CareSource Federal Simple Choice Bronze Dental and Vision

Plan Type: HMO
Plan Tier: Expanded Bronze
Medical Deductible - Individual: $6,650
Medical Deductible - Family: $13,300
Drug Deductible - Individual: Included in Medical
Drug Deductible - Family: Included in Medical
Out of Pocket Max - Individual: $7,350
Out of Pocket Max - Family: $14,700
Primary Care Visit: $35
Specialist Visit: $75
Emergency Room: 40% Coinsurance after deductible
Hospital - Physician: 40% Coinsurance after deductible
Hospital - Facility: 40% Coinsurance after deductible
Link to Full SBC: https://www.caresource.com/document/MP-2018-oh-fedstd-bronze-dv-sum
Plan Brochure: https://www.caresource.com/document/MP-2018-oh-a-broch

Other Coverage:

Child Dental: Yes
Adult Dental Yes

Prescription Drug Pricing:

Generic Drugs: $35
Non-Preferred Brand Drugs: 40% Coinsurance after deductible
Preferred Brand Drugs: 35% Coinsurance after deductible
Specialty Drugs: 45% Coinsurance after deductible
Link to Full Policy Formulary: https://www.caresource.com/documents/2018-marketplace-formulary/

About The Carrier

CareSource plans provide comprehensive, quality coverage that you can afford, understand and use. We offer individual and family plans with optional dental and vision coverage for adults. CareSource is a Qualified Health Plan offered through the Health Insurance Marketplace.

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