Coverage Tiers

Back to Individuals and Families page

Plans that meet your needs

CareConnect offers a variety of plans, enabling you to find one that best suits your budget and your expected medical needs. Most of our plans fall into one of four categories, or “metal levels:” Bronze, Silver, Gold or Platinum. Each category includes different types of plans, with some variation in the monthly payment (premium) and the amount each plan will pay toward the cost of medical services and prescription drugs.

If you want to see all individual and family plans, please visit this page: All Individual and Family Plans

Bronze Plans

Bronze plans have the lowest monthly premiums. They cover, on average, about 60% of your health care costs.* A Bronze plan could be a good option if you don’t expect to need a lot of medical services.

  • Standard Bronze
    • Doctor Copay

      50%

    • Coinsurance

      50%

    • Deductible

      $3,500/$7,000

    • Max out of pocket

      $6,850/$13,700

    • Rx Copay

      $10/$35/$70

  • Tradition Bronze HSA 70%
    • Doctor Copay

      30%

    • Coinsurance

      30%

    • Deductible

      $4,450/$8,900

    • Max out of pocket

      $6,450/$12,900

    • Rx Copay

      $15/$35/$75

  • Standard Bronze
    • Doctor Copay

      50%

    • Coinsurance

      50%

    • Deductible

      $4,000/$8,000

    • Max out of pocket

      $7,150/$14,300

    • Rx Copay

      $10/$35/$70

  • Tradition Bronze HSA 70%
    • Doctor Copay

      30%

    • Coinsurance

      30%

    • Deductible

      $5,500/$11,000

    • Max out of pocket

      $6,550/$13,100

    • Rx Copay

      $15/$35/$75

Silver Plans

Silver plans have the second-lowest monthly premiums. They cover, on average, about 70% of your health care costs.* A Silver plan could be a good option if you are trying to balance your monthly premium with your potential out-of-pocket costs, such as your deductible and copays.

  • Standard Silver
    • Doctor Copay

      $30/$50

    • Coinsurance

      30%

    • Deductible

      $2,000/$4,000

    • Max out of pocket

      $5,500/$11,000

    • Rx Copay

      $10/$35/$70

  • Tradition Silver 40/60
    • Doctor Copay

      $40/$60

    • Coinsurance

      20%

    • Deductible

      $4,000/$8,000

    • Max out of pocket

      $6,600/$13,200

    • Rx Copay

      $10/$50/50% Coinsurance (up to max $250)

  • Value Silver 75%
    • Doctor Copay

      2 Free PCP Visits/25% Coinsurance after Deductible

    • Coinsurance

      25%

    • Deductible

      $3,000/$6,000

    • Max out of pocket

      $6,850/$13,700

    • Rx Copay

      $0 Generic/25% Coins

  • Value Silver 100%
    • Doctor Copay

      2 free visits

    • Coinsurance

      0% after deductible

    • Deductible

      $4,500/$9,000

    • Max out of pocket

      $4,500/$9,000

    • Rx Copay

      $0 Generic/Covered in full after deductible

  • Standard Silver
    • Doctor Copay

      $30/$50

    • Coinsurance

      30%

    • Deductible

      $2,000/$4,000

    • Max out of pocket

      $6,750/$13,500

    • Rx Copay

      $10/$35/$70

  • Tradition Silver 40/60
    • Doctor Copay

      $40/$60

    • Coinsurance

      20%

    • Deductible

      $4,250/$8,500

    • Max out of pocket

      $7,150/$14,300

    • Rx Copay

      $10/$50/50% Coinsurance (up to max $250)

  • Value Silver 75%
    • Doctor Copay

      2 Free PCP Visits/25% Coinsurance after Deductible

    • Coinsurance

      25%

    • Deductible

      $3,000/$6,000

    • Max out of pocket

      $6,850/$13,700

    • Rx Copay

      $0 Generic/25% Coins

  • Value Silver 100%
    • Doctor Copay

      2 free visits

    • Coinsurance

      0% after deductible

    • Deductible

      $4,600/$9,200

    • Max out of pocket

      $4,600/$9,200

    • Rx Copay

      $0 Generic/Covered in full after deductible

Gold Plans

Gold plans have higher monthly premiums than Bronze and Silver plans. They cover, on average, about 80% of your health care costs.* A Gold plan could be a good option if you want to keep your out-of-pocket costs relatively low while spending less per month than you would on a Platinum plan.

  • Standard Gold
    • Doctor Copay

      $25/$40

    • Coinsurance

      20%

    • Deductible

      $600/$1,200

    • Max out of pocket

      $4,000/$8,000

    • Rx Copay

      $10/$35/$70

  • Tradition Gold 30/50
    • Doctor Copay

      $30/$50

    • Coinsurance

      10%

    • Deductible

      $1,000/$2,000

    • Max out of pocket

      $3,000/$6,000

    • Rx Copay

      $10/$50/50% Coinsurance (up to max $250)

  • Value Gold 100%
    • Doctor Copay

      2 free visits

    • Coinsurance

      0% after deductible

    • Deductible

      $2,250/$4,500

    • Max out of pocket

      $2,250/$4,500

    • Rx Copay

      $0 Generic/Covered in full after deductible

  • Standard Gold
    • Doctor Copay

      $25/$40

    • Coinsurance

      20%

    • Deductible

      $600/$1,200

    • Max out of pocket

      $4,000/$8,000

    • Rx Copay

      $10/$35/$70

  • Tradition Gold 30/50
    • Doctor Copay

      $30/$50

    • Coinsurance

      10%

    • Deductible

      $1,000/$2,000

    • Max out of pocket

      $3,000/$6,000

    • Rx Copay

      $10/$50/50% Coinsurance (up to max $250)

  • Value Gold 100%
    • Doctor Copay

      2 free visits

    • Coinsurance

      0% after deductible

    • Deductible

      $2,250/$4,500

    • Max out of pocket

      $2,250/$4,500

    • Rx Copay

      $0 Generic/Covered in full after deductible

Platinum Plans

Platinum plans have the highest monthly premiums. They cover, on average, about 90% of your health care costs.* A Platinum plan could be a good option if you expect to use a lot of medical services.

  • Standard Platinum
    • Doctor Copay

      $15/$35

    • Coinsurance

      10%

    • Deductible

      $0

    • Max out of pocket

      $2,000/$4,000

    • Rx Copay

      $10/$30/$60

  • Tradition Platinum 30/30
    • Doctor Copay

      $30/$30

    • Coinsurance

      10%

    • Deductible

      $0

    • Max out of pocket

      $1,000/$2,000

    • Rx Copay

      $15/$35/$75 after $100 ded.

  • Value Platinum 100%
    • Doctor Copay

      2 free visits

    • Coinsurance

      0% after deductible

    • Deductible

      $1,250/$2,500

    • Max out of pocket

      $1,250/$2,500

    • Rx Copay

      $0 Generic/Covered in full after deductible

  • Standard Platinum
    • Doctor Copay

      $15/$35

    • Coinsurance

      10%

    • Deductible

      $0

    • Max out of pocket

      $2,000/$4,000

    • Rx Copay

      $10/$30/$60

  • Tradition Platinum 30/30
    • Doctor Copay

      $30/$30

    • Coinsurance

      10%

    • Deductible

      $0

    • Max out of pocket

      $1,000/$2,000

    • Rx Copay

      $15/$35/$75 after $100 ded.

  • Value Platinum 100%
    • Doctor Copay

      2 free visits

    • Coinsurance

      0% after deductible

    • Deductible

      $1,200/$2,400

    • Max out of pocket

      $1,200/$2,400

    • Rx Copay

      $0 Generic/Covered in full after deductible

* Actual percentage will depend on services you use during the year.