Effective February 1, 2023 - Hillcrest HealthCare System is in network for our group, individual and family plans!

Plan Details

98905OK0320005-00

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:	$1,700
Individual Out of Pocket Maximum:	$6,000
Office Visit Copay:	$25
Preferred Generics:	$10
Preferred Brand Name:	$45
Non-Preferred Brand Name:	$120^*
Individual Rx Deductible:	Integrated
Preferred Specialty:	$325^*
Non-Preferred Specialty:	$375^*
Specialist Copay:	$50
Coinsurance:	30%^*

^*Subject to the deductible

Benefit Details

All health plans in the exchanges are required to provide a minimum set of benefits which are termed essential benefits. These benefits include: