Plan Details

CommunityCare Silver 1519 Select

98905OK0170109-00
Plan Year:
2019

Silver Metal plans cover an estimated 70% of your medical and prescription drug costs. They limit your annual out-of-pocket expenses.

Individual Deductible:$2,700
Individual Out of Pocket Maximum:$5,400
Office Visit Copay:$10*
Preferred Generics:$15*
Preferred Brand Name:$40*
Non-Preferred Brand Name:$70*
Preferred Specialty:$160*
Non-Preferred Specialty:$210*
*Subject to the deductible

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