EOBs for plan members are temporarily unavailable to view online. If you have questions about plan benefits, please contact the CommunityCare customer service team for assistance.
Attention: CommunityCare will be performing systems maintenance Friday, April 19th starting at 5 p.m. through midnight on Saturday, April 20th. Some online documents, tools and resources may be unavailable during this time. Thank you for your patience.

Plan Details

CommunityCare Gold 1500b Select

98905OK0170031-00
Plan Year:
2015
Individual Deductible:$1,500
Individual Out of Pocket Maximum:$6,500
Office Visit Copay:$5

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
 
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