 2021

  • Overall Medical Deductible: Individual $75| Family $150
  • Pharmacy Deductible: $0
  • $0 Copay for Preventive Services
  • $0 Copay for Prenatal & Preconception Services
  • $5 Copay for Primary Care Services
  • $8 Copay for Lab Tests
  • Maximum out-of-pocket: Individual $1,000 / Family $2,000​

 

©2021 County of Santa Clara. All rights reserved.