Plan Details

CommunityCare Silver 8 Classic

98905OK0170097-01

Plan Year:

2017

Individual Deductible:	$5,000
Individual Out of Pocket Maximum:	$5,650
Office Visit Copay:	$35‡
Preferred Generics:	$15
Preferred Brand Name:	$40*
Non-Preferred Brand Name:	$70*
Specialty:	$160*
Individual Rx Deductible:	$300

^‡8 visits, combined with specialist, outpatient mental health and urgent care, per year before deductible applies.

^*Subject to the deductible.

Eligible for Small Business Health Care Tax Credits

Please contact CommunityCare at (918) 594-5245 or your ChamberCare Plus appointed agent for a rate quote.

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