Plan Details

87698OK0110033-00

Plan Year:

2025

Silver Metal plans cover an estimated 70% of your medical and prescription drug costs. They limit your annual out-of-pocket expenses. This plan does not qualify as creditable coverage.

Benefit Details

Summary of Benefits and Coverage (SBC)
Medical Benefits
Prescription Drug Benefits

Directories

Pharmacy Directory
Provider Directory

Additional Information

Formulary
Member Handbook
Glossary of Health Coverage and Medical Terms

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

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

Plan Details

CommunityCare PPO Silver D19

Benefit Details

Directories

Additional Information

Essential Benefits