ConnectiCare Benefits

Compass EPO Gold Alternative

Links

Medical Deductible	Individual: $2,500 Family: $5,000 Per Person: $2,500
Prescription Drug Deductible	Individual: Included in medical Family: Included in medical Per Person: Included in medical
Medical Out-of-Pocket Maximum	Individual: $8,500 Family: $17,000 Per Person: $8,500
Drug Out-of-Pocket Maximum	Individual: Included in medical Family: Included in medical Per Person: Included in medical

Primary Doctor	Standard: $20 Copay
Specialist	Standard: $45 Copay

Hospital Services

Emergency Room

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