CareSource

CareSource Marketplace Low Deductible Silver

Plan Overview

Medical Deductible
  • Individual: $5,100
  • Family: $10,200
  • Per Person: $5,100
Prescription Drug Deductible
  • Individual: Included in Deductible
  • Family: Included in Deductible
  • Per Person: Included in Deductible
Medical Out-of-Pocket Maximum
  • Individual: $7,500
  • Family: $15,000
  • Per Person: $7,500
Drug Out-of-Pocket Maximum
  • Individual: Included in Deductible
  • Family: Included in Deductible
  • Per Person: Included in Deductible

Office Visit

Primary Doctor
  • Standard: $25 Copay
Specialist
  • Standard: $60 Copay

Prescription Drug Information

Preferred Brand Drugs
  • Standard: $50
Non Preferred Brand Drugs
  • Standard: 20% Coinsurance after deductible
Generic Drugs
  • Standard: $20
Specialty Drugs
  • Standard: 45% Coinsurance after deductible

Inpatient Coverage

Hospital Services
  • Standard: $500 Copay per Stay after deductible
Inpatient Services
  • Standard: $500 Copay after deductible

Emergency and Urgent Care

Emergency Room
  • Standard: $400 Copay after deductible
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