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 |