AultCare Bronze 6000 Select No Pediatric Dental

Plan Type: PPO
Plan Tier: Expanded Bronze
Medical Deductible - Individual: $6,000
Medical Deductible - Family: $12,000
Drug Deductible - Individual: Included in Medical
Drug Deductible - Family: Included in Medical
Out of Pocket Max - Individual: $6,400
Out of Pocket Max - Family: $12,800
Primary Care Visit: 10% Coinsurance after deductible
Specialist Visit: 10% Coinsurance after deductible
Emergency Room: 10% Coinsurance after deductible
Hospital - Physician: 10% Coinsurance after deductible
Hospital - Facility: 10% Coinsurance after deductible
Link to Full SBC: http://www.aultcas.com/Application/na/getForm.aspx?sbc=sbc6652019.pdf
Plan Brochure: http://www.aultcas.com/Application/na/getForm.aspx?sbcbroc=brochure6652019.pdf

Other Coverage:

Child Dental: No
Adult Dental No

Prescription Drug Pricing:

Generic Drugs: 10% Coinsurance after deductible
Non-Preferred Brand Drugs: 10% Coinsurance after deductible
Preferred Brand Drugs: 10% Coinsurance after deductible
Specialty Drugs: 10% Coinsurance after deductible
Link to Full Policy Formulary: http://www.AultCAS.com/acformularyb2019.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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