Maine Community Health Options

Health Options CC Gold $2500 PPO NE Dental

Plan Overview

Medical Deductible
  • Individual: $2,500
  • Family: $5,000
Medical Out-of-Pocket Maximum
  • Individual: $6,000
  • Family: $12,000

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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