CommunityCare is proudly owned by two of the region’s premier health systems. Other physicians and providers are available in our network.
Gold Metal plans cover an estimated 80% of your medical and prescription drug costs. They also limit your annual out-of-pocket expenses.
| Individual Deductible: | $3,200 |
| Individual Out of Pocket Maximum: | $6,400 |
| Office Visit Copay: | $20 |
| Out of Network Coinsurance: | 50%* |
| Preferred Generics: | $10 |
| Preferred Brand Name: | $40 |
| Non-Preferred Brand Name: | $70 |
| Individual Rx Deductible: | None |
| Preferred Specialty: | $160 |
| Non-Preferred Specialty: | $210 |
| OON Individual Deductible: | $7,500 |
| OON Family Deductible: | $17,100 |
| OON OOP Individual Deductible: | Unlimited |
| OON OOP Family Deductible: | Unlimited |
| OON Office Visit Copay: | 50%* |
| Specialist Copay: | $40 |
| OON Specialist Copay: | 50%* |
| Coinsurance: | 15%* |
All health plans in the exchanges are required to provide a minimum set of benefits which are termed essential benefits. These benefits include: