Bronze Connected Care

Connected Care plans offer our lowest premiums and a provider network that emphasizes preventive care to maintain affordability.  These health insurance plans are accepted by doctors and hospitals across the state (provider choices are limited in Billings and Missoula).  Have questions?  Just call us at 855-447-2900.

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: $7,900
Family: $15,800
Individual: $23,700
Family: $47,400
Co-insurance
(What’s this?)
You pay 60% You pay 70% after deductible
Primary Care Provider & Non-specialist Office Visits
(Find a Provider)
You pay $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
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 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

Get PricingDownload a comparison chart

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
Co-insurance
(What’s this?)
You pay 60% You pay 70% after deductible
Primary Care Provider & Non-specialist Office Visits
(Find a Provider)
You pay $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
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 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

Get PricingDownload a comparison chart

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
Co-insurance
(What’s this?)
You pay 60% You pay 70% after deductible
Primary Care Provider & Non-specialist Office Visits
(Find a Provider)
You pay $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
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 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

Bronze Connected Care

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

Get PricingDownload a comparison chart

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 Visits You pay 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: 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 Therapy You pay 50% after deductible You pay 70% after deductible

Get PricingDownload a comparison chart