ConnectiCare Benefits

Choice Bronze Standard POS

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Medical Deductible	Individual: $6,550 Family: $13,100 Per Person: $6,550
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

Primary Doctor	Standard: $50 Copay
Specialist	Standard: $70 Copay after deductible

Hospital Services

Standard: $500 Copay per Day after deductible to a maximum of $1000 per admission

Emergency Room

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