Silver Plus Cost-Sharing 94 Connected Care

The cost-sharing versions of our Connected Care and Access plans are only available to individuals with certain income levels. Check your eligibility for (or purchase) these plans here. Have questions? Just call us at 855-447-2900.

Silver Plus Cost-Sharing 94 Connected Care

In Network Out of Network
Deductible
(What’s This?)
$550 individual,
$1,100 family
$1,650 individual,
$3,300 family
Annual Out-of-Pocket Maximum
(What’s this?)
$550 individual,
$1,100 family
$1,650 individual,
$3,300 family
Co-insurance
(What’s this?)
You pay 0% You pay 0%
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 You pay $0 after deductible You pay $0 after deductible
Emergency Room Visits You pay $0 after deductible You pay $0 after deductible
Prescription Drugs
(View Drug List)
You pay $0 after deductible Not covered
Preventive Care Services, Immunizations You pay nothing for preventive services in-network – deductible does not apply You pay $0 after deductible
Chiropractic Care
(Covered up to 20 visits per year)
You pay $0 after deductible You pay $0 after deductible
Diagnostic X-Ray & Lab Services You pay $0 after deductible You pay $0 after deductible
Inpatient Hospital Services You pay $0 after deductible You pay $0 after deductible
Maternity You pay $0 after deductible You pay $0 after deductible
Physician, Surgical & Medical Services You pay $0 after deductible You pay $0 after deductible
Outpatient Rehabilitation Services; Physical, Occupational, Speech
(Covered up to 20 visits per year, all types combined)
You pay $0 after deductible You pay $0 after deductible
Habilitative Services, Physical, Occupational, Speech
(Covered up to 20 visits per year, all types combined)
You pay $0 after deductible You pay $0 after deductible

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Silver Plus Cost-Sharing 94 Connected Care

In Network Out of Network
Deductible
(What’s This?)
$500 individual,
$1,000 family
$1,000 individual,
$2,000 family
Annual Out-of-Pocket Maximum
(What’s this?)
$500 individual,
$1,000 family
$1,000 individual,
$2,000 family
Co-insurance
(What’s this?)
You pay 0% You pay 0%
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 You pay nothing after deductible You pay nothing after deductible
Emergency Room Visits You pay nothing after deductible You pay nothing after deductible
Prescription Drugs
(View Drug List)
You pay nothing after deductible You pay nothing after deductible
Preventive Care Services, Immunizations You pay nothing for preventive services in-network – deductible does not apply You pay nothing after deductible
Chiropractic Care
(Covered up to 20 visits per year)
You pay nothing after deductible You pay nothing after deductible
Diagnostic X-Ray & Lab Services You pay nothing after deductible You pay nothing after deductible
Inpatient Hospital Services You pay nothing after deductible You pay nothing after deductible
Maternity You pay nothing after deductible You pay nothing after deductible
Physician, Surgical & Medical Services You pay nothing after deductible You pay nothing after deductible
Diabetes Education Services You pay nothing after deductible You pay nothing after deductible
Outpatient Rehabilitation Services You pay nothing after deductible You pay nothing after deductible
Physical Therapy (PT)
Occupational Therapy (OT)
Speech Therapy (ST)

(Covered up to 20 visits per year)
You pay nothing after deductible You pay nothing after deductible

Get Pricing