Platinum 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.

Platinum Connected Care

In Network Out of Network
Deductible
(What’s This?)
Individual: $350
Family: $700
Individual: $700
Family: $1,400
Annual Out-of-Pocket Maximum
(What’s this?)
Individual: $1,200
Family: $2,400
Individual: $2,400
Family: $4,800
Co-insurance
(What’s this?)
You pay 10% You pay 30%
Provider Network
(Find a Provider)
Connected Care Network: Accepted by doctors and hospitals across the state. (Limited provider choices in Billings and Missoula.) Out of Network
Office Visits Nonspecialist: $20 copay,
Specialist: $40 copay
You pay 30% after deductible
Emergency Room Visits You pay 10% after deductible You pay 10% after deductible
Prescription Drugs
(View Drug List)
You pay:
Generic: $5 copay per drug
Preferred Brand: $20 copay per drug
Non-Preferred: $45 copay per drug
Specialty: $70 copay per drug
Not covered
Preventive Care Services, Immunizations You pay nothing for preventive services in-network–deductible does not apply You pay 30% after deductible
Chiropractic Care
(Covered up to 20 visits per year)
You pay $40 copay per visit You pay 30% after deductible
Diagnostic X-Ray & Lab Services You pay 10% after deductible You pay 30% after deductible
Inpatient Hospital Services You pay 10% after deductible You pay 30% after deductible
Maternity You pay 10% after deductible You pay 30% after deductible
Physician, Surgical & Medical Services You pay 10% after deductible You pay 30% after deductible
Diabetes Education Services You pay 10% after deductible You pay 30% after deductible
Outpatient Rehabilitation Services You pay 10% after deductible You pay 30% after deductible
Physical Therapy (PT) Occupational Therapy (OT) Speech Therapy (ST)
(Covered up to 20 visits per year)
You pay 10% after deductible You pay 30% after deductible

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Platinum Connected Care

In Network Out of Network
Deductible
(What’s This?)
Individual: $350
Family: $700
Individual: $700
Family: $1,400
Annual Out-of-Pocket Maximum
(What’s this?)
Individual: $1,200
Family: $2,400
Individual: $2,400
Family: $4,800
Co-insurance
(What’s this?)
You pay 10% You pay 30%
Provider Network
(Find a Provider)
Connected Care Network: Accepted by doctors and hospitals across the state. (Limited provider choices in Billings and Missoula.) Out of Network
Office Visits Nonspecialist: $20 copay,
Specialist: $40 copay
You pay 30% after deductible
Emergency Room Visits You pay 10% after deductible You pay 10% after deductible
Prescription Drugs
(View Drug List)
You pay:
Generic: $5 copay per drug
Preferred Brand: $20 copay per drug
Non-Preferred: 30% after deductible
Specialty: 50% after deductible
Not covered
Preventive Care Services, Immunizations You pay nothing for preventive services in-network–deductible does not apply You pay 30% after deductible
Chiropractic Care
(Covered up to 20 visits per year)
You pay $40 copay per visit You pay 30% after deductible
Diagnostic X-Ray & Lab Services You pay 10% after deductible You pay 30% after deductible
Inpatient Hospital Services You pay 10% after deductible You pay 30% after deductible
Maternity You pay 10% after deductible You pay 30% after deductible
Physician, Surgical & Medical Services You pay 10% after deductible You pay 30% after deductible
Diabetes Education Services You pay 10% after deductible You pay 30% after deductible
Outpatient Rehabilitation Services You pay 10% after deductible You pay 30% after deductible
Physical Therapy (PT) Occupational Therapy (OT) Speech Therapy (ST)
(Covered up to 20 visits per year)
You pay 10% after deductible You pay 30% after deductible

Get Pricing