Maine Community Health Options

Health Options CC Bronze $7500 HMO NE

Prescription Drug Information

Links

Plan Overview

Medical Deductible	Individual: $7,500 Family: $15,000
Medical Out-of-Pocket Maximum	Individual: $8,700 Family: $17,400

Office Visit

Primary Doctor	Standard: $40.00 Copay
Specialist	Standard: 50.00% Coinsurance after deductible

Prescription Drug Information

Preferred Brand Drugs	Standard: $50.00 Copay after deductible
Generic Drugs	Standard: $25.00 Copay

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