Consumers Choice Consumers' Choice Gold 2 (South Carolina)

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Company Consumers' Choice Health Plan
Plan Year 2014
State South Carolina
Metal Tier Gold
Plan Type EPO
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Cost Sharing Benefits (In Network)

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.

Deductible (Individual) $1,000
Deductible (Family) $2,000
Coinsurance 30%
Out of Pocket Maximum (Individual) $4,000
Out of Pocket Maximum (Family) $8,000

Doctors Visits

Primary Care Visit $20
Specialist Visit $50
In Patient Hospital Services 30% Coinsurance after deductible
Emergency Room Services 30% Coinsurance after deductible

Tests and Imaging

Imaging (CT/PET Scans, MRIs) 30% coinsurance
Laboratory Outpatient and Professional Services 30% coinsurance
X-ray and Diagnostic Imaging 30% coinsurance


Mental / Behavioral Health 30% coinsurance
Rehabilitative Speech Therapy 30% coinsurance
Rehabilitative Occupational & Physical Therapy 30% coinsurance
Outpatient Facility 30% coinsurance
Outpatient Surgery 30% coinsurance

Prescription Drugs

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 Gold 1
Consumers' Choice Gold 2
Consumers' Choice Silver 1
Consumers' Choice Silver 2
Consumers' Choice Silver HDP 1
Consumers' Choice Bronze 1
Consumers' Choice Bronze HDP 1
Consumers' Choice Value Plan
Consumers' Choice Silver 10
Consumers' Choice Silver 11
Consumers' Choice Bronze 10
CO-OPtions Consumers' Choice Silver 12, A Multistate Plan
CO-OPtions Consumers Choice' Gold 4, A Multistate Plan

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