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Filters

Plan Name

Constant Care Silver
Core Care Bronze
Confident Care Gold

Deductible

Under $3,000
$3,000 - $5,000
$5,001 - $8,000
Over $8,000

Out-of-Pocket Maximum

Under $3,000
$3,000 - $5,000
$5,001 - $8,000
Over $8,000

Coinsurance

Under 10%
10% - 20%
21% - 30%
31% - 40%
Over 40%

Primary Care Office Visit

Under $10
$10 - $20
$21 - $30
Over $30
 Enroll View Services Drug Formulary

Constant CareSilver 2 100

Deductible $0
Out-of-Pocket Maximum $1,200
Coinsurance 25%
Primary Care Office Visit $0
SBC EOC Brochures
Drug Look-up *Free Wellness Visits

Constant CareSilver 2 150

Deductible $0
Out-of-Pocket Maximum $2,700
Coinsurance 40%
Primary Care Office Visit $7
SBC EOC Brochures
Drug Look-up *Free Wellness Visits

Constant Care Silver 1 100

Deductible $0
Out-of-Pocket Maximum $1,500
Coinsurance 15%
Primary Care Office Visit $0
SBC EOC Brochures
Drug Look-up *Free Wellness Visits

Constant Care Silver 1 100 + Vision

Deductible $0
Out-of-Pocket Maximum $1,500
Coinsurance 15%
Primary Care Office Visit $0
SBC EOC Brochures
Drug Look-up *Free Wellness Visits

Constant Care Silver 1 150

Deductible $750
Out-of-Pocket Maximum $2,700
Coinsurance 25%
Primary Care Office Visit $5
SBC EOC Brochures
Drug Look-up *Free Wellness Visits

Constant CareSilver 1 150 + Vision

Deductible $750
Out-of-Pocket Maximum $2,700
Coinsurance 25%
Primary Care Office Visit $5
SBC EOC Brochures
Drug Look-up *Free Wellness Visits

Constant CareSilver 2 200

Deductible $3,450
Out-of-Pocket Maximum $6,500
Coinsurance 40%
Primary Care Office Visit $20
SBC EOC Brochures
Drug Look-up *Free Wellness Visits

Constant CareSilver 1 200

Deductible $3,500
Out-of-Pocket Maximum $6,500
Coinsurance 40%
Primary Care Office Visit $20
SBC EOC Brochures
Drug Look-up *Free Wellness Visits

Constant Care Silver 1 200 + Vision

Deductible $3,500
Out-of-Pocket Maximum $6,500
Coinsurance 40%
Primary Care Office Visit $20
SBC EOC Brochures
Drug Look-up *Free Wellness Visits

Constant Care Silver 1 250

Deductible $6,000
Out-of-Pocket Maximum $8,150
Coinsurance 40%
Primary Care Office Visit $25
SBC EOC Brochures
Drug Look-up *Free Wellness Visits

Constant CareSilver 1 250 + Vision

Deductible $6,000
Out-of-Pocket Maximum $8,150
Coinsurance 40%
Primary Care Office Visit $25
SBC EOC Brochures
Drug Look-up *Free Wellness Visits

Constant CareSilver 2 250

Deductible $6,500
Out-of-Pocket Maximum $8,150
Coinsurance 40%
Primary Care Office Visit $30
SBC EOC Brochures
Drug Look-up *Free Wellness Visits

Core CareBronze 1

Deductible $6,800
Out-of-Pocket Maximum $8,150
Coinsurance 40%
Primary Care Office Visit $35
SBC EOC Brochures
Drug Look-up *Free Wellness Visits

Core Care Bronze 1 + Vision

Deductible $6,800
Out-of-Pocket Maximum $8,150
Coinsurance 40%
Primary Care Office Visit $35
SBC EOC Brochures
Drug Look-up *Free Wellness Visits

Core CareBronze 2

Deductible $8,000
Out-of-Pocket Maximum $8,150
Coinsurance 40%
Primary Care Office Visit 40%
SBC EOC Brochures
Drug Look-up *Free Wellness Visits

Confident Care Gold 1

Deductible $2,925
Out-of-Pocket Maximum $6,000
Coinsurance 20%
Primary Care Office Visit $10
SBC EOC Brochures
Drug Look-up *Free Wellness Visits

Confident CareGold 1 + Vision

Deductible $2,925
Out-of-Pocket Maximum $6,000
Coinsurance 20%
Primary Care Office Visit $10
SBC EOC Brochures
Drug Look-up *Free Wellness Visits
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Deductible:The plan year dollar amount you pay before Copayments or Coinsurance are applied to covered services.

Out-of-Pocket Maximum:The plan year dollar maximum of your cost sharing including Deductibles, Copayments and Coinsurance, for covered services. After reaching this limit, the plan pays 100% of covered services for the rest of the plan year.

Coinsurance:The percentage of cost sharing you pay for specific types of covered services, after you meet your deductible.

 

Note: Plan eligibility depends on income level. Refer to your EOC and SBC for full benefit and coverage details. Preventive Services are provided at no cost.