ConnectiCare Benefits

FlexPOS Silver Standard

Plan Overview

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

Office Visit

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

Inpatient Coverage

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

Emergency and Urgent Care

Emergency Room
  • Standard: $450 Copay after deductible
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