Community First

University Community Care Plan by Community First - Silver Plan

Prescription Drug Information

Inpatient Coverage

Emergency and Urgent Care

Major Dental Care

Links

Plan Overview

Combined Medical and Drug Deductible	Individual: $0.00 Family: not applicable Per Person: not applicable
Combined Medical and Drug Out of Pocket Maximum	Individual: $8,700.00 Family: $17,400 Per Person: $8,700

Office Visit

Primary Doctor	CoPay: $60.00 CoInsurance: Not Applicable Covered: Covered
Specialist	CoPay: $125.00 CoInsurance: Not Applicable Covered: Covered

Prescription Drug Information

Preferred Brand Drugs	CoPay: $50.00 CoInsurance: Not Applicable Covered: Covered
Non Preferred Brand Drugs	CoPay: $100.00 CoInsurance: Not Applicable Covered: Covered
Generic Drugs	CoPay: $35.00 CoInsurance: Not Applicable Covered: Covered
Specialty Drugs	CoPay: Not Applicable CoInsurance: 50.00% Covered: Covered Benefit Explanation: Prior authorization may apply to select specialty medications.

Inpatient Coverage

Hospital Services	CoPay: $1750.00 Copay per Day CoInsurance: Not Applicable Covered: Covered Benefit Explanation: Preauthorization is required. All usual Hospital services and supplies, including semiprivate room, intensive care, and coronary care units.
Inpatient Services	CoPay: $60.00 CoInsurance: Not Applicable Covered: Covered Benefit Explanation: Preauthorization is required.

Emergency and Urgent Care

Emergency Room	CoPay: $500.00 CoInsurance: Not Applicable Covered: Covered
Urgent Care Facility	CoPay: $60.00 CoInsurance: Not Applicable Covered: Covered

Maternity

Labor and Delivery Hospital Stay	CoPay: $1,750.00 CoInsurance: Not Applicable Covered: Covered Benefit Explanation: Will cover 48-hour hospital stay for uncomplicated vaginal delivery and 96-hour hospital stay for uncomplicated caesarean section. Stays longer than the global stay" requires preauthorization."
Pre and Postnatal Office Visit	CoPay: $60.00 CoInsurance: Not Applicable Covered: Covered

Vision

Routine Eye Exams For Children

CoPay: $60.00
CoInsurance: Not Applicable
Covered: Covered

Major Dental Care

Routine Dental Checkups for Children	CoPay: $60.00 CoInsurance: Not Applicable Covered: Covered
Routine Dental Checkups for Adults	Covered: Not Covered

Related Articles

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

What’s changing about Affordable Care Act benefits in 2023?

Open enrollment is here for Affordable Care Act (ACA) marketplace health insurance plans, and there are important, new…Read More

Read More

Do These 10 Hand Exercises for Arthritis Daily to Ease The Pain

Are there hand exercises for arthritis that can ease the pain? Yes! In this…Read More

Read More

When Is Open Enrollment for 2023?

The 2023 Open Enrollment Period (OEP) begins November 1, 2022, and ends January 15,…Read More

Read More