CommunityCare is proudly owned by two of the region’s premier health systems. Other physicians and providers are available in our network.
Silver Metal plans cover an estimated 70% of your medical and prescription drug costs. They limit your annual out-of-pocket expenses.
| Individual Deductible: | $4,500 |
| Individual Out of Pocket Maximum: | $8,500 |
| Office Visit Copay: | $35 |
| Out of Network Coinsurance: | 70%* |
| Preferred Generics: | $15 |
| Preferred Brand Name: | $45 |
| Non-Preferred Brand Name: | 50%* |
| Individual Rx Deductible: | Integrated |
| Preferred Specialty: | 50%* |
| Non-Preferred Specialty: | 50%* |
| OON Individual Deductible: | $8,000 |
| OON Family Deductible: | $18,100 |
| OON OOP Individual Deductible: | Unlimited |
| OON OOP Family Deductible: | Unlimited |
| OON Office Visit Copay: | 70%* |
| Specialist Copay: | $55 |
| OON Specialist Copay: | 70%* |
| Coinsurance: | 30%* |
All health plans in the exchanges are required to provide a minimum set of benefits which are termed essential benefits. These benefits include: