Montana - Connected Care Catastrophic

Montana, 2019

  • Plan Type

    PPO

  • Metal Tier

    Catastrophic

  • Out of Pocket Maximum

    $7,900

  • Deductible

    $7,900

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

Doctor Visits

Primary Care Visit $0 Copay after deductible
Specialist Visit No charge after deductible
Inpatient Facility No charge after deductible
Inpatient Physician No charge after deductible
Emergency Room Services No charge after deductible

Tests and Imaging

Imaging (CT/PET Scans, MRIs) No charge after deductible
Laboratory Outpatient and Professional Services No charge after deductible
X-Ray and Diagnostic Imaging No charge after deductible

Health Management Programs

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

Other

Mental / Behavioral Health Inpatient No charge after deductible
Mental / Behavioral Health Outpatient No charge after deductible
Rehabilitative Speech Therapy No charge after deductible
Rehabilitative Occupational & Physical Therapy No charge after deductible
Outpatient Facility No charge after deductible
Outpatient Surgery No charge after deductible

Prescription Drugs

Generic Rx No charge after deductible
Preferred Brand Rx No charge after deductible
Non Preferred Brand Rx No charge after deductible
Specialty Drugs No charge after deductible

Other Plans in Montana

Plan Access Care Expanded Bronze Deductible $5,000 Coinsurance Not applicable Out of Pocket $7,900
Plan Connected Care Bronze Plus Deductible $6,750 Coinsurance Not applicable Out of Pocket $6,750
Plan Connected Care Silver Deductible $3,300 Coinsurance Not applicable Out of Pocket $7,900
Plan Access Care Bronze Deductible $7,200 Coinsurance Not applicable Out of Pocket $7,900
Plan Access Care Silver Deductible $3,300 Coinsurance Not applicable Out of Pocket $7,900
Plan Connected Care Bronze Deductible $7,200 Coinsurance Not applicable Out of Pocket $7,900
Plan Connected Care Silver Option 2 Deductible $5,700 Coinsurance Not applicable Out of Pocket $7,900
Plan Access Care Bronze Plus Deductible $6,750 Coinsurance Not applicable Out of Pocket $6,750
Plan Connected Care Expanded Bronze Deductible $5,500 Coinsurance Not applicable Out of Pocket $7,900
Plan Connected Care Gold Deductible $750 Coinsurance Not applicable Out of Pocket $5,750
Plan Access Care Gold Deductible $800 Coinsurance Not applicable Out of Pocket $5,750
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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) $7,900
Deductible (Family) $15,800
Coinsurance Not applicable
Out of Pocket Maximum (Individual) $7,900
Out of Pocket Maximum (Family) $15,800

Doctor Visits

Primary Care Visit $0 Copay after deductible
Specialist Visit No charge after deductible
Inpatient Facility No charge after deductible
Inpatient Physician No charge after deductible
Emergency Room Services No charge after deductible

Tests and Imaging

Imaging (CT/PET Scans, MRIs) No charge after deductible
Laboratory Outpatient and Professional Services No charge after deductible
X-Ray and Diagnostic Imaging No charge after deductible

Health Management Programs

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

Other

Mental / Behavioral Health Inpatient No charge after deductible
Mental / Behavioral Health Outpatient No charge after deductible
Rehabilitative Speech Therapy No charge after deductible
Rehabilitative Occupational & Physical Therapy No charge after deductible
Outpatient Facility No charge after deductible
Outpatient Surgery No charge after deductible

Prescription Drugs

Generic Rx No charge after deductible
Preferred Brand Rx No charge after deductible
Non Preferred Brand Rx No charge after deductible
Specialty Drugs No charge after deductible

Other Plans in Montana

Plan Access Care Expanded Bronze Deductible $5,000 Coinsurance Not applicable Out of Pocket $7,900
Plan Connected Care Bronze Plus Deductible $6,750 Coinsurance Not applicable Out of Pocket $6,750
Plan Connected Care Silver Deductible $3,300 Coinsurance Not applicable Out of Pocket $7,900
Plan Access Care Bronze Deductible $7,200 Coinsurance Not applicable Out of Pocket $7,900
Plan Access Care Silver Deductible $3,300 Coinsurance Not applicable Out of Pocket $7,900
Plan Connected Care Bronze Deductible $7,200 Coinsurance Not applicable Out of Pocket $7,900
Plan Connected Care Silver Option 2 Deductible $5,700 Coinsurance Not applicable Out of Pocket $7,900
Plan Access Care Bronze Plus Deductible $6,750 Coinsurance Not applicable Out of Pocket $6,750
Plan Connected Care Expanded Bronze Deductible $5,500 Coinsurance Not applicable Out of Pocket $7,900
Plan Connected Care Gold Deductible $750 Coinsurance Not applicable Out of Pocket $5,750
Plan Access Care Gold Deductible $800 Coinsurance Not applicable Out of Pocket $5,750