ConnectiCare Benefits

FlexPOS Gold Standard

Plan Overview

Medical Deductible
  • Individual: $1,300
  • Family: $2,600
  • Per Person: $1,300
Prescription Drug Deductible
  • Individual: $50
  • Family: $100
  • Per Person: $50
Medical Out-of-Pocket Maximum
  • Individual: $5,250
  • Family: $10,500
  • Per Person: $5,250
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: $40 Copay

Inpatient Coverage

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

Emergency and Urgent Care

Emergency Room
  • Standard: $400 Copay after deductible
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