Molina Marketplace

Constant Care Silver 7 250

Prescription Drug Information

Inpatient Coverage

Emergency and Urgent Care

Major Dental Care

Links

Plan Overview

Medical Deductible	Individual: $0 Family: $0 Per Person: $0
Prescription Drug Deductible	Individual: $1,350 Family: $2,700 Per Person: $1,350
Combined Medical and Drug Out of Pocket Maximum	Individual: $8,550 Family: $17,100 Per Person: $8,550

Office Visit

Primary Doctor	CoPay: $30.00 CoInsurance: Not Applicable Covered: Covered Benefit Explanation: Page 27
Specialist	CoPay: $90.00 CoInsurance: Not Applicable Covered: Covered Benefit Explanation: Page 27

Prescription Drug Information

Preferred Brand Drugs	CoPay: $100.00 CoInsurance: Not Applicable Covered: Covered Benefit Explanation: Pages 29-30
Non Preferred Brand Drugs	CoPay: Not Applicable CoInsurance: 40.00% Coinsurance after deductible Covered: Covered Benefit Explanation: Pages 29-30
Generic Drugs	CoPay: $30.00 CoInsurance: Not Applicable Covered: Covered Benefit Explanation: Pages 29-30
Specialty Drugs	CoPay: Not Applicable CoInsurance: 40.00% Coinsurance after deductible Covered: Covered Benefit Explanation: Pages 29-30

Inpatient Coverage

Hospital Services	CoPay: $600.00 Copay per Day CoInsurance: Not Applicable Covered: Covered Benefit Explanation: Page 23
Inpatient Services	CoPay: $90.00 CoInsurance: Not Applicable Covered: Covered Benefit Explanation: Page 23

Emergency and Urgent Care

Emergency Room	CoPay: $1,400.00 CoInsurance: Not Applicable Covered: Covered Benefit Explanation: Page 17
Urgent Care Facility	CoPay: $30.00 CoInsurance: Not Applicable Covered: Covered Benefit Explanation: Page 17

Maternity

Labor and Delivery Hospital Stay	CoPay: $90.00 CoInsurance: Not Applicable Covered: Covered Benefit Explanation: Pages 24-25
Pre and Postnatal Office Visit	CoPay: No Charge CoInsurance: Not Applicable Covered: Covered Benefit Explanation: Pages 24-25

Vision

Routine Eye Exams For Children

CoPay: No Charge
CoInsurance: Not Applicable
Covered: Covered
Benefit Explanation: Page 31

Major Dental Care

Routine Dental Checkups for Children	Covered: Not Covered Benefit Explanation: Page 15
Basic Dental Care - Child	Covered: Not Covered Benefit Explanation: Page 15
Major Dental Care - Child	Covered: Not Covered Benefit Explanation: Pages 15-16

Related Articles

You may be interested in these relevant articles from across the HealthMarkets.com network.

What’s changing about Affordable Care Act benefits in 2023?

Open enrollment is here for Affordable Care Act (ACA) marketplace health insurance plans, and there are important, new…Read More

Read More

How To Be An Alzheimer’s Caregiver: 5 Things You Need To Know

Are you an Alzheimer’s caregiver for a spouse, family member, or friend? You’re not…Read More

Read More

Hand calluses hurt? 5 smart tips to treat and prevent calluses

Hand calluses hurt? If you lift weights, play guitar, or work with your hands…Read More

Read More