Plan Details

98905OK0320015-00

Plan Year:

2024

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

Individual Deductible:	$4,800
Individual Out of Pocket Maximum:	$5,400
Office Visit Copay:	10%^*
Preferred Generics:	10%^*
Preferred Brand Name:	10%^*
Non-Preferred Brand Name:	10%^*
Individual Rx Deductible:	Integrated
Preferred Specialty:	10%^*
Non-Preferred Specialty:	10%^*
Specialist Copay:	10%^*
Coinsurance:	10%^*

^*Subject to the deductible.

Benefit Details

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

CommunityCare is proudly owned by two of the region’s premier health systems. Other physicians and providers are available in our network.