Maine Community Health Options

Health Options Acadia Silver PPO NE Dental

Plan Overview

Medical Deductible
  • Individual: $2,500
  • Family: $5,000
Medical Out-of-Pocket Maximum
  • Individual: $7,500
  • Family: $15,000

Office Visit

Primary Doctor
  • Standard: $20.00 Copay
Specialist
  • Standard: 40.00% Coinsurance after deductible

Prescription Drug Information

Preferred Brand Drugs
  • Standard: 40.00% Coinsurance after deductible
Generic Drugs
  • Standard: $30.00 Copay
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