Expanded 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.

Expanded Bronze Connected Care

In Network Out of Network
Deductible
(What’s this?)
Individual: $5,500
Family: $11,000
Individual: $16,500
Family: $33,000
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 50% You pay 70%
Primary Care Provider & Non-specialist Office Visits
(Find a Provider)
You pay $50 copay per visit You pay 70% coinsurance after deductible
Specialist Office Visits You pay $60 copay per visit You pay 70% coinsurance 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 $15 copay per drug after deductible
Tier 2 Preferred Brand: You pay $125 copay per drug after deductible
Tier 3 Non-Preferred: You pay $160 copay per drug after deductible
Tier 4 Specialty: You pay $185 copay per drug after deductible
Tier 0: You pay 50% after deductible
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 copay per visit 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

Expanded Bronze Connected Care

In Network Out of Network
Deductible
(What’s this?)
Individual: $5,500
Family: $11,000
Individual: $16,500
Family: $33,000
Annual Out-of-Pocket Maximum
(What’s this?)
Individual: $7,200
Family: $14,400
Individual: $21,600
Family: $43,000
Co-insurance
(What’s this?)
You pay 50% You pay 70%
Primary Care Provider & Non-specialist Office Visits
(Find a Provider)
You pay $50 copay per visit You pay 70% coinsurance after deductible
Specialist Office Visits You pay $60 copay per visit You pay 70% coinsurance after deductible
Emergency Room Visits You pay $250 copay per visit after deductible You pay $250 copay per visit after deductible
Prescription Drugs
(View Drug List)
Tier 0: You pay $0
Tier 1 Generic: You pay $15 copay per drug after deductible
Tier 2 Preferred Brand: You pay $125 copay per drug after deductible
Tier 3 Non-Preferred: You pay $160 copay per drug after deductible
Tier 4 Specialty: You pay $185 copay per drug after deductible
Tier 0: You pay 50% after deductible
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 copay per visit 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