Consumers Choice Consumers' Choice Gold 2 SC

Plan Information
Company Consumers' Choice Health Plan
State SC
Metal Tier Gold
Plan Type EPO

Cost Sharing Benefits

Policyholders are generally responsible for 100% of costs until the deductible amount is met. After the deductible has been met the policyholder is responsible for the coinsurance / copay until the out of pocket maximum is reached at which point the insurance company assumes 100% of all costs.

Deductibles and Cost Sharing In Network Out of Network
Deductible (Individual) $1,000 $0
Deductible (Family) $2,000 $0
Coinsurance 30% $0
Out of Pocket Maximum (Individual) $4,000 $0
Out of Pocket Maximum (Family) $8,000 $0
Services In Network Out of Network
Primary Care Visit $20 $0
Specialist Visit $50 $0
In Patient Hospital Services 30% Coinsurance after deductible $0
Emergency Room Services 30% Coinsurance after deductible 30% coinsurance
Mental / Behavioral Health 30% coinsurance $0
Imaging (CT/PET Scans, MRIs) 30% coinsurance $0
Rehabilitative Speech Therapy 30% coinsurance $0
Rehabilitative Occupational & Physical Therapy 30% coinsurance $0
Preventative Care $0 $0
Laboratory Outpatient and Professional Services 30% coinsurance $0
X-ray and Diagnostic Imaging 30% coinsurance $0
Outpatient Facility 30% coinsurance $0
Outpatient Surgery 30% coinsurance $0
Prescription Drugs In Network Out of Network
Generic Rx $10
Preferred Brand Rx $30
Non Preferred Brand Rx $60
Specialty Drugs 30% Coinsurance after deductible

Other Plans

Other plans that are available in the state.

Plan Name
Consumers' Choice Bronze 1
Consumers' Choice Bronze HDP 1
Consumers' Choice Gold 1
Consumers' Choice Gold 2
Consumers' Choice Silver 1
Consumers' Choice Silver 2
Consumers' Choice Silver HDP 1
Consumers' Choice Value Plan
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