Download the CommunityCare Connect Mobile App view more

View your member ID card, benefits, deductible information, medical visits, claims and more. CommunityCare Connect is available in the App Store and Google Play.

Get information about your medical and pharmacy claims

Check your current deductibles

Download or reorder your Member ID card

Find information about your plan benefits

Get quick access to your Provider Directory

Access the app on your tablet and phone

Initiate a secure conversation with CommunityCare from the app

Use face, fingerprint or PIN to login

Plan Details

CommunityCare PPO Silver B20 Standard

87698OK0110040-00
Plan Year:
2023

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

Individual Deductible:$5,500
Individual Out of Pocket Maximum:$8,900
Office Visit Copay:$30
Out of Network Coinsurance:30%*
Preferred Generics:$15
Preferred Brand Name:$45
Non-Preferred Brand Name:$95
Individual Rx Deductible:None
Preferred Specialty:$300
Non-Preferred Specialty:$350
OON Individual Deductible:$10,000
OON Family Deductible:$30,000
OON OOP Individual Deductible:Unlimited
OON OOP Family Deductible:Unlimited
OON Office Visit Copay:30%*
Specialist Copay:$55
OON Specialist Copay:30%*
Coinsurance:0%*
*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