SoloCare Bronze PPO 40021 Area 15

Plan Type: PPO
Plan Tier: Expanded Bronze
Individual Deductible $8,550
Family Deductible $17,100
Individual Out of Pocket Max $8,550
Family Out of Pocket Max $17,100
Primary Care Visit: No Charge after Deductible
Specialist Visit: No Charge after Deductible
Emergency Room: No Charge after Deductible
Hospital - Physician: No Charge after Deductible
Hospital - Facility: No Charge after Deductible
Link to Full SBC: https://alliantplans.com/2021/solocare/40021_01.pdf
Plan Brochure: https://alliantplans.com/2021/solocare-2021-brochure.pdf

Other Coverage:

Child Dental: Yes
Adult Dental No

Prescription Drug Pricing:

Generic Drugs: No Charge after Deductible
Non-Preferred Brand Drugs: No Charge after Deductible
Preferred Brand Drugs: No Charge after Deductible
Specialty Drugs: No Charge after Deductible
Summary of Benefits https://magellan.adaptiverx.com/webSearch/index?key=cnhmbGV4LnBsYW4uUGxhblBkZlR5cGUtNTk5
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