AultCare Silver 5000 No Pediatric Dental

Plan Type: PPO
Plan Tier: Silver
Medical Deductible - Individual: $5,000
Medical Deductible - Family: $10,000
Drug Deductible - Individual: $0
Drug Deductible - Family: $0
Out of Pocket Max - Individual: $6,000
Out of Pocket Max - Family: $12,000
Primary Care Visit: $35 Copay with deductible
Specialist Visit: $50 Copay with deductible
Emergency Room: 40% Coinsurance after deductible
Hospital - Physician: 40% Coinsurance after deductible
Hospital - Facility: 40% Coinsurance after deductible
Link to Full SBC: http://www.aultcas.com/Application/na/getForm.aspx?sbc=sbc6112019.pdf
Plan Brochure: http://www.aultcas.com/Application/na/getForm.aspx?sbcbroc=brochure6112019.pdf

Other Coverage:

Child Dental: No
Adult Dental No

Prescription Drug Pricing:

Generic Drugs: $10
Non-Preferred Brand Drugs: 40%
Preferred Brand Drugs: 30%
Specialty Drugs: 50%
Link to Full Policy Formulary: http://www.AultCAS.com/acformularya2019.aspx

This Carrier Offers:



About The Carrier

For over 33 years, AultCare has been an industry leader in the competitive Ohio health care market. Through innovative plan designs, superior customer service and a cost effective, high quality network, AultCare has continued to keep enrollees and clients satisfied while remaining committed to providing affordable health care options.

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