ConnectiCare Benefits

Choice Silver Standard POS

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Medical Deductible	Individual: $4,300 Family: $8,600 Per Person: $4,300
Prescription Drug Deductible	Individual: $250 Family: $500 Per Person: $500
Medical Out-of-Pocket Maximum	Individual: $8,600 Family: $17,200 Per Person: $8,600
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

Standard: $500 Copay per Day after deductible to a maximum of $2000 per admission

Emergency Room

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