ConnectiCare Benefits

Choice Gold Alternative POS

Links

Medical Deductible	Individual: $2,000 Family: $4,000 Per Person: $2,000
Prescription Drug Deductible	Individual: $250 Family: $500 Per Person: $500
Medical Out-of-Pocket Maximum	Individual: $8,150 Family: $16,300 Per Person: $8,150
Drug Out-of-Pocket Maximum	Individual: Included in medical Family: Included in medical Per Person: Included in medical

Primary Doctor	Standard: $40 Copay
Specialist	Standard: $60 Copay

Hospital Services

Emergency Room

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