CareSource

CareSource Marketplace Bronze First

Plan Overview

Medical Deductible
  • Individual: $7,700
  • Family: $15,400
  • Per Person: $7,700
Prescription Drug Deductible
  • Individual: Included in Deductible
  • Family: Included in Deductible
  • Per Person: Included in Deductible
Medical Out-of-Pocket Maximum
  • Individual: $8,700
  • Family: $17,400
  • Per Person: $8,700
Drug Out-of-Pocket Maximum
  • Individual: Included in Deductible
  • Family: Included in Deductible
  • Per Person: Included in Deductible

Office Visit

Primary Doctor
  • Standard: $40 Copay
Specialist
  • Standard: $80 Copay

Prescription Drug Information

Preferred Brand Drugs
  • Standard: 50% Coinsurance after deductible
Non Preferred Brand Drugs
  • Standard: 50% Coinsurance after deductible
Generic Drugs
  • Standard: $25
Specialty Drugs
  • Standard: 50% Coinsurance after deductible

Inpatient Coverage

Hospital Services
  • Standard: 50% Coinsurance after deductible
Inpatient Services
  • Standard: 50% Coinsurance after deductible

Emergency and Urgent Care

Emergency Room
  • Standard: $500 Copay after deductible
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