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1. Silver 94 HMO Summary of Benefits and Coverage
Link: https://www.lacare.org/sites/default/files/la4037_lacc_sbc_silver_94_en_2024.pdf
Description: WEBSilver 94 HMO Summary of Benefits and Coverage. Summary of Benefits and Coverage: What this Plan Covers & What it Costs. Coverage Period: 01/01/2024 – 12/31/2024. Coverage for: Individual + Family | Plan Type: HMO.
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2. Silver 94 HMO - L.A. Care Health Plan
Link: https://www.lacare.org/sites/default/files/la4037m_lacc_silver_94_hmo_sbc_en_2023.pdf
Description: WEBSilver 94 HMO Coverage Period: 01/01/2023 – 12/31/2023 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual + Family | Plan Type: HMO DT - OMB control number: 1545-0047/Expiration Date: 12/31/2019)(DOL - OMB control number: 1210-0147/Expiration date: 5/31/2022) Page 1 of 6
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3. Silver 94 HMO - L.A. Care Health Plan
Link: https://www.lacare.org/sites/default/files/la0921_2022_lacc_silver_94_hmo_sbc.pdf
Description: WEBSilver 94 HMO Coverage Period: 01/01/2022 –12/31/2022 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual + Family | Plan Type: HMO The Summary of Benefits and Coverage (SBC) document will …
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4. LACC Silver 94 HMO | L.A. Care Health Plan
Link: https://www.lacare.org/health-plans/la-care-covered/shop-plans/lacc-silver-94-hmo
Description: WEBSilver 94 HMO. This health insurance plan is for individuals and families with an annual gross income between 133% to 150% of the federal poverty level (FPL), who also meet other applicable guidelines. This would be a good plan for a 40-year-old with an income between 138% ($16,644) and 150% ($18,090). With no deductibles, this plan keeps your ...
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5. Silver 94 HMO - Home | L.A. Care Health Plan
Link: https://www.lacare.org/sites/default/files/la0921e_2021_lacc_silver_94_hmo_sbc.pdf
Description: WEB2021 L.A. Care Covered Silver 94 HMO Summary of Benefits and Coverage. Silver 94 HMO. Summary of Benefits and Coverage: What this Plan Covers & What it Costs. Coverage Period: 01/01/2021 – 12/31/2021. Coverage for: Individual + Family | …
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6. Silver 94 HMO - L.A. Care Health Plan
Link: https://www.lacare.org/sites/default/files/L_A_%20Care%20Covered%20Silver%2094%20HMO%20Summary%20of%20Benefits%20Coverage.pdf
Description: WEBSilver 94 HMO Coverage Period: 01/01/2017 – 12/31/2017 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual + Family | Plan Type: HMO Questions: Call 1-855-270-2327or visit us at lacare.org If you aren’t clear about any of the underlined terms used in this form, see the Glossary. You can view the ...
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7. L.A. Care Covered - L.A. Care Health Plan
Link: https://www.lacare.org/sites/default/files/la1167_lacc_eoc_silver_94_hmo_2022.pdf
Description: WEBSilver 94 HMO Coverage Period: 01/01/2022 – 12/31/2022 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual + Family | Plan Type: HMO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The SBC shows you how you and the plan would
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8. Kaiser Permanente: Covered CA Silver 94 HMO
Link: https://healthy.kaiserpermanente.org/content/dam/kporg/final/documents/health-plan-documents/summary-of-benefits/ca/individual-family/2020/on-cc-silver-94-hmo-ca-en.pdf
Description: WEBSummary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services Coverage Period: Beginning on or after 01/01/2020 Covered CA_Silver 94 HMO Coverage for: Individual/Family | Plan Type: HMO
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9. Summary of Benefits and Coverage - L.A. Care Health Plan
Link: https://www.lacare.org/sites/default/files/la0921d_lacc_sbc_silver_87_hmo_2020.pdf
Description: WEBSummary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services Coverage Period: 01/01/2020 – 12/31/2020 Coverage for: Individual + Family | Plan Type: HMO Questions: Call 1-855-270-2327 …
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10. Silver 94: Copays, Deductibles and Coinsurance - Covered California
Link: https://www.coveredca.com/support/getting-started/silver-94-copays-deductibles-coinsurance/
Description: WEBSilver 94: Copays, Deductibles and Coinsurance. Copays are the set amount you pay for a covered health care service. For a Silver 94 plan, a doctor visit costs $5. Deductible is the name for the amount of money you have to pay in one year before your plan starts to pick up the costs for certain services.
