Constant Care Silver 4
| Plan Type: | HMO |
| Plan Tier: | Silver |
| Individual Deductible | $7,450.00 |
| Family Deductible | $14,900.00 |
| Individual Out of Pocket Max | $7,450.00 |
| Family Out of Pocket Max | $14,900.00 |
| Primary Care Visit: | $30.00 |
| Specialist Visit: | $65.00 |
| Emergency Room: | No Charge after Deductible |
| Hospital - Physician: | $65.00 |
| Hospital - Facility: | $1500 Copay per Day |
| Link to Full SBC: | https://www.molinahealthcare.com/members/mi/en-US/PDF/Marketplace/sbc-silver4-250-2021.pdf |
| Plan Brochure: | https://www.molinahealthcare.com/members/mi/en-US/PDF/Marketplace/brochure-2021.pdf |
Other Coverage:
| Child Dental: | No |
| Adult Dental | No |
Prescription Drug Pricing:
| Generic Drugs: | $25.00 |
| Non-Preferred Brand Drugs: | No Charge after Deductible |
| Preferred Brand Drugs: | $75.00 |
| Specialty Drugs: | No Charge after Deductible |
| Summary of Benefits | https://www.molinahealthcare.com/members/mi/en-US/PDF/Marketplace/formulary-2021.pdf |
This Carrier Offers:
About The Carrier
Molina Healthcare, a FORTUNE 500, multi-state health care organization, arranges for the delivery of health care services and offers health information management solutions to nearly five million individuals and families who receive their care through Medicaid, Medicare and other government-funded programs in fifteen states.
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