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| Go to Connecticare Menu | |||||||
Connecticare HMO HSA Compatible Health Plans in Ct |
For help or questions call 1-866-508-0618 | ||||||
| HMO HSA Compatible Plans: | |||||||
| 1. The HSA deductible does not apply to Preventative Care. View Preventative Benefits | |||||||
| 2. All HMO HSA health plans include prescription drug benefits and includes maternity benefits. | |||||||
| 3. There are 3 HMO plans: HMO 1500 plan, HMO 3000 plan, HMO 5000 plan. | |||||||
| 4. Prescription Benefits are Unlimited. | |||||||
| HSA $1500 deductible plan ---> | Hartford, New London, Tolland and Windham Counties | ||||||
| Coverage | You Pay | ||||||
| Preventative Care | Free | ||||||
| All other medical care- | $1500 deductible | ||||||
| hospital, surgery, doctors | then see below | ||||||
| Coverage | You Pay | ||||||
| Doctor Copay | $0 | ||||||
| Specialist Copay | $0 | ||||||
| In Hospital Costs | $0 |
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| per person | Litchfield, Middlessex, and New Haven Counties | ||||||
| Out Patient Surgery | $0 | ![]() |
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| Diagnostic Tests | $0 | ||||||
| Simple Xrays | $0 | ||||||
| Prescriptions- unlimited | $15/25/40 | ||||||
| View more information on HSA HMO 1500 plan | |||||||
| What is not covered by HSA HMO 1500 | |||||||
| How to Enroll with Connecticare Solo | Fairfield County | ||||||
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| For help or Questions call 1866-508-0618 | |||||||
| HSA $3000 Deductible Plan ---> | Hartford, New London, Tolland and Windham Counties | ||||||
| Coverage | You Pay | ![]() |
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| Preventative Care | Free | ||||||
| All other Medical Care-hospital, surgery, doctors | $3000 Deductible then see below | ||||||
| Coverage | You Pay | ||||||
| Doctor Copay | $0 | ||||||
| Specialist Copay | $0 | ||||||
| In Hospital Costs | $0 |
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| per person | Litchfield, Middlessex, and New Haven Counties | ||||||
| Out Patient Surgery | $0 | ![]() |
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| Diagnostic Tests | $0 | ||||||
| Simple Xrays | $0 | ||||||
| Prescriptions- unlimited | $15/25/40 | ||||||
| View more information on HSA HMO 3000 plan | |||||||
| What is not covered by HSA HMO 3000 | |||||||
| How to Enroll with Connecticare | Fairfield County | ||||||
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| For help or Questions call 1866-508-0618 | |||||||
| HSA $5000 Deductible Plan ---> | Hartford, New London, Tolland and Windham Counties | ||||||
| Coverage | You Pay | ![]() |
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| Preventative Care | Free | ||||||
| All other medical care-hospital, surgery, doctors | $5000 deductible then see below | ||||||
| Coverage | You Pay | ||||||
| Doctor Copay | $0 | ||||||
| Specialist Copay | $0 | ||||||
| In Hospital Costs | $0 |
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| per person | Litchfield, Middlessex, and New Haven Counties | ||||||
| Out Patient Surgery | $0 | ![]() |
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| Diagnostic Tests | $0 | ||||||
| Simple Xrays | $0 | ||||||
| Prescriptions- unlimited | $0/$0/$0 | ||||||
| View more information on HSA HMO 5000 plan | |||||||
| What is not covered by HSA HMO 5000 | |||||||
| How to Enroll with Connecticare | Fairfield County | ||||||
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| For help or Questions call 1866-508-0618 | |||||||
| Z-4-18-2008 | Creative Health Insurance LLC | ||||||