New - Care Connect Gold Plus

New Mexico, 2019

  • Plan Type

    HMO

  • Metal Tier

    Gold

  • Out of Pocket Maximum

    $7,900

  • Deductible

    $500

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) $500
Deductible (Family) $1,000
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 Data Not Available
Inpatient Facility 30% Coinsurance after deductible
Inpatient Physician 30% Coinsurance after deductible
Emergency Room Services Data Not Available

Tests and Imaging

Imaging (CT/PET Scans, MRIs) Data Not Available
Laboratory Outpatient and Professional Services Data Not Available
X-Ray and Diagnostic Imaging Data Not Available

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 Available
Weight Loss Available

Other

Mental / Behavioral Health Inpatient 30% Coinsurance after deductible
Mental / Behavioral Health Outpatient No charge
Rehabilitative Speech Therapy Data Not Available
Rehabilitative Occupational & Physical Therapy Data Not Available
Outpatient Facility 30% Coinsurance after deductible
Outpatient Surgery 30% Coinsurance after deductible

Prescription Drugs

Generic Rx Data Not Available
Preferred Brand Rx Data Not Available
Non Preferred Brand Rx Data Not Available
Specialty Drugs 40% Coinsurance after deductible

Other Plans in New Mexico

Plan Care Connect Silver Deductible $5,000 Coinsurance Not applicable Out of Pocket $7,900
Plan Care Connect Bronze Plus Deductible $7,800 Coinsurance Not applicable Out of Pocket $7,900
Plan Care Connect Bronze Essential Deductible $7,800 Coinsurance Not applicable Out of Pocket $7,900
Plan Care Connect HDHP Bronze Deductible $6,750 Coinsurance Not applicable Out of Pocket $6,750
Plan Care Connect Gold Essential Deductible $2,000 Coinsurance Not applicable Out of Pocket $7,900
Plan Care Connect Catastrophic Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
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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) $500
Deductible (Family) $1,000
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 Data Not Available
Inpatient Facility 30% Coinsurance after deductible
Inpatient Physician 30% Coinsurance after deductible
Emergency Room Services Data Not Available

Tests and Imaging

Imaging (CT/PET Scans, MRIs) Data Not Available
Laboratory Outpatient and Professional Services Data Not Available
X-Ray and Diagnostic Imaging Data Not Available

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 Available
Weight Loss Available

Other

Mental / Behavioral Health Inpatient 30% Coinsurance after deductible
Mental / Behavioral Health Outpatient No charge
Rehabilitative Speech Therapy Data Not Available
Rehabilitative Occupational & Physical Therapy Data Not Available
Outpatient Facility 30% Coinsurance after deductible
Outpatient Surgery 30% Coinsurance after deductible

Prescription Drugs

Generic Rx Data Not Available
Preferred Brand Rx Data Not Available
Non Preferred Brand Rx Data Not Available
Specialty Drugs 40% Coinsurance after deductible

Other Plans in New Mexico

Plan Care Connect Silver Deductible $5,000 Coinsurance Not applicable Out of Pocket $7,900
Plan Care Connect Bronze Plus Deductible $7,800 Coinsurance Not applicable Out of Pocket $7,900
Plan Care Connect Bronze Essential Deductible $7,800 Coinsurance Not applicable Out of Pocket $7,900
Plan Care Connect HDHP Bronze Deductible $6,750 Coinsurance Not applicable Out of Pocket $6,750
Plan Care Connect Gold Essential Deductible $2,000 Coinsurance Not applicable Out of Pocket $7,900
Plan Care Connect Catastrophic Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900