2024 ConnectiCare Choice Plan(s)

2024 ConnectiCare Choice Plan 3 (HMO-POS)

  • Monthly Premium: $0
  • Primary Care Provider (PCP) Copay: $0
  • Specialist Copay: $35
  • See Plan Documents

 

This Plan Includes:
Medical and Prescription Drug Coverage SilverSneakers® Fitness Program
Annual Eyewear Allowance Telehealth and Telemedicine

Preventive Dental Coverage

Option to Add Supplemental Dental

Allowance for Eligible Over-the-Counter (OTC) Items
Get Rewards for Making the Right Health Care Choices

2024 ConnectiCare Choice Plan 2 (HMO-POS) No RX

  • Monthly Premium: $0
  • Primary Care Provider (PCP) Copay: $0
  • Specialist Copay: $10
  • See Plan Documents

 

This Plan Includes:
Medical Coverage SilverSneakers® Fitness Program
Annual Eyewear Allowance Telehealth and Telemedicine

Preventive and Comprehensive Dental Coverage

Allowance for Eligible Over-the-Counter (OTC) Items
Get Rewards for Making the Right Health Care Choices

2024 ConnectiCare Choice Plan 1 (HMO-POS)

  • Monthly Premium: $160
  • Primary Care Provider (PCP) Copay: $10
  • Specialist Copay: $30
  • See Plan Documents

 

This Plan Includes:
Medical and Prescription Drug Coverage  SilverSneakers® Fitness Program
Enhanced Prescription Drug Coverage Through the Coverage Gap (”Donut Hole”) Telehealth and Telemedicine
Option to Add Supplemental Dental Get Rewards for Making the Right Health Care Choices

2024 ConnectiCare Flex Plan(s)

2024 ConnectiCare Flex Plan 3 (HMO-POS)

  • Monthly Premium: $30
  • Primary Care Provider (PCP) In-Network/Out-of-Network: $5 Copay/35% Coinsurance
  • Specialist In-Network/Out-of-Network: $50 Copay/35% Coinsurance
  • See Plan Documents

 

This Plan Includes:
Medical and Prescription Drug Coverage SilverSneakers® Fitness Program
Annual Eyewear Allowance Telehealth and Telemedicine

Preventive Dental Coverage

Option to Add Supplemental Dental

Allowance for Eligible Over-the-Counter (OTC) Items
Get Rewards for Making the Right Health Care Choices

2024 ConnectiCare Flex Plan 3 (HMO-POS)

  • Monthly Premium: $51
  • Primary Care Provider (PCP) In-Network/Out-of-Network: $5 Copay/35% Coinsurance
  • Specialist In-Network/Out-of-Network: $50 Copay/35% Coinsurance
  • See Plan Documents

 

This Plan Includes:
Medical and Prescription Drug Coverage SilverSneakers® Fitness Program
Annual Eyewear Allowance Telehealth and Telemedicine

Preventive Dental Coverage

Option to Add Supplemental Dental

Allowance for Eligible Over-the-Counter (OTC) Items
Get Rewards for Making the Right Health Care Choices

2024 ConnectiCare Flex Plan 2 (HMO-POS)

  • Monthly Premium: $115
  • Primary Care Provider (PCP) In-Network/Out-of-Network: $15/$50
  • Specialist In-Network/Out-of-Network: $35/$50
  • See Plan Documents

 

This Plan Includes:
Medical and Prescription Drug Coverage  SilverSneakers® Fitness Program
Option to Add Supplemental Dental Telehealth and Telemedicine
Get Rewards for Making the Right Health Care Choices

2024 ConnectiCare Passage Plan(s)

2024 ConnectiCare Passage Plan 1 (HMO-POS)

  • Monthly Premium: $0
  • Primary Care Provider (PCP) Copay: $0
    • You must choose a primary care provider (PCP) from the Passage network
  • Specialist Copay: $35
  • See Plan Documents

 

This Plan Includes:
Medical and Prescription Drug Coverage SilverSneakers® Fitness Program
Option to Add Supplemental Dental Telehealth and Telemedicine

Annual Eyewear Allowance

Allowance for Eligible Over-the-Counter (OTC) Items
Get Rewards for Making the Right Health Care Choices

2024 ConnectiCare Choice Dual (HMO-POS D-SNP) Plan(s)

2024 ConnectiCare Choice Dual (HMO-POS D-SNP)

 

This Plan Includes:
Medical and Prescription Drug Coverage SilverSneakers® Fitness Program
Preventive and Comprehensive Dental Coverage Telehealth and Telemedicine

Annual Eyewear Allowance

Allowance for Eligible Over-the-Counter (OTC) Items
Get Rewards for Making the Right Health Care Choices

 

Because you qualify for extra help, you get healthy foods and reduced Part D cost sharing benefits when you enroll.
Free language assistance services are available at 877-344-7364 (TTY: 711).

2024 ConnectiCare Choice Dual Vista (HMO-POS D-SNP)

 

This Plan Includes:
Medical and Prescription Drug Coverage SilverSneakers® Fitness Program
Preventive and Comprehensive Dental Coverage Telehealth

Allowance for Eligible Over-the-Counter (OTC) Items

Annual Hearing Aid Allowance
24/7 Nurse Hotline Get Rewards for Making the Right Health Care Choices

Because you qualify for extra help, you get healthy foods and reduced Part D cost sharing benefits when you enroll.
Free language assistance services are available at 877-344-7364 (TTY: 711).