Access Care plans offer you affordability and great freedom of choice with our widest network of providers, including doctors and hospitals across the state. If you qualify for a tax credit, your costs could be even lower. Have questions? Just call us at 855-447-2900.
Catastrophic Access Care |
In Network | Out of Network |
---|---|---|
Deductible (What’s this?) |
$7,150 individual $14,300 family |
$21,450 individual $42,900 family |
Annual Out-of-Pocket Maximum (What’s this?) |
$7,150 individual $14,300 family |
$21,450 individual $42,900 family |
Co-insurance (What’s this?) |
You pay 0% | You pay 0% |
Primary Care Provide and Non-specialist Office Visits (Find a Provider) |
First three visits before deductible: $0; after deductible: $0 | You pay 0% after deductible |
Specialist Office Visits | 0% co-insurance after deductible | You pay 0% after deductible |
Emergency Room Visits | You pay 0% after deductible | You pay 0% after deductible |
Prescription Drugs (View Drug List) |
You pay: $0 after deductible |
You pay 0% after deductible |
Preventive Care Services, Immunizations | You pay nothing for preventive services in-network – deductible does not apply | You pay 0% after deductible |
Chiropractic Care (Covered up to 20 visits per year) |
You pay 0% after deductible | You pay 0% after deductible |
Diagnostic X-Ray & Lab Services | You pay 0% after deductible | You pay 0% after deductible |
Inpatient Hospital Services | You pay 0% after deductible | You pay 0% after deductible |
Maternity | You pay 0% after deductible | You pay 0% after deductible |
Physician, Surgical & Medical Services | You pay 0% after deductible | You pay 0% after deductible |
Physical, Occupational & Speech Therapy | You pay 0% after deductible | You pay 0% after deductible |
Catastrophic Access Care |
In Network | Out of Network |
---|---|---|
Deductible (What’s this?) |
$6,850 individual, $13,700 family |
$20,550 individual, $41,100 family |
Annual Out-of-Pocket Maximum (What’s this?) |
$6,850 individual, $13,700 family |
$20,550 individual, $41,100 family |
Co-insurance (What’s this?) |
You pay 0% | You pay 0% |
Provider Network (Find a Provider) |
Access Network: Includes more than 80% of Montana’s doctors and hospitals | Out of Network |
Office Visits | Non-specialist: $0 for first 3 visits; then deductible applies Specialist: 0% co-insurance after deductible |
You pay 0% after deductible |
Emergency Room Visits | You pay 0% after deductible | You pay 0% after deductible |
Prescription Drugs (View Drug List) |
You pay: 0% after deductible |
Not covered |
Preventive Care Services, Immunizations | You pay nothing for preventive services in-network – deductible does not apply | You pay 0% after deductible |
Chiropractic Care (Covered up to 20 visits per year) |
You pay 0% after deductible | You pay 0% after deductible |
Diagnostic X-Ray & Lab Services | You pay 0% after deductible | You pay 0% after deductible |
Inpatient Hospital Services | You pay 0% after deductible | You pay 0% after deductible |
Maternity | You pay 0% after deductible | You pay 0% after deductible |
Physician, Surgical & Medical Services | You pay 0% after deductible | You pay 0% after deductible |
Outpatient Rehabilitation Services; Physical, Occupational, Speech (Covered up to 20 visits per year, all types combined) |
You pay 0% after deductible | You pay 0% after deductible |
Habilitative Services, Physical, Occupational, Speech (Covered up to 20 visits per year, all types) |
You pay 0% after deductible | You pay 0% after deductible |
Catastrophic Access Care |
In Network | Out of Network |
---|---|---|
Deductible (What’s This?) |
$6,600 individual, $13,200 family |
$13,200 individual, $26,400 family |
Annual Out-of-Pocket Maximum (What’s this?) |
$6,600 individual, $13,200 family |
$13,200 individual, $26,400 family |
Co-insurance (What’s this?) |
You pay 0% — covered services paid at 100% after you pay deductible | You pay 0% — covered services paid at 100% after you pay deductible |
Provider Network (Find a Provider) |
Access Network: Includes doctors and hospitals across the state | Out of Network |
Office Visits | Nonspecialist: you pay $0 for first three visit; then deductible applies Specialist: 0% co-insurance after deductible |
You pay 0% after deductible |
Emergency Room Visits | You pay 0% after deductible | You pay 0% after deductible |
Prescription Drugs (View Drug List) |
You pay: 0% after deductible |
Not covered |
Preventive Care Services, Immunizations | You pay nothing for preventive services in-network – deductible does not apply | You pay 0% after deductible |
Chiropractic Care (Covered up to 20 visits per year) |
You pay 0% after deductible | You pay 0% after deductible |
Diagnostic X-Ray & Lab Services | You pay 0% after deductible | You pay 0% after deductible |
Inpatient Hospital Services | You pay 0% after deductible | You pay 0% after deductible |
Maternity | You pay 0% after deductible | You pay 0% after deductible |
Physician, Surgical & Medical Services | You pay 0% after deductible | You pay 0% after deductible |
Diabetes Education Services | You pay 0% after deductible | You pay 0% after deductible |
Outpatient Rehabilitation Services | You pay 0% after deductible | You pay 0% after deductible |
Physical Therapy (PT) Occupational Therapy (OT) Speech Therapy (ST) (Covered up to 20 visits per year) |
You pay 0% after deductible | You pay 0% after deductible |