CareSource

CareSource Marketplace Low Premium Silver Dental, Vision & Fitness

Prescription Drug Information

Inpatient Coverage

Emergency and Urgent Care

Links

Summary Of Benefits

Plan Overview

Medical Deductible	Individual: $6,500 Family: $13,000 Per Person: $6,500
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: $30 Copay
Specialist	Standard: $70 Copay

Prescription Drug Information

Preferred Brand Drugs	Standard: $50
Non Preferred Brand Drugs	Standard: 35% 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: $500 Copay after deductible

Related Articles

You may be interested in these relevant articles from across the HealthMarkets.com network.

What is a drug formulary, and what does it cover?

There are a lot of things to consider when choosing a health plan. If…Read More

Read More

Summer Safety: 8 Kid-Friendly Tips for Warmer Weather

Got a summer safety plan for your kids? When warm weather arrives, chances are…Read More

Read More

What Does Basic Health Insurance Cost?

Shopping for healthcare can be time-consuming and feel overwhelming. And one frustrating part can…Read More

Read More