AultCare Silver 2500 Select No Pediatric Dental

Individual Health Insurance (Obamacare)

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Benefits & Coverage

Plan Name
AultCare Silver 2500 Select No Pediatric Dental
Plan Year
2016
Insurance Type
Individual Health Insurance (Obamacare)
Insurance Provider
AultCare
Metal Level
Silver
Out-of-Pocket Maximum
Plan Highlights

Costs for Medical Care

Primary Care Visit to Treat an Injury or Illness
10% Coinsurance after deductible
Specialist Visit
10% Coinsurance after deductible
Deductible - Family
$5000
Out-of-Pocket Maximum - Family
$12700

Prescription drug coverage

Generic Drugs
10% Coinsurance after deductible
Preferred Brand Drugs
10% Coinsurance after deductible
Non-Preferred Brand Drugs
10% Coinsurance after deductible
Specialty Drugs
10% Coinsurance after deductible

Access to doctors and hospitals

Provider directory URL
http://www.aultcare.com/exchangeproviders

Hospital services

Emergency Room Services
10% Coinsurance after deductible
Inpatient Hospital Services (e.g., Hospital Stay)
10% Coinsurance after deductible
Inpatient Physician and Surgical Services
10% Coinsurance after deductible

What To Know

  • This is an ACA (Obamacare) compliant health plan.
  • This plan is eligible for a tax credit subsidy

Physician Directory

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