ConnectiCare Benefits

Compass Gold Alternative POS

Plan Overview

Medical Deductible
  • Individual: $2,000
  • Family: $4,000
  • Per Person: $2,000
Prescription Drug Deductible
  • Individual: Included in medical
  • Family: Included in medical
  • Per Person: Included in medical
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

Office Visit

Primary Doctor
  • Standard: $20 Copay
Specialist
  • Standard: $60 Copay

Inpatient Coverage

Hospital Services
  • Standard: 20% Coinsurance after deductible

Emergency and Urgent Care

Emergency Room
  • Standard: 20% Coinsurance after deductible
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