Introducing: The New CommunityCare Connect Mobile App

We are excited to introduce the CommunityCare Connect mobile app for our health plan members! View your member ID card, benefits, deductible information, medical visits, claims and more. CommunityCare Connect is available in the Apple Store and Google Play.

Get information about your medical and pharmacy claims

Check your current deductibles

Find information about your plan benefits

Quick and easy access to your account information

Download or reorder your Member ID card

Set up your online account in a snap

Plan Details

98905OK0130044-00

Plan Year:

2023

Gold Metal plans cover an estimated 80% of your medical and prescription drug costs. They also limit your annual out-of-pocket expenses.

Individual Deductible:	$2,200
Individual Out of Pocket Maximum:	$8,700
Office Visit Copay:	$30
Preferred Generics:	$15
Preferred Brand Name:	$45
Non-Preferred Brand Name:	$95^*
Individual Rx Deductible:	Integrated
Preferred Specialty:	$300^*
Non-Preferred Specialty:	$350^*
Specialist Copay:	$55
Coinsurance:	30%^*

First 3 telehealth visits at $0

^*Subject to the deductible

Benefit Details

Directories

Additional Information

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