EOBs for plan members are temporarily unavailable to view online. If you have questions about plan benefits, please contact the CommunityCare customer service team for assistance.

Plan Details

CommunityCare Platinum 750 Standard

98905OK0180016-00
Plan Year:
2016

Platinum Metal plans cover an estimated 90% of your medical and prescription drug costs. They also limit your annual out-of-pocket expenses at a maximum level in case you have some very large claims. Platinum Plans are the most expensive of all the "metal plans." Individuals whose income is between 100%-400% of the Federal Poverty Level may be eligible for some premium subsidies, but only to the level that would have been provided if they had selected a Silver Plan. In addition, benefit enhancements in the form of lower deductibles and copayments are not available for individuals enrolled on the Platinum Plan.

  • Covers approximately 90% of your covered medical and prescription drug costs.
  • Highest premiums

Individual Deductible:$750
Individual Out of Pocket Maximum:$1,500
Office Visit Copay:$15

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