Do you want what’s best for your clients?
So do we.
Our tools, services, and support allow you to focus on finding quality, affordable group health insurance to fit your clients’ needs and new opportunities to grow your book of small business.
Are you a broker that would like to get certified with Access Health CT Small Business?
Email us today to get certified: SHOP.AHCT@ct.gov
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We provide support so you can stay focused.
Our Client Relationship Managers can help strengthen your ability to do business by providing unbiased information regarding plan information and details.
Contact Us
To learn more about working with us, you can call us directly at 860-241-8445 or email SHOP.AHCT@ct.gov
“Do the plan rates change?”
All plan rates may adjust once a year, on an annual basis. This means the rates are locked in for a 12-month period.
Franco Barrero | Contact me
Advocating for you
Access Health CT Small Business works hard for brokers and small business owners to protect the health of their businesses and employees alike.
For us, collaboration is key.
Part of decreasing the number of uninsured in Connecticut is increasing brokers’ access to the information, tools, and services they need. See what some of our certified brokers have to say about working with us.
64,567
Connecticut private sector for profit and non-profit firms with fewer than 50 employees1.
This does not include people who are self employed or businesses with no employees.
1 Kaiser Family Foundation
Simplify the process with our online portal.
Through our robust and easy to use online portal, you will have access to the information, forms, and tools you need.
- Easily enroll individuals and small groups on their behalf.
- Provide plans that offer flexible benefit designs and a variety of ways to ensure savings.
- Manage your entire book of business.
Want to know what plans we offer?
For 2021 and 2022 Access Health CT Small Business offers three basic categories for coverage – Gold, Silver and Bronze – from Anthem and ConnectiCare.
Looking for group dental plans? We can help.
Anthem
Anthem Gold Pathway CT PPO
2022
| Benefit Year: | Contract |
| Referrals: | Not Required |
| Preventative Adult Exams: | No Cost |
| PCP Office Visit: | $25 Copayment per visit |
| Specialist Office Visit | $50 Copayment per visit |
| Prescription Drugs | Tier 1: $5 Copay; Tier 2: $50 Copay; Tier 3: 30% up to $500; Tier 4: 30% up to $1000 |
| Mail Order Drug | Tier 1: $13 Copay; Tier 2: $150 Copay; Tier 3: 30% up to $1500; Tier 4: 30% up to $1000 |
| Inpatient Hospital | No Cost after Plan Deductible is met |
| Emergency Room | 20% Coinsurance after Plan Deductible is met |
| Walk-in Urgent Care | $25 Copayment per visit at a Walk-In Center $100 Copayment per visit at an Urgent Care Facility (Urgent Care Center) |
| Ambulance | No Cost |
| Outpatient Surgery | $300 Copayment per visit at a Surgical Center No Cost-Share after Deductible is met at an Outpatient Hospital Facility |
| Laboratory Service | No Cost-Share at Site-of-Service Providers No Cost- Share after Deductible is met at an Outpatient Hospital Facility |
| Outpatient Diagnostic Tests | No cost at site-of-service providers; No cost after deductible at outpatient hospital facility |
| Outpatient Diagnostic Imaging | $75 copay to $375 max at site-of-service providers; No cost after deductible is met at outpatient hospital facility |
| Outpatient Mental Health | $25 Copayment per visit |
| Durable Medical Equipment | 50% Coinsurance after deductible is met |
| Individual Deductible | $2,500 |
| Family Deductible | $5,000 |
| Out-of-Pocket Maximum | $4,500 |
| Family Out-of-Pocket Maximum | $9,000 |
Download PDF
Anthem
Anthem Silver Pathway CT PPO
2022
| Benefit Year: | Contract |
| Referrals: | Not Required |
| Preventative Adult Exams: | No Cost |
| PCP Office Visit: | $40 Copayment per visit |
| Specialist Office Visit | $80 Copayment per visit |
| Prescription Drugs | Tier 1: $5 Copayment; Tier 2: $50 Copayment; Tier 3: 30% Coinsurance up to $500; Tier 4: 30% Coinsurance up to $1,000 |
| Mail Order Drug | Tier 1: $13 Copayment; Tier 2: $150 Copayment; Tier 3: 30% Coinsurance up to $1,500; Tier 4: 30% Coinsurance up to $1,000 |
| Inpatient Hospital | 25% Coinsurance after Plan Deductible is met |
| Emergency Room | 25% Coinsurance after Plan Deductible is met |
| Walk-in Urgent Care | $40 Copayment per visit at a Walk-In Center $100 Copayment per visit at an Urgent Care Facility (Urgent Care Center) |
| Ambulance | 25% Coinsurance |
| Outpatient Surgery | $400 Copayment per visit at a Surgical Center 25% Coinsurance after Deductible is met at an Outpatient Hospital Facility |
| Laboratory Service | No Cost-Share at Site-of-Service Providers 25% Coinsurance after Deductible is met at an Outpatient Hospital Facility |
| Outpatient Diagnostic Tests | No Cost-Share at Site-of-Service Providers 25% Coinsurance after Deductible is met at an Outpatient Hospital Facility |
| Outpatient Diagnostic Imaging | $75 Copayment per service up to an annual maximum of $375 for MRI, MRA, CAT, CTA, PET and SPECT scans at Site-of-Service Providers 25% Coinsurance after Deductible is met at an Outpatient Hospital Facility |
| Outpatient Mental Health | $40 Copayment per visit |
| Durable Medical Equipment | 50% Coinsurance after Plan Deductible is met |
| Individual Deductible | $5,500 |
| Family Deductible | $11,000 |
| Out-of-Pocket Maximum | $8,700 |
| Family Out-of-Pocket Maximum | $17,400 |
Anthem
Anthem Silver Pathway CT PPO w/HSA
2022
| Benefit Year: | Contract |
| Referrals: | Not Required |
| Preventative Adult Exams: | No Cost |
| PCP Office Visit: | $40 Copayment per visit after Plan Deductible is met |
| Specialist Office Visit | $80 Copayment per visit after Plan Deductible is met |
| Prescription Drugs | Deductible then, Tier 1: $5 Copayment; Tier 2: $50 Copayment; Tier 3: 30%; Tier 4: 30% |
| Mail Order Drug | Deductible then, Tier 1: $13 Copayment; Tier 2: $150 Copayment; Tier 3: 30%; Tier 4: 30% |
| Inpatient Hospital | 20% Coinsurance after Plan Deductible is met |
| Emergency Room | 20% Coinsurance after Plan Deductible is met |
| Walk-in Urgent Care | Walk-In: $40 Copayment per visit after Plan Deductible Urgent Care: $100 Copayment per visit after Plan Deductible |
| Ambulance | 20% Coinsurance after Plan Deductible is met |
| Outpatient Surgery | 20% Coinsurance after Plan Deductible is met |
| Laboratory Service | No Cost-Share after Deductible is met at an Independent Lab 20% Coinsurance after Deductible is met at an Outpatient Hospital Facility |
| Outpatient Diagnostic Tests | 20% Coinsurance after Deductible is met |
| Outpatient Diagnostic Imaging | 20% Coinsurance after Deductible is met |
| Outpatient Mental Health | No cost after Deductible is met |
| Durable Medical Equipment | 50% Coinsurance after Deductible is met |
| Individual Deductible | $3,000 |
| Family Deductible | $6,000 |
| Out-of-Pocket Maximum | $7,000 |
| Family Out-of-Pocket Maximum | $14,000 |
Anthem
Anthem Bronze Pathway CT PPO
2022
| Benefit Year: | Contract |
| Referrals: | Not Required |
| Preventative Adult Exams: | No Cost |
| PCP Office Visit: | No Cost after Plan Deductible is met |
| Specialist Office Visit | No Cost after Plan Deductible is met |
| Prescription Drugs | No Cost after Plan Deductible is met |
| Mail Order Drug | No Cost after Plan Deductible is met |
| Inpatient Hospital | No Cost after Plan Deductible is met |
| Emergency Room | No Cost after Plan Deductible is met |
| Walk-in Urgent Care | No Cost after Plan Deductible is met |
| Ambulance | No Cost after Plan Deductible is met |
| Outpatient Surgery | No Cost after Plan Deductible is met |
| Laboratory Service | No Cost-Share after Plan Deductible is met at an Independent Lab No Cost after Plan Deductible is met at an Outpatient Hospital Facility |
| Outpatient Diagnostic Tests | No Cost after Plan Deductible is met |
| Outpatient Diagnostic Imaging | No Cost after Plan Deductible is met |
| Outpatient Mental Health | No Cost after Plan Deductible is met |
| Durable Medical Equipment | No Cost after Plan Deductible is met |
| Individual Deductible | $8,700 |
| Family Deductible | $17,400 |
| Out-of-Pocket Maximum | $8,700 |
| Family Out-of-Pocket Maximum | $17,400 |
Anthem
Anthem Bronze Pathway CT PPO w/HSA
2022
| Benefit Year: | Contract |
| Referrals: | Not Required |
| Preventative Adult Exams: | No Cost |
| PCP Office Visit: | No Cost after Plan Deductible is met |
| Specialist Office Visit | No Cost after Plan Deductible is met |
| Prescription Drugs | Deductible then, Tier 1: $25 Copayment; Tier 2: $75 Copayment; Tier 3: 40%; Tier 4: 40% |
| Mail Order Drug | Deductible then, Tier 1: $63 Copayment; Tier 2: $225 Copayment; Tier 3: 40%; Tier 4: 40% |
| Inpatient Hospital | No Cost after Plan Deductible is met |
| Emergency Room | No Cost after Plan Deductible is met |
| Walk-in Urgent Care | No Cost after Plan Deductible is met |
| Ambulance | No Cost after Plan Deductible is met |
| Outpatient Surgery | No Cost after Plan Deductible is met |
| Laboratory Service | No Cost-Share after Plan Deductible is met at an Independent Lab No Cost after Plan Deductible is met at an Outpatient Hospital Facility |
| Outpatient Diagnostic Tests | No Cost after Plan Deductible is met |
| Outpatient Diagnostic Imaging | No Cost after Plan Deductible is met |
| Outpatient Mental Health | No Cost after Plan Deductible is met |
| Durable Medical Equipment | No Cost after Plan Deductible is met |
| Individual Deductible | $6,900 |
| Family Deductible | $13,800 |
| Out-of-Pocket Maximum | $7,000 |
| Family Out-of-Pocket Maximum | $14,000 |
ConnectiCare
ConnectiCare Passage Gold POS PCP
2022
| Benefit Year: | Contract |
| Referrals: | Required |
| Preventative Adult Exams: | No Cost |
| PCP Office Visit: | $30 Copayment per visit (Deductible waived) |
| Specialist Office Visit | $50 Copayment per visit (Deductible waived) |
| Prescription Drugs | Tier 1: $10 Copayment; Tier 2: $50 Copayment; Tier 3: 50% up to $250; Tier 4: 50% up to $500 |
| Mail Order Drug | Tier 1: $20 Copayment; Tier 2: $100 Copayment; Tier 3: 50% up to $500; Tier 4: N/A |
| Inpatient Hospital | 20% Coinsurance after Plan Deductible is met |
| Emergency Room | 20% Coinsurance after Plan Deductible is met |
| Walk-in Urgent Care | $100 Copayment per visit |
| Ambulance | 20% Coinsurance after Plan Deductible is met |
| Outpatient Surgery | $500 at ambulatory facility; 20% coinsurance after deductible is met at hospital facility |
| Laboratory Service | Laboratory: $10 copayment |
| Outpatient Diagnostic Tests | $50 copayment at freestanding facility; 20% coinsurance after deductible is met at hospital facility |
| Outpatient Diagnostic Imaging | $75 copayment per service up to five copayments per year at a freestanding facility, then copayment waived; 20% conisurance per service after INET plan deductible is met at a hospital facility |
| Outpatient Mental Health | $50 Copayment per visit |
| Durable Medical Equipment | 50% Coinsurance |
| Individual Deductible | $3,000 |
| Family Deductible | $6,000 |
| Out-of-Pocket Maximum | $6,800 |
| Family Out-of-Pocket Maximum | $13,600 |
ConnectiCare
ConnectiCare Choice Silver POS HSA
2022
| Benefit Year: | Contract |
| Referrals: | Not Required |
| Preventative Adult Exams: | No Cost |
| PCP Office Visit: | 25% Coinsurance after Plan Deductible is met |
| Specialist Office Visit | 25% Coinsurance after Plan Deductible is met |
| Prescription Drugs | Deductible then, Tier 1: $10 Copayment; Tier 2: $60 Copayment; Tier 3: 50% up to $300; Tier 4: 50% up to $500 |
| Mail Order Drug | Deductible then, Tier 1: $20 Copayment; Tier 2: $120 Copayment; Tier 3: 50% up to $600; Tier 4: N/A |
| Inpatient Hospital | 25% Coinsurance after Plan Deductible is met |
| Emergency Room | 25% Coinsurance after Plan Deductible is met |
| Walk-in Urgent Care | 25% Coinsurance after Plan Deductible is met |
| Ambulance | 25% Coinsurance after Plan Deductible is met |
| Outpatient Surgery | 25% Coinsurance after Plan Deductible is met |
| Laboratory Service | 25% Coinsurance after Plan Deductible is met |
| Outpatient Diagnostic Tests | 25% Coinsurance after Plan Deductible is met |
| Outpatient Diagnostic Imaging | 25% Coinsurance after Plan Deductible is met |
| Outpatient Mental Health | 25% Coinsurance after Plan Deductible is met |
| Durable Medical Equipment | 25% Coinsurance after Plan Deductible is met |
| Individual Deductible | $3,500 |
| Family Deductible | $7,000 |
| Out-of-Pocket Maximum | $6,900 |
| Family Out-of-Pocket Maximum | $13,800 |
ConnectiCare
ConnectiCare Choice Silver A POS
2022
| Benefit Year: | Contract |
| Referrals: | Not Required |
| Preventative Adult Exams: | No Cost |
| PCP Office Visit: | $45 Copayment per visit |
| Specialist Office Visit | $60 Copayment per visit |
| Prescription Drugs | Tier 1: $10 copayment; Tier 2: $60 copayment; Tier 3: 50% coinsurance up to $300; Tier 4: 50% coinsurance up to $500 |
| Mail Order Drug | Tier 1: $20 copayment; Tier 2: $120 copayment; Tier 3: 50% coinsurance up to $600; Tier 4: N/A |
| Inpatient Hospital | 35% Coinsurance after Plan Deductible is met |
| Emergency Room | 35% Coinsurance after Plan Deductible is met |
| Walk-in Urgent Care | $100 Copayment per visit |
| Ambulance | 35% Coinsurance after Plan Deductible is met |
| Outpatient Surgery | 35% Coinsurance after Plan Deductible is met |
| Laboratory Service | $10 Copayment per service |
| Outpatient Diagnostic Tests | 35% Coinsurance after Plan Deductible is met |
| Outpatient Diagnostic Imaging | 35% Coinsurance after Plan Deductible is met |
| Outpatient Mental Health | $60 Copayment per visit |
| Durable Medical Equipment | 50% Coinsurance after Plan Deductible is met |
| Individual Deductible | $4,800 |
| Family Deductible | $9,600 |
| Out-of-Pocket Maximum | $8,500 |
| Family Out-of-Pocket Maximum | $17,000 |
ConnectiCare
ConnectiCare Choice Silver B POS
2022
| Benefit Year: | Contract |
| Referrals: | Not Required |
| Preventative Adult Exams: | No Cost |
| PCP Office Visit: | $30 Copayment per visit |
| Specialist Office Visit | $75 Copayment per visit |
| Prescription Drugs | Tier 1: $10 copayment; Tier 2: $50 copayment; Tier 3: 50% coinsurance up to $300 after deductible; Tier 4: 50% coins up to $500 after deductible |
| Mail Order Drug | Tier 1: $20 copayment; Tier 2: $100 copayment; Tier 3: 50% coinsurance up to $600 after deductible; Tier 4: N/A |
| Inpatient Hospital | 40% coinsurance after Plan Deductible is met |
| Emergency Room | 40% Coinsurance after Plan Deductible is met |
| Walk-in Urgent Care | $100 Copayment per visit |
| Ambulance | 40% Coinsurance after Plan Deductible is met |
| Outpatient Surgery | 40% Coinsurance after Plan Deductible is met |
| Laboratory Service | 40% Coinsurance after Plan Deductible is met |
| Outpatient Diagnostic Tests | 40% Coinsurance after Plan Deductible is met |
| Outpatient Diagnostic Imaging | 40% Coinsurance after Plan Deductible is met |
| Outpatient Mental Health | $30 Copayment per visit |
| Durable Medical Equipment | 40% Coinsurance after Plan Deductible is met |
| Individual Deductible | $3,000 |
| Family Deductible | $6,000 |
| Out-of-Pocket Maximum | $8,650 |
| Family Out-of-Pocket Maximum | $17,300 |
ConnectiCare
ConnectiCare Choice Bronze POS
2022
| Benefit Year: | Contract |
| Referrals: | Not Required |
| Preventative Adult Exams: | No Cost |
| PCP Office Visit: | $40 Copayment per visit |
| Specialist Office Visit | $60 Copayment per visit |
| Prescription Drugs | Deductible, then Tier 1: $10 copayment; Tier 2: $60 copayment; Tier 3: 50% coinsurance up to $300; Tier 4: 50% coinsurance up to $500 |
| Mail Order Drug | Deductible, then Tier 1: $20 copayment; Tier 2: $120 copayment; Tier 3: 50% coinsurance up to $600; Tier 4: N/A |
| Inpatient Hospital | 40% coinsurance after Plan Deductible is met |
| Emergency Room | 40% Coinsurance after Plan Deductible is met |
| Walk-in Urgent Care | $100 Copayment per visit after Plan Deductible is met |
| Ambulance | 40% Coinsurance after Plan Deductible is met |
| Outpatient Surgery | Deductible, then ambulatory facility: $500; Outpatient hospital: 40% coinsurance |
| Laboratory Service | $10 Copayment after Plan Deductible is met |
| Outpatient Diagnostic Tests | Deductible, then $50 copayment freestanding facility; 40% coinsurance at a hospital facility |
| Outpatient Diagnostic Imaging | Deductible, then $75 copayment per service up to five copayments per year at a freestanding facility, then copayment waived; 40% coinsurance at a hospital facility |
| Outpatient Mental Health | $60 Copayment per visit |
| Durable Medical Equipment | 40% Coinsurance after Plan Deductible is met |
| Individual Deductible | $7,000 |
| Family Deductible | $14,000 |
| Out-of-Pocket Maximum | $8,300 |
| Family Out-of-Pocket Maximum | $16,600 |
ConnectiCare
ConnectiCare Choice Bronze POS HSA
2022
| Benefit Year: | Contract |
| Referrals: | Not Required |
| Preventative Adult Exams: | No Cost |
| PCP Office Visit: | 50% Coinsurance after Plan Deductible is met |
| Specialist Office Visit | 50% Coinsurance after Plan Deductible is met |
| Prescription Drugs | Deductible, then Tier 1: $10 copayment; Tier 2: $60 copayment; Tier 3: 50% coinsurance up to $300; Tier 4: 50% coinsurance up to $500 |
| Mail Order Drug | Deductible, then Tier 1: $20 copayment; Tier 2: $120 copayment; Tier 3: 50% coinsurance up to $600; Tier 4: N/A |
| Inpatient Hospital | 50% Coinsurance after Plan Deductible is met |
| Emergency Room | 50% Coinsurance after Plan Deductible is met |
| Walk-in Urgent Care | 50% Coinsurance after Plan Deductible is met |
| Ambulance | 50% Coinsurance after Plan Deductible is met |
| Outpatient Surgery | 50% Coinsurance after Plan Deductible is met |
| Laboratory Service | 50% Coinsurance after Plan Deductible is met |
| Outpatient Diagnostic Tests | 50% Coinsurance after Plan Deductible is met |
| Outpatient Diagnostic Imaging | 50% Coinsurance after Plan Deductible is met |
| Outpatient Mental Health | 50% Coinsurance after Plan Deductible is met |
| Durable Medical Equipment | 50% Coinsurance after Plan Deductible is met |
| Individual Deductible | $5,750 |
| Family Deductible | $11,500 |
| Out-of-Pocket Maximum | $7,050 |
| Family Out-of-Pocket Maximum | $14,100 |
Anthem
Gold Pathway CT PPO
2021
| Benefit Year: | Contract |
| Referrals: | Not Required |
| Preventative Adult Exams: | No Cost |
| PCP Office Visit: | $25 Copayment per visit |
| Specialist Office Visit | $50 Copayment per visit |
| Prescription Drugs | Tier 1: $5 Copay; Tier 2: $50 Copay; Tier 3: 30% up to $500; Tier 4: 30% up to $1000 |
| Mail Order Drug | Tier 1: $13 Copay; Tier 2: $150 Copay; Tier 3: 30% up to $1500; Tier 4: 30% up to $1000 |
| Inpatient Hospital | No Cost after Plan Deductible is met |
| Emergency Room | 20% Coinsurance after Plan Deductible is met |
| Walk-in Urgent Care | Walk-In: $25 Copayment per visitUrgent Care: $100 Copayment per visit |
| Ambulance | No Cost |
| Outpatient Surgery | Freestanding Facility: $300; Hospital: No Cost after Deductible is met |
| Laboratory Service | No Cost-Share at Site-of-Service Providers No Cost-Share after Deductible is met at an Outpatient Hospital Facility |
| Outpatient Diagnostic Tests | Freestanding Facility: $0; Hospital: No Cost after Deductible is met |
| Outpatient Diagnostic Imaging | Freestanding Facility: $75; Hospital: No Cost after Deductible is met |
| Outpatient Mental Health | $25 Copayment per visit |
| Durable Medical Equipment | 50% Coinsurance after Plan Deductible is met |
| Individual Deductible | $2,500.00 |
| Family Deductible | $5,000.00 |
| Out-of-Pocket Maximum | $4,500.00 |
| Family Out-of-Pocket Maximum | $9,000.00 |
Anthem
Silver Pathway CT PPO
2021
| Benefit Year: | Contract |
| Referrals: | Not Required |
| Preventative Adult Exams: | No Cost |
| PCP Office Visit: | $40 Copayment per visit |
| Specialist Office Visit | $80 after Plan Deductible is met |
| Prescription Drugs | Tier 1: $5 Copay; Tier 2: $50 Copay; Tier 3: 30% up to $500; Tier 4: 30% up to $1000 |
| Mail Order Drug | Tier 1: $13 Copay; Tier 2: $150 Copay; Tier 3: 30% up to $1500; Tier 4: 30% up to $1000 |
| Inpatient Hospital | 25% Coinsurance after Plan Deductible is met |
| Emergency Room | 25% Coinsurance after Plan Deductible is met |
| Walk-in Urgent Care | Walk-In: $40 Copayment per visitUrgent Care: $100 Copayment per visit |
| Ambulance | 25% Coinsurance |
| Outpatient Surgery | Freestanding Facility: $400 Copayment per visitHospital : 25% coinsurance after Deductible |
| Laboratory Service | No Cost-Share at Site-of-Service Providers 25% Coinsurance after Deductible is met at an Outpatient Hospital Facility |
| Outpatient Diagnostic Tests | Freestanding Facility: $0; Hospital: 25% coinsurance after Deductible |
| Outpatient Diagnostic Imaging | Freestanding Facility: $75 Copayment per visit Hospital : 25% after Deductible is met |
| Outpatient Mental Health | $40 Copayment per visit |
| Durable Medical Equipment | 50% Coinsurance after Plan Deductible is met |
| Individual Deductible | $5,500.00 |
| Family Deductible | $11,000.00 |
| Out-of-Pocket Maximum | $8,500.00 |
| Family Out-of-Pocket Maximum | $17,000.00 |
Anthem
Silver Pathway CT PPO w/HSA
2021
| Benefit Year: | Contract |
| Referrals: | Not Required |
| Preventative Adult Exams: | No Cost |
| PCP Office Visit: | $40 Copayment per visit after Plan Deductible is met |
| Specialist Office Visit | $80 Copayment per visit after Plan Deductible is met |
| Prescription Drugs | Deductible then, Tier 1: $5 Copay; Tier 2: $50 Copay; Tier 3: 30%; Tier 4: 30% |
| Mail Order Drug | Deductible then, Tier 1: $13 Copay; Tier 2: $150 Copay; Tier 3: 30%; Tier 4: 30% |
| Inpatient Hospital | 20% Coinsurance after Plan Deductible is met |
| Emergency Room | 20% Coinsurance after Plan Deductible is met |
| Walk-in Urgent Care | Walk-In: $40 Copayment per visit after Plan Deductible Urgent Care: $100 Copayment per visit after Plan Deductible |
| Ambulance | 20% Coinsurance after Plan Deductible is met |
| Outpatient Surgery | 20% Coinsurance after Deductible is met |
| Laboratory Service | No Cost-Share after Deductible is met at an Independent Lab 20% Coinsurance after Deductible is met at an Outpatient Hospital Facility |
| Outpatient Diagnostic Tests | Deductible then, Freestanding Facility: No Cost Hospital : 20% coinsurance ; X-ray: 20% coinsurance |
| Outpatient Diagnostic Imaging | 20% Coinsurance after Deductible is met |
| Outpatient Mental Health | No Cost after Deductible is met |
| Durable Medical Equipment | 50% Coinsurance after Deductible is met |
| Individual Deductible | $3,000.00 |
| Family Deductible | $6,000.00 |
| Out-of-Pocket Maximum | $7,000.00 |
| Family Out-of-Pocket Maximum | $14,000.00 |
Anthem
Bronze Pathway CT PPO
2021
| Benefit Year: | Contract |
| Referrals: | Not Required |
| Preventative Adult Exams: | No Cost |
| PCP Office Visit: | No Cost after Plan Deductible is met |
| Specialist Office Visit | No Cost after Plan Deductible is met |
| Prescription Drugs | No Cost after Plan Deductible is met |
| Mail Order Drug | No Cost after Plan Deductible is met |
| Inpatient Hospital | No Cost after Plan Deductible is met |
| Emergency Room | No Cost after Plan Deductible is met |
| Walk-in Urgent Care | No Cost after Plan Deductible is met |
| Ambulance | No Cost after Plan Deductible is met |
| Outpatient Surgery | No Cost after Plan Deductible is met |
| Laboratory Service | No Cost-Share after Plan Deductible is met at an Independent Lab No Cost after Plan Deductible is met at an Outpatient Hospital Facility |
| Outpatient Diagnostic Tests | No Cost after Plan Deductible is met |
| Outpatient Diagnostic Imaging | No Cost after Plan Deductible is met |
| Outpatient Mental Health | No Cost after Plan Deductible is met |
| Durable Medical Equipment | No Cost after Plan Deductible is met |
| Individual Deductible | $8,500.00 |
| Family Deductible | $17,000.00 |
| Out-of-Pocket Maximum | $8,500.00 |
| Family Out-of-Pocket Maximum | $17,000.00 |
Anthem
Bronze Pathway CT PPO w/HSA
2021
| Benefit Year: | Contract |
| Referrals: | Not Required |
| Preventative Adult Exams: | No Cost |
| PCP Office Visit: | No Cost after Plan Deductible is met |
| Specialist Office Visit | No Cost after Plan Deductible is met |
| Prescription Drugs | Deductible then, Tier 1: $25 Copay; Tier 2: $75 Copay; Tier 3: 40%; Tier 4: 40% |
| Mail Order Drug | Deductible then, Tier 1: $63 Copay; Tier 2: $225 Copay; Tier 3: 40%; Tier 4: 40% |
| Inpatient Hospital | No Cost after Plan Deductible is met |
| Emergency Room | No Cost after Plan Deductible is met |
| Walk-in Urgent Care | No Cost after Plan Deductible is met |
| Ambulance | No Cost after Plan Deductible is met |
| Outpatient Surgery | No Cost after Plan Deductible is met |
| Laboratory Service | No Cost-Share after Plan Deductible is met at an Independent Lab No Cost after Plan Deductible is met at an Outpatient Hospital Facility |
| Outpatient Diagnostic Tests | No Cost after Plan Deductible is met |
| Outpatient Diagnostic Imaging | No Cost after Plan Deductible is met |
| Outpatient Mental Health | No Cost after Plan Deductible is met |
| Durable Medical Equipment | No Cost after Plan Deductible is met |
| Individual Deductible | $6,900.00 |
| Family Deductible | $13,800.00 |
| Out-of-Pocket Maximum | $7,000.00 |
| Family Out-of-Pocket Maximum | $14,000.00 |
ConnectiCare
ConnectiCare Passage Gold POS PCP
2021
| Benefit Year: | Contract |
| Referrals: | Required |
| Preventative Adult Exams: | No Cost |
| PCP Office Visit: | $30 Copayment per visit (Deductible waived) |
| Specialist Office Visit | $50 Copayment per visit (Deductible waived) |
| Prescription Drugs | Tier 1: $10 Copay; Tier 2: $50 Copay; Tier 3: 50% up to $250; Tier 4: 50% up to $500 |
| Mail Order Drug | Tier 1: $20 Copay; Tier 2: $100 Copay; Tier 3: 50% up to $500; Tier 4: N/A |
| Inpatient Hospital | 20% Coinsurance after Plan Deductible is met |
| Emergency Room | 20% Coinsurance after Plan Deductible is met |
| Walk-in Urgent Care | $100 Copayment per visit |
| Ambulance | 20% Coinsurance after Plan Deductible is met |
| Outpatient Surgery | 20% Coinsurance after Plan Deductible is met |
| Laboratory Service | $10 Copayment per visit |
| Outpatient Diagnostic Tests | Freestanding Facility : $50, Hospital : 20% after Plan Deductible |
| Outpatient Diagnostic Imaging | Freestanding Facility : $75; Hospital : 20% after Plan Deductible |
| Outpatient Mental Health | $50 Copayment per visit |
| Durable Medical Equipment | 50% Coinsurance after Plan Deductible is met |
| Individual Deductible | $3,000.00 |
| Family Deductible | $6,000.00 |
| Out-of-Pocket Maximum | $6,800.00 |
| Family Out-of-Pocket Maximum | $13,600.00 |
ConnectiCare
ConnectiCare Choice Silver POS
2021
| Benefit Year: | Contract |
| Referrals: | Not Required |
| Preventative Adult Exams: | No Cost |
| PCP Office Visit: | $40 Copayment per visit (Deductible waived) |
| Specialist Office Visit | $60 Copayment per visit (Deductible waived) |
| Prescription Drugs | Tier 1: $10 Copay; Tier 2: $60 Copay; Tier 3: 50% up to $300; Tier 4: 50% up to $500 |
| Mail Order Drug | Tier 1: $20 Copay; Tier 2: $120 Copay; Tier 3: 50% up to $600; Tier 4: N/A |
| Inpatient Hospital | 35% Coinsurance after Plan Deductible is met |
| Emergency Room | 35% Coinsurance after Plan Deductible is met |
| Walk-in Urgent Care | $100 Copayment per visit |
| Ambulance | 35% Coinsurance after Plan Deductible is met |
| Outpatient Surgery | 35% Coinsurance after Plan Deductible is met |
| Laboratory Service | 35% Coinsurance after Plan Deductible is met |
| Outpatient Diagnostic Tests | 35% Coinsurance after Plan Deductible is met |
| Outpatient Diagnostic Imaging | 35% Coinsurance after Plan Deductible is met |
| Outpatient Mental Health | $60 Copayment per visit (Deductible waived) |
| Durable Medical Equipment | 50% Coinsurance after Plan Deductible is met |
| Individual Deductible | $4,750.00 |
| Family Deductible | $9,500.00 |
| Out-of-Pocket Maximum | $8,400.00 |
| Family Out-of-Pocket Maximum | $16,800.00 |
ConnectiCare
ConnectiCare Choice Silver POS w/HSA
2021
| Benefit Year: | Contract |
| Referrals: | Not Required |
| Preventative Adult Exams: | No Cost |
| PCP Office Visit: | 25% Coinsurance after Plan Deductible is met |
| Specialist Office Visit | 25% Coinsurance after Plan Deductible is met |
| Prescription Drugs | Deductible then, Tier 1: $10 Copay; Tier 2: $60 Copay; Tier 3: 50% up to $300; Tier 4: 50% up to $500 |
| Mail Order Drug | Deductible then, Tier 1: $20 Copay; Tier 2: $120 Copay; Tier 3: 50% up to $600; Tier 4: N/A |
| Inpatient Hospital | 25% Coinsurance after Plan Deductible is met |
| Emergency Room | 25% Coinsurance after Plan Deductible is met |
| Walk-in Urgent Care | 25% Coinsurance after Plan Deductible is met |
| Ambulance | 25% Coinsurance after Plan Deductible is met |
| Outpatient Surgery | 25% Coinsurance after Plan Deductible is met |
| Laboratory Service | 25% Coinsurance after Plan Deductible is met |
| Outpatient Diagnostic Tests | 25% Coinsurance after Plan Deductible is met |
| Outpatient Diagnostic Imaging | 25% Coinsurance after Plan Deductible is met |
| Outpatient Mental Health | 25% Coinsurance after Plan Deductible is met |
| Durable Medical Equipment | 25% Coinsurance after Deductible is met |
| Individual Deductible | $3,500.00 |
| Family Deductible | $7,000.00 |
| Out-of-Pocket Maximum | $6,900.00 |
| Family Out-of-Pocket Maximum | $13,800.00 |
ConnectiCare
ConnectiCare Choice Bronze POS
2021
| Benefit Year: | Contract |
| Referrals: | Not Required |
| Preventative Adult Exams: | No Cost |
| PCP Office Visit: | $40 Copayment per visit (Deductible waived) |
| Specialist Office Visit | $60 after Plan Deductible is met |
| Prescription Drugs | Tier 1: $10 Copay; Deductible then, Tier 2: $60 Copay; Tier 3: 50% up to $300; Tier 4: 50% up to $500 |
| Mail Order Drug | Deductible then, Tier 1: $20; Tier 2: $120; Tier 3: 50% up to $600; Tier 4: N/A |
| Inpatient Hospital | 40% Coinsurance after Plan Deductible is met |
| Emergency Room | 40% Coinsurance after Plan Deductible is met |
| Walk-in Urgent Care | $100 Copayment per visit after Plan Deductible is met |
| Ambulance | 40% Coinsurance after Deductible is met |
| Outpatient Surgery | Deductible then, Freestanding Facility : $500; Hospital : 40% Coinsurance |
| Laboratory Service | $10 Copayment per visit after Plan Deductible is met |
| Outpatient Diagnostic Tests | Deductible then, Freestanding Facility: $50 Hospital : 40% Coinsurance |
| Outpatient Diagnostic Imaging | Deductible then, Freestanding Facility : $75 up to $375 max ; Hospital : 40% coinsurance |
| Outpatient Mental Health | $60 Copayment per visit (Deductible waived) |
| Durable Medical Equipment | 40% Coinsurance after Plan Deductible is met |
| Individual Deductible | $7,000.00 |
| Family Deductible | $14,000.00 |
| Out-of-Pocket Maximum | $8,300.00 |
| Family Out-of-Pocket Maximum | $16,600.00 |
ConnectiCare
ConnectiCare Choice Bronze POS w/HSA
2021
| Benefit Year: | Contract |
| Referrals: | Not Required |
| Preventative Adult Exams: | No Cost |
| PCP Office Visit: | 50% Coinsurance after Plan Deductible is met |
| Specialist Office Visit | 50% Coinsurance after Plan Deductible is met |
| Prescription Drugs | Deductible then, Tier 1: $10 Copay; Tier 2: $60 Copay; Tier 3: 50% up to $300; Tier 4: 50% up to $500 |
| Mail Order Drug | Deductible then, Tier 1: $20 Copay; Tier 2: $120 Copay; Tier 3: 50% up to $600; Tier 4: N/A |
| Inpatient Hospital | 50% Coinsurance after Plan Deductible is met |
| Emergency Room | 50% Coinsurance after Plan Deductible is met |
| Walk-in Urgent Care | 50% Coinsurance after Plan Deductible is met |
| Ambulance | 50% Coinsurance after Plan Deductible is met |
| Outpatient Surgery | 50% Coinsurance after Plan Deductible is met |
| Laboratory Service | 50% Coinsurance after Plan Deductible is met |
| Outpatient Diagnostic Tests | 50% Coinsurance after Plan Deductible is met |
| Outpatient Diagnostic Imaging | 50% Coinsurance after Plan Deductible is met |
| Outpatient Mental Health | 50% Coinsurance after Plan Deductible is met |
| Durable Medical Equipment | 50% Coinsurance after Plan Deductible is met |
| Individual Deductible | $5,750.00 |
| Family Deductible | $11,500.00 |
| Out-of-Pocket Maximum | $7,000.00 |
| Family Out-of-Pocket Maximum | $14,000.00 |
ConnectiCare Plans
Review your plan documents, prescription drug formularies and provider directory online for the most up to date information at Connecticare.com
All Access Health CT Small Business Plans have embedded deductibles
All discount programs for small groups apply for on-and off-exchange members
Anthem Plans
Review your plan documents, prescription drug formularies and provider directory online for the most up to date information at anthem.com
Deductible is waved for drugs on the preventive Rx drug list
All Access Health CT Small Business Plans have embedded deductibles
Outside of Connecticut coverage – PPO plans have full BlueCard access using the BlueCard PPO network. HMO plans have limited BlueCard access for urgent and emergency coverage only using the Participating Provider Network
All discount programs for small groups apply for on-and off-exchange members
Get answers to your questions.
With a new relationship comes new opportunities, which is why we are helping brokers like you understand the benefits of working with Access Health CT Small Business.
“Am I compensated for helping clients?”
Yes. Brokers are compensated through commissions paid by the insurance companies.
Jerome Chisolm | Contact me
“How do I enroll clients?”
Working with us, you can either enroll clients through our customer portal or using traditional paper enrollment.
Franco Barrero | Contact me
Additional resources to help you stay informed.
Our resources section features articles, training details, videos, and our new podcast series, all of which address the latest news and changes in the group health insurance industry.