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

Plan Details

CommunityCare Silver 3 Standard

98905OK0180067-00
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:$2,500
Individual Out of Pocket Maximum:$6,850
Office Visit Copay:$25
Preferred Generics:$15
Preferred Brand Name:$60*
Non-Preferred Brand Name:$145*
Specialty:$280*
Individual Rx Deductible:$500
8 visits, combined with specialist, outpatient mental health and urgent care, per year before deductible applies
*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