ConnectiCare Benefits

Choice Bronze Alternative POS with Dental

Plan Overview

Medical Deductible
  • Individual: $6,000
  • Family: $12,000
  • Per Person: $6,000
Prescription Drug Deductible
  • Individual: Included in medical
  • Family: Included in medical
  • Per Person: Included in medical
Medical Out-of-Pocket Maximum
  • Individual: $8,700
  • Family: $17,400
  • Per Person: $8,700
Drug Out-of-Pocket Maximum
  • Individual: Included in medical
  • Family: Included in medical
  • Per Person: Included in medical

Office Visit

Primary Doctor
  • Standard: $45 Copay
Specialist
  • Standard: $60 Copay after deductible

Inpatient Coverage

Hospital Services
  • Standard: 45% Coinsurance after deductible

Emergency and Urgent Care

Emergency Room
  • Standard: 45% Coinsurance after deductible
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