Maine Community Health Options

Health Options CC Platinum PPO NE

Plan Overview

Medical Deductible
  • Individual: $500
  • Family: $1,000
Medical Out-of-Pocket Maximum
  • Individual: $3,000
  • Family: $6,000

Office Visit

Primary Doctor
  • Standard: $20.00 Copay
Specialist
  • Standard: $40.00 Copay

Prescription Drug Information

Preferred Brand Drugs
  • Standard: $15.00 Copay
Generic Drugs
  • Standard: No Charge
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