Silver Access Care

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.

Silver Access Care

In Network Out of Network
Deductible
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Individual: $3,300
Family: $6,600
Individual: $9,900
Family: $19,800
Annual Out-of-Pocket Maximum
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Individual: $7,900
Family: $15,800
Individual: $23,700
Family: $47,400
Co-insurance
(What’s this?)
You pay 40% You pay 60%
Primary Care Provider & Non-specialist Office Visits
(Find a Provider)
1st 3 visits $40 copay then $40 copay per visit after deductible You pay 60% after deductible
Specialist Office Visits You pay $65 copay per visit after deductible You pay 60% after deductible
Emergency Room Visits You pay 40% after deductible You pay 40% after deductible
Prescription Drugs
(View Drug List)
Tier 0: You pay $0
Tier 1 Generic: You pay 20% per drug
Tier 2 Preferred Brand: You pay 30% per drug
Tier 3 Non-Preferred: You pay 40% per drug
Tier 4 Specialty: You pay 50% per drug
Tier 0: You pay $0
Tier 1 Generic: You pay 50% after deductible
Tier 2 Preferred Brand: You pay 50% after deductible
Tier 3 Non-Preferred: You pay 50% after deductible
Tier 4 Specialty: You pay 50% after deductible
Preventive Care Services, Immunizations You pay nothing for preventive services in-network–deductible does not apply You pay 60% after deductible
Chiropractic Care
(Covered up to 20 visits per year)
You pay $65 copay after deductible You pay 60% after deductible
Diagnostic X-Ray & Lab Services You pay 40% after deductible You pay 60% after deductible
Inpatient Hospital Services You pay 40% after deductible You pay 60% after deductible
Maternity You pay 40% after deductible You pay 60% after deductible
Physician, Surgical & Medical Services You pay 40% after deductible You pay 60% after deductible
Physical, Occupational & Speech Therapy You pay 40% after deductible You pay 60% after deductible

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Silver Access Care

In Network Out of Network
Deductible
(What’s this?)
Individual: $2,450
Family: $4,900
Individual: $7,350
Family: $14,700
Annual Out-of-Pocket Maximum
(What’s this?)
Individual: $7,350
Family: $14,700
Individual: $22,050
Family: $44,100
Co-insurance
(What’s this?)
You pay 40% You pay 60%
Primary Care Provider & Non-specialist Office Visits
(Find a Provider)
You pay $40 copay per visit after deductible You pay 60% after deductible
Specialist Office Visits You pay $65 copay per visit after deductible You pay 60% after deductible
Emergency Room Visits You pay 40% after deductible You pay 40% after deductible
Prescription Drugs
(View Drug List)
Tier 0: You pay $0
Tier 1 Generic: You pay 20% per drug
Tier 2 Preferred Brand: You pay 30% per drug
Tier 3 Non-Preferred: You pay 40% per drug
Tier 4 Specialty: You pay 50% per drug
Tier 0: You pay $0
Tier 1 Generic: You pay 50% after deductible
Tier 2 Preferred Brand: You pay 50% after deductible
Tier 3 Non-Preferred: You pay 50% after deductible
Tier 4 Specialty: You pay 50% after deductible
Preventive Care Services, Immunizations You pay nothing for preventive services in-network–deductible does not apply You pay 60% after deductible
Chiropractic Care
(Covered up to 20 visits per year)
You pay $65 copay after deductible You pay 60% after deductible
Diagnostic X-Ray & Lab Services You pay 40% after deductible You pay 60% after deductible
Inpatient Hospital Services You pay 40% after deductible You pay 60% after deductible
Maternity You pay 40% after deductible You pay 60% after deductible
Physician, Surgical & Medical Services You pay 40% after deductible You pay 60% after deductible
Physical, Occupational & Speech Therapy You pay 40% after deductible You pay 60% after deductible

Get PricingDownload a comparison chart

Silver Access Care

In Network Out of Network
Deductible
(What’s this?)
$2,250 individual
$4,500 family
$6,750 individual
$13,500 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 40% You pay 60%
Primary Care Provider & Non-specialist Office Visits
(Find a Provider)
$35 copay after deductible You pay 60% after deductible
Specialist Office Visits You pay 40% after deductible You pay 60% after deductible
Emergency Room Visits You pay 40% after deductible You pay 40% after deductible
Prescription Drugs
(View Drug List)
Tier 0: You pay $0
Tier 1 Generic: You pay $15 copay per drug
Tier 2 Preferred Brand: You pay $40 copay per drug
Tier 3 Non-Preferred: You pay $65 copay per drug
Tier 4 Specialty: You pay $100 copay per drug
Tier 5 Non-preferred Specialty: You pay $250 copay per drug
You pay 50% after deductible
Preventive Care Services, Immunizations You pay nothing for preventive services in-network – deductible does not apply You pay 60% after deductible
Chiropractic Care
(Covered up to 20 visits per year)
You pay 40% after deductible You pay 60% after deductible
Diagnostic X-Ray & Lab Services You pay 40% after deductible You pay 60% after deductible
Inpatient Hospital Services You pay 40% after deductible You pay 60% after deductible
Maternity You pay 40% after deductible You pay 60% after deductible
Physician, Surgical & Medical Services You pay 40% after deductible You pay 60% after deductible
Physical, Occupational & Speech Therapy You pay 40% after deductible You pay 60% after deductible

Get PricingDownload a comparison chart