Browse Plans

Connected Care plans offer our lowest premiums and a provider network that emphasizes preventive care to maintain affordability. Our Access Care plans offer our widest network of doctors and hospitals in Montana. Have questions? Just call us at 855-447-2900.

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Bronze Connected Care

In Network Out of Network
Deductible
(What’s this?)
Individual: $7,200
Family: $14,400
Individual: $21,600
Family: $43,200
Annual Out-of-Pocket Maximum
(What’s this?)
Individual: $7,350
Family: $14,700
Individual: $22,050
Family: $44,100
Coinsurance
(What’s this?)
You pay 60% You pay 70%
Primary Care Provider & Non-specialist Office Visits
(Find a Provider)
$60 copay per visit after deductible  You pay 70% after deductible
Specialist Office Visits You pay 60% after deductible You pay 70% after deductible
Emergency Room Visits You pay 60% after deductible You pay 60% after deductible
Prescription Drugs
(View Drug List)
Tier 0: You pay $0
Tier 1 Generic: You pay 10% after deductible
Tier 2 Preferred Brand: You pay 40% after deductible
Tier 3 Non-Preferred: You pay 50% after deductible
Tier 4 Specialty: You pay 60% after deductible
You pay 50% after deductible
Preventive Care Services, Immunizations You pay nothing for preventive services in-network–deductible does not apply You pay 70% after deductible
Chiropractic Care
(Covered up to 20 visits per year)
You pay 60% after deductible You pay 70% after deductible
Diagnostic X-Ray & Lab Services You pay 60% after deductible You pay 70% after deductible
Inpatient Hospital Services You pay 60% after deductible You pay 70% after deductible
Maternity You pay 60% after deductible You pay 70% after deductible
Physician, Surgical & Medical Services You pay 60% after deductible You pay 70% after deductible
Physical, Occupational & Speech Therapy You pay 60% after deductible You pay 70% after deductible

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Bronze Connected Care

In Network Out of Network
Deductible
(What’s This?)
Individual: $5,550
Family: $11,100
Individual: $16,650
Family: $33,300
Annual Out-of-Pocket Maximum
(What’s this?)
Individual: $7,150
Family: $14,300
Individual: $21,450
Family: $42,900
Co-insurance
(What’s this?)
You pay 50% You pay 70%
Primary Care Provider & Non-specialist Office Visits
(Find a Provider)
First 3 visits before deductible: $40 copay per visit; after deductible: $40 copay per visit You pay 70% after deductible
Specialist Office Visit You pay 50% You pay 70% after deductible
Emergency Room Visits You pay 50% after deductible You pay 50% after deductible
Prescription Drugs
(View Drug List)
Tier 0: You pay $0
Tier 1 Generic: You pay 35% after deductible
Tier 2 Preferred Brand: You pay 40% after deductible
Tier 3 Non-Preferred: You pay 60% after deductible
Tier 4 Specialty: You pay 60% after deductible
Tier 5 Non-preferred Specialty: You pay 60% after deductible
You pay 50% after deductible
Preventive Care Services, Immunizations You pay nothing for preventive services in-network–deductible does not apply You pay 70% after deductible
Chiropractic Care
(Covered up to 20 visits per year)
You pay 50% after deductible You pay 70% after deductible
Diagnostic X-Ray & Lab Services You pay 50% after deductible You pay 70% after deductible
Inpatient Hospital Services You pay 50% after deductible You pay 70% after deductible
Maternity You pay 50% after deductible You pay 70% after deductible
Physician, Surgical & Medical Services You pay 50% after deductible You pay 70% after deductible
Physical, Occupational, Speech
You pay 50% after deductible You pay 70% after deductible

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Bronze Connected Care

In Network Out of Network
Deductible
(What’s this?)
Individual: $4,200
Family: $8,400
Individual: $12,600
Family: $25,200
Annual Out-of-Pocket Maximum
(What’s this?)
Individual: $6,850
Family: $13,700
Individual: $20,550
Family: $41,100
Co-insurance
(What’s this?)
You pay 50% You pay 70%
Provider Network
(Find a Provider)
Connected Care Network: Accepted by more than 80% of Montana’s doctors and hospitals. (Limited provider choices in Billings and Missoula.) Out of Network
Office Visits Non-specialist: $40 copay after deductible,
Specialist: 50% after deductible
You pay 70% after deductible
Emergency Room Visits You pay 50% after deductible You pay 50% after deductible
Prescription Drugs
(View Drug List)
Tier 0: You pay $0
Tier 1 Generic: $25 after deductible
Tier 2 Preferred Brand: $125 after deductible
Tier 3 Non-Preferred: $160 after deductible
Tier 4 Specialty: $185 after deductible
Not covered
Preventive Care Services, Immunizations You pay nothing for preventive services in-network–deductible does not apply You pay 70% after deductible
Chiropractic Care
(Covered up to 20 visits per year)
You pay 50% after deductible You pay 70% after deductible
Diagnostic X-Ray & Lab Services You pay 50% after deductible You pay 70% after deductible
Inpatient Hospital Services You pay 50% after deductible You pay 70% after deductible
Maternity You pay 50% after deductible You pay 70% after deductible
Physician, Surgical & Medical Services You pay 50% after deductible You pay 70% after deductible
Outpatient Rehabilitation Services; Physical, Occupational, Speech
(Covered up to 20 visits per year, all types combined)
You pay 50% after deductible You pay 70% after deductible
Habilitative Services, Physical, Occupational, Speech
(Covered up to 20 visits per year, all types combined)
You pay 50% after deductible You pay 70% after deductible

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