Silver 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.

Silver Connected Care

In Network Out of Network
Deductible
(What’s this?)
Individual: $3,300
Family: $6,600
Individual: $9,900
Family: $19,800
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 40% You pay 60%
Primary Care Provider & Non-specialist Office Visits
(Find a Provider)
1st 3 visits $40 copay then $40 copay 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% visit after deductible You pay $40 copay per visit 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 per visit 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 Connected 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 $200 copay per visit after deductible You pay $200 copay per visit 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 40% per drug
Tier 3 Non-Preferred: You pay 50% 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 per visit 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 Connected Care

In Network Out of Network
Deductible
(What’s This?)
Individual: $2,150
Family: $4,300
Individual: $6,450
Family: $12,900
Annual Out-of-Pocket Maximum
(What’s this?)
Individual: $7,150
Family: $14,300
Individual: $21,450
Family: $42,900
Coinsurance
(What’s this?)
You pay 40% You pay 60%
Primary Care Provider & Non-specialist Office Visits
(Find a Provider)
First 3 visits before deductible: $35 copay per visit; after deductible: $35 copay per visit You pay 60% after deductible
Specialist Office Visits $65 copay after deductible You pay 60% after deductible
Emergency Room Visits $200 copay after deductible $200 copay after deductible
Prescription Drugs
(View Drug List)
Tier 0: You pay $0
Tier 1 Generic: You pay 25% per drug
Tier 2 Preferred Brand: You pay 30% per drug
Tier 3 Non-Preferred: You pay 50% per drug
Tier 4 Specialty: You pay 50% per drug
Tier 5 Non-preferred Specialty: You pay 50% 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 $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 $65 copay after deductible You pay 60% after deductible

Get PricingDownload a comparison chart