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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

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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.

Enroll at any time

Group health insurance has a year-round enrollment period, which means we are always available to help you choose the best coverage plan for your clients’ needs.

Committed help

In addition to explaining available plans, Client Relationship Managers can help navigate the plan provisions and requirements of the Affordable Care Act (ACA).

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

Frank

“Access Health has been so easy to work with and are consistently exceeding my expectations.”

For Brokers

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.

Explore group dental plans

Plan year:
Plan type:
Anthem
Anthem Gold Pathway CT PPO
2023
Benefit Year: For Plan Year 2023
Referrals: Not Required
Preventative Adult Exams: No Cost
PCP Office Visit: $25 Copayment per visit
Specialist Office Visit $60 Copayment per visit
Prescription Drugs Tier 1: No Cost; Tier 2: $10 Copay; Tier 3: $60 Copay; Tier 4: 30% up to $500; Tier 5: 30% up to $1000
Mail Order Drug Tier 1: No Cost; Tier 2: $25 Copay; Tier 3: $180 Copay; Tier 4: 30% up to $1500; Tier 5: 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 No Cost-Share after deductible is met
Durable Medical Equipment 50% Coinsurance after deductible is met
Individual Deductible $2,500
Family Deductible $5,000
Out-of-Pocket Maximum $5,000
Family Out-of-Pocket Maximum $10,000
Anthem
Anthem Silver Pathway CT PPO
2023
Benefit Year: For Plan Year 2023
Referrals: Not Required
Preventative Adult Exams: No Cost
PCP Office Visit: $50 Copayment per visit
Specialist Office Visit $100 Copayment per visit
Prescription Drugs Tier 1: $0 Copayment; Tier 2: $10 Copayment; Tier 3: $60 Copay; Tier 4: 30% Coinsurance up to $500; Tier 5: 30% Coinsurance up to $1,000
Mail Order Drug Tier 1: $0 Copayment; Tier 2: $25 Copayment; Tier 3: $180; Tier 4: 30% Coinsurance up to $1,500; Tier 5: 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 $50 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 $500 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 25% Coinsurance after Deductible is met
Durable Medical Equipment 50% Coinsurance after Deductible is met
Individual Deductible $5,500
Family Deductible $10,000
Out-of-Pocket Maximum $9,000
Family Out-of-Pocket Maximum $18,000
Anthem
Anthem Silver Pathway CT PPO w/HSA
2023
Benefit Year: For Plan Year 2023
Referrals: Not Required
Preventative Adult Exams: No Cost
PCP Office Visit: $50 Copayment per visit after Plan Deductible is met
Specialist Office Visit $100 Copayment per visit after Plan Deductible is met
Prescription Drugs Tier 1: $0 Copay; Tier 2: $10 Copay; Tier 3: $60 Copay; Tier 4: 30% Coinsurance after Deductible is met; Tier 5: 30% Coinsurance after Deductible is met
Mail Order Drug Tier 1: $0 Copay; Tier 2: $25 Copay; Tier 3: $180 Copay; Tier 4: 30% Coinsurance after Deductible is met; Tier 5: 30% after Deductible is met
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 $400 Copayment per visit after Deductible is met at a Surgery Center; 20% Coinsurance after Deductible is met at an Outpatient Hospital Facility
Laboratory Service No Cost-Share after Deductible is met at Site-of-Service Providers 20% Coinsurance after Deductible is met at an Outpatient Hospital Facility
Outpatient Diagnostic Tests $75 Copayment per service after Deductible is met at Site-of-Service Providers; 20% Coinsurance after Deductible is met at an Outpatient Hospital Facility
Outpatient Diagnostic Imaging $75 Copayment per service up to an annual maximum of $375 at Site-of-Service Providers; 20% Coinsurance after Deductible is met at an Outpatient Hospital Facility
Outpatient Mental Health 20% Coinsurance 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
2023
Benefit Year: For Plan Year 2023
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 $9,000
Family Deductible $18,000
Out-of-Pocket Maximum $9,000
Family Out-of-Pocket Maximum $18,000
Anthem
Anthem Bronze Pathway CT PPO w/HSA
2023
Benefit Year: For Plan Year 2023
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-Share after Deductible is met
Mail Order Drug No Cost-Share after 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 $7,450
Family Deductible $14,900
Out-of-Pocket Maximum $7,450
Family Out-of-Pocket Maximum $14,900
ConnectiCare
ConnectiCare Passage Gold POS PCP
2023
Benefit Year: For Plan Year 2023
Referrals: Required
Preventative Adult Exams: No Cost
PCP Office Visit: $30 Copayment per visit
Specialist Office Visit $50 Copayment per visit
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
Inpatient Hospital 20% Coinsurance per admission after INET Plan Deductible is met
Emergency Room 20% Coinsurance per visit after INET Plan Deductible is met
Walk-in Urgent Care $100 Copayment per visit
Ambulance 20% Coinsurance after INET Plan Deductible is met
Outpatient Surgery $500 copayment per visit at an Ambulatory Surgery Center; 20% coinsurance after INET plan deductible is met at an Outpatient Hospital Facility
Laboratory Service Laboratory: $10 copayment
Outpatient Diagnostic Tests $50 copayment per service at freestanding facility; 20% coinsurance per service after INET plan 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% coinsurance per service after INET plan deductible is met at a Hospital Facility
Outpatient Mental Health $50 Copayment per visit
Durable Medical Equipment 50% Coinsurance per equipment/supply
Individual Deductible $3,000
Family Deductible $6,000
Out-of-Pocket Maximum $8,500
Family Out-of-Pocket Maximum $17,000
ConnectiCare
ConnectiCare Choice Silver POS
2023
Benefit Year: For Plan Year 2023
Referrals: Not Required
Preventative Adult Exams: No Cost
PCP Office Visit: $50 Copayment per visit
Specialist Office Visit $75 Copayment per visit
Prescription Drugs Tier 1: $20 copayment; Tier 2: $60 copayment; Tier 3: 50% coinsurance up to $300; Tier 4: 50% coinsurance up to $500
Mail Order Drug Tier 1: $40 copayment; Tier 2: $120 copayment; Tier 3: 50% coinsurance up to $600
Inpatient Hospital 40% Coinsurance per admission after INET Plan Deductible is met
Emergency Room 40% Coinsurance after per visit INET Plan Deductible is met
Walk-in Urgent Care $100 Copayment per visit
Ambulance 40% Coinsurance per service after INET Plan Deductible is met
Outpatient Surgery 40% Coinsurance per visit after INET Plan Deductible is met
Laboratory Service 40% Coinsurance per service after INET plan deductible is met
Outpatient Diagnostic Tests 40% Coinsurance per service after INET Plan Deductible is met
Outpatient Diagnostic Imaging 40% Coinsurance per service after INET Plan Deductible is met
Outpatient Mental Health $75 Copayment per visit
Durable Medical Equipment 40% Coinsurance per equipment/supply after INET Plan Deductible is met
Individual Deductible $4,000
Family Deductible $8,000
Out-of-Pocket Maximum $9,100
Family Out-of-Pocket Maximum $18,200
ConnectiCare
ConnectiCare Choice Silver POS w/HSA
2023
Benefit Year: For Plan Year 2023
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 Bronze POS
2023
Benefit Year: For Plan Year 2023
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: $20 copayment; Tier 2: $60 copayment; Tier 3: 50% coinsurance up to $300; Tier 4: 50% coinsurance up to $500
Mail Order Drug Tier 1: $40 copayment; Tier 2: $120 copayment; Tier 3: 50% coinsurance up to $600
Inpatient Hospital 40% coinsurance after INET Plan Deductible is met
Emergency Room 40% coinsurance after INET Plan Deductible is met
Walk-in Urgent Care $100 Copayment per visit after INET Plan Deductible is met
Ambulance 40% coinsurance after INET Plan Deductible is met
Outpatient Surgery $500 copay per visit after INET plan deductible is met at an Ambulatory Surgery Center; 40% coinsurance per visit after INET plan deductible is met at an Outpatient Hospital Facility
Laboratory Service $20 Copayment after INET Plan Deductible is met
Outpatient Diagnostic Tests $50 copayment per service after INET plan deductible is met at Freestanding Facility; 40% coinsurance per service after INET plan deductible is met at a Hospital Facility
Outpatient Diagnostic Imaging $75 copayment per service after INET plan deductible is met up to five copayments per year at a Freestanding Facility, then copayment waived; 40% coinsurance per service after INET plan deductible is met at a Hospital Facility
Outpatient Mental Health 40% coinsurance per visit after INET plan deductible is met
Durable Medical Equipment 40% Coinsurance after INET plan deductible is met
Individual Deductible $7,500
Family Deductible $15,000
Out-of-Pocket Maximum $9,100
Family Out-of-Pocket Maximum $18,200
ConnectiCare
ConnectiCare Choice Bronze POS w/HSA
2023
Benefit Year: For Plan Year 2023
Referrals: Not Required
Preventative Adult Exams: No Cost
PCP Office Visit: 40% Coinsurance after INET plan deductible is met
Specialist Office Visit 50% Coinsurance after INET Plan Deductible is met
Prescription Drugs Tier 1: $20 copayment; Tier 2: $60 copayment; Tier 3: 50% coinsurance up to $300; Tier 4: 50% coinsurance up to $500
Mail Order Drug Tier 1: $40 copayment; Tier 2: $120 copayment; Tier 3: 50% coinsurance up to $600
Inpatient Hospital 50% Coinsurance after INET Plan Deductible is met
Emergency Room 50% Coinsurance after INET Plan Deductible is met
Walk-in Urgent Care 50% Coinsurance after INET Plan Deductible is met
Ambulance 50% Coinsurance after INET Plan Deductible is met
Outpatient Surgery 50% Coinsurance after INET Plan Deductible is met
Laboratory Service 50% Coinsurance after INET Plan Deductible is met
Outpatient Diagnostic Tests 50% Coinsurance after INET Plan Deductible is met
Outpatient Diagnostic Imaging 50% Coinsurance after INET Plan Deductible is met
Outpatient Mental Health 50% Coinsurance after INET Plan Deductible is met
Durable Medical Equipment 50% Coinsurance after INET Plan Deductible is met
Individual Deductible $6,000
Family Deductible $12,000
Out-of-Pocket Maximum $7,500
Family Out-of-Pocket Maximum $15,000
Anthem
Anthem Gold Pathway CT PPO
2022
Benefit Year: For Plan Year 2022
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
Anthem
Anthem Silver Pathway CT PPO
2022
Benefit Year: For Plan Year 2022
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: For Plan Year 2022
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: For Plan Year 2022
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: For Plan Year 2022
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: For Plan Year 2022
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 w/HSA
2022
Benefit Year: For Plan Year 2022
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: For Plan Year 2022
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: For Plan Year 2022
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: For Plan Year 2022
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 w/HSA
2022
Benefit Year: For Plan Year 2022
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
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 ChisolmJerome 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 BarreroFranco 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.

Access Health CT Small Business is Connecticut’s official marketplace for group health insurance, here to provide you with answers as well as coverage for your small business employees.