Maine - Community Best HMO

Maine, 2019

  • Plan Type

    HMO

  • Metal Tier

    Expanded Bronze

  • Out of Pocket Maximum

    $7,900

  • Deductible

    $4,200

Enroll Now
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Call (855) 866-5590 to speak with a licensed agent about a new health plan.

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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) $4,200
Deductible (Family) $8,400
Coinsurance Not applicable
Out of Pocket Maximum (Individual) $7,900
Out of Pocket Maximum (Family) $15,800

Doctor Visits

Primary Care Visit Data Not Available
Specialist Visit 40% Coinsurance after deductible
Inpatient Facility 40% Coinsurance after deductible
Inpatient Physician 40% Coinsurance after deductible
Emergency Room Services 50% Coinsurance after deductible

Tests and Imaging

Imaging (CT/PET Scans, MRIs) 40% Coinsurance after deductible
Laboratory Outpatient and Professional Services 40% Coinsurance after deductible
X-Ray and Diagnostic Imaging 40% Coinsurance after deductible

Health Management Programs

Asthma Available
Depression Not available
Diabetes Available
Heart Disease Available
High Blood Pressure / High Cholesterol Available
Lower Back Pain Not available
Pain Management Not available
Pregnancy Available
Weight Loss Not available

Other

Mental / Behavioral Health Inpatient 40% Coinsurance after deductible
Mental / Behavioral Health Outpatient Data Not Available
Rehabilitative Speech Therapy 40% Coinsurance after deductible
Rehabilitative Occupational & Physical Therapy 40% Coinsurance after deductible
Outpatient Facility 40% Coinsurance after deductible
Outpatient Surgery 40% Coinsurance after deductible

Prescription Drugs

Generic Rx Data Not Available
Preferred Brand Rx 50% Coinsurance after deductible
Non Preferred Brand Rx 50% Coinsurance after deductible
Specialty Drugs 50% Coinsurance after deductible

Other Plans in Maine

Plan Community Complete HMO Deductible $3,350 Coinsurance Not applicable Out of Pocket $7,150
Plan Community Edge PPO Deductible $1,500 Coinsurance Not applicable Out of Pocket $6,000
Plan Community Safe Harbor PPO Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
Plan Community Advance PPO Deductible $2,500 Coinsurance Not applicable Out of Pocket $7,150
Plan Community Value HMO Deductible $3,350 Coinsurance Not applicable Out of Pocket $7,150
Plan Community Vital HMO Deductible $2,250 Coinsurance Not applicable Out of Pocket $6,500
Plan Community Reliant HSA PPO Deductible $6,000 Coinsurance Not applicable Out of Pocket $6,650
Plan Community Focus PPO Deductible $5,500 Coinsurance Not applicable Out of Pocket $7,350
Plan Community Choice PPO Deductible $2,500 Coinsurance Not applicable Out of Pocket $7,150
Plan Community Foundation HMO Deductible $4,000 Coinsurance Not applicable Out of Pocket $7,450
Plan Community Align PPO Deductible $5,500 Coinsurance Not applicable Out of Pocket $7,350
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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) $4,200
Deductible (Family) $8,400
Coinsurance Not applicable
Out of Pocket Maximum (Individual) $7,900
Out of Pocket Maximum (Family) $15,800

Doctor Visits

Primary Care Visit Data Not Available
Specialist Visit 40% Coinsurance after deductible
Inpatient Facility 40% Coinsurance after deductible
Inpatient Physician 40% Coinsurance after deductible
Emergency Room Services 50% Coinsurance after deductible

Tests and Imaging

Imaging (CT/PET Scans, MRIs) 40% Coinsurance after deductible
Laboratory Outpatient and Professional Services 40% Coinsurance after deductible
X-Ray and Diagnostic Imaging 40% Coinsurance after deductible

Health Management Programs

Asthma Available
Depression Not available
Diabetes Available
Heart Disease Available
High Blood Pressure / High Cholesterol Available
Lower Back Pain Not available
Pain Management Not available
Pregnancy Available
Weight Loss Not available

Other

Mental / Behavioral Health Inpatient 40% Coinsurance after deductible
Mental / Behavioral Health Outpatient Data Not Available
Rehabilitative Speech Therapy 40% Coinsurance after deductible
Rehabilitative Occupational & Physical Therapy 40% Coinsurance after deductible
Outpatient Facility 40% Coinsurance after deductible
Outpatient Surgery 40% Coinsurance after deductible

Prescription Drugs

Generic Rx Data Not Available
Preferred Brand Rx 50% Coinsurance after deductible
Non Preferred Brand Rx 50% Coinsurance after deductible
Specialty Drugs 50% Coinsurance after deductible

Other Plans in Maine

Plan Community Complete HMO Deductible $3,350 Coinsurance Not applicable Out of Pocket $7,150
Plan Community Edge PPO Deductible $1,500 Coinsurance Not applicable Out of Pocket $6,000
Plan Community Safe Harbor PPO Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
Plan Community Advance PPO Deductible $2,500 Coinsurance Not applicable Out of Pocket $7,150
Plan Community Value HMO Deductible $3,350 Coinsurance Not applicable Out of Pocket $7,150
Plan Community Vital HMO Deductible $2,250 Coinsurance Not applicable Out of Pocket $6,500
Plan Community Reliant HSA PPO Deductible $6,000 Coinsurance Not applicable Out of Pocket $6,650
Plan Community Focus PPO Deductible $5,500 Coinsurance Not applicable Out of Pocket $7,350
Plan Community Choice PPO Deductible $2,500 Coinsurance Not applicable Out of Pocket $7,150
Plan Community Foundation HMO Deductible $4,000 Coinsurance Not applicable Out of Pocket $7,450
Plan Community Align PPO Deductible $5,500 Coinsurance Not applicable Out of Pocket $7,350