PASSAGE HMO AND POS PLANS

Our Passage HMO and POS plans may help make it easier for you to get the care you need with:

- No deductible for primary care provider (PCP) office visits and urgent care

- Unlimited PCP visits starting at just $30 each

CHOICE HMO AND POS PLANS

These plans give you access to our broad network and the freedom to see a specialist without a referral. There are six Choice SOLO plans, including Choice SOLO Silver POS Copay/Coins. plans, with no deductibles for PCP and specialist office visits, and urgent care.


SOLO plans are grouped by “metal” level to help you better understand how much of your medical expenses the plan will cover. Listed below are descriptions for premium ranges and out-of-pocket costs for each metal level.

Metal Level Premiums Member's Out-of-Pocket Costs Plan Pays
Image Description Lowest Highest 60%
Image Description Moderate Moderate 70%
Image Description Higher Lower 80%
†Average amount plan pays for covered services.

2019 PASSAGE PLANS

Metal Level Plan Name Individual & Family Deductible PCP Visit Cost Share
Passage SOLO HMO
Copay/Coins. $6,000 ded.
$6,000/$12,000* At a Sanitas Medical Center:
$0 (deductible waived)
For all other primary care:
$40 copay (deductible waived)
  Passage SOLO POS
Copay/Coins. $1,500 ded.
 
$1,500/$3,000* At a Sanitas Medical Center:
$0 (deductible waived)
For all other primary care:
$30 copay (deductible waived)

2019 CHOICE PLANS

Metal Level Plan Name Individual & Family Deductible PCP Visit Cost Share
Image Description Choice SOLO HMO
HSA $6,500 ded.
$6,500/$13,000* At a Sanitas Medical Center:
$0 after deductible
For all other primary care:
$30 copay after deductible
Image Description Choice SOLO POS
HSA Coins. $6,250 ded.
$6,250/$12,500* At a Sanitas Medical Center:
$0 after deductible
For all other primary care:
25% coinsurance after deductible
Image Description Choice SOLO POS
Coins. $2,800 ded.
$2,800/$5,600* At a Sanitas Medical Center: $0
For all other primary care:
$40 copay (deductible waived)
Image Description Choice SOLO POS
Copay/Coins. $4,500 ded.
$4,500/$9,000* At a Sanitas Medical Center: $0
For all other primary care:
$40 copay (deductible waived)
Image Description Choice SOLO POS
Copay/Coins. $5,500 ded.

$5,500/$11,000* At a Sanitas Medical Center: $0
For all other primary care:
$40 copay (deductible waived)
Image Description Choice SOLO POS
HSA/Coins. $3,500 ded.

$3,500/$7,000* At a Sanitas Medical Center:
$0 after deductible
For all other primary care:
25% coinsurance after deductible

*Integrated medical and prescription drug deductible.

We’re here to help
CALL US
1.877.530.1222

Through January 15, 2019
Monday - Friday, 8 a.m. - 6 p.m.
Saturday hours:
January 5 and 12, 9 a.m. - 3 p.m.

OR MEET WITH US IN PERSON
at a ConnectiCare center
Massachusetts Residents
See our plans or call your broker for plan options and information.