Maine Community Health Options

Health Options CC Gold $1500 PPO National

Plan Overview

Medical Deductible
  • Individual: 1500
  • Family: 3000
Medical Out-of-Pocket Maximum
  • Individual: 5000
  • Family: 10000

Office Visit

Primary Doctor
  • Standard: $25.00 Copay
Specialist
  • Standard: $50.00 Copay

Prescription Drug Information

Preferred Brand Drugs
  • Standard: $50.00 Copay
Generic Drugs
  • Standard: $25.00 Copay
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