Call CommunityCare at 1-877-321-0022 for more information and rate quotes.

Plan Details

CommunityCare Silver 4 Classic

98905OK0170093-01
Plan Year:
2017

Silver Metal plans cover an estimated 70% of your medical and prescription drug costs. They limit your annual out-of-pocket expenses.

Individual Deductible:$3,000
Individual Out of Pocket Maximum:$4,500
Office Visit Copay:$25*
Preferred Generics:$15*
Preferred Brand Name:$40*
Non-Preferred Brand Name:$70*
Specialty:$160*
*Subject to the deductible

Essential Benefits

All health plans in the exchanges are required to provide a minimum set of benefits which are termed essential benefits. These benefits include:

  • Ambulatory patient services
  • Emergency services
  • Hospitalization
  • Maternity and newborn care
  • Mental health services
  • Substance use disorder services
  • Prescription drug coverage
  • Rehabilitative and habilitative services and devices
  • Preventative and wellness services
  • Pediatric Services