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Our Customer 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 annually 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?

In 2020 Access Health CT Small Business offers four basic categories of coverage – Platinum, Gold, Silver and Bronze. In 2021 Access Health CT Small Business offers three basic categories for coverage – Gold, Silver and Bronze – from Anthem and ConnectiCare.

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Explore group dental plans

Plan year:
Plan type:
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
Anthem
Anthem Platinum Pathway X PPO
2020
Benefit Year: Contract
Referrals: Not Required
Preventative Adult Exams: No Cost
PCP Office Visit: $10.00
Specialist Office Visit $30.00
Prescription Drugs Tier 1: $5; Tier 2: $50; Tier 3: 30% up to $500; Tier 4: 30% up to $1000
Mail Order Drug Tier 1: $13; Tier 2: $150; Tier 3: 30% up to $1500; Tier 4: 30% up to $1000
Inpatient Hospital $500/Day up to $1000
Emergency Room $250.00
Walk-in Urgent Care Walk-In: $10; Urgent Care: $100
Ambulance $0.00
Outpatient Surgery Fac: $300; Hosp: $400
Laboratory Service No Cost-Share at Site-of-Service Providers $10 Copayment per service at an Outpatient Hospital Facility
Outpatient Diagnostic Tests Fac: $0; Hosp: Lab: $10, X-ray: $40
Outpatient Diagnostic Imaging $75.00
Outpatient Mental Health $10.00
Durable Medical Equipment 50%
Individual Deductible $0.00
Family Deductible $0.00
Out-of-Pocket Maximum $2,500.00
Family Out-of-Pocket Maximum $5,000.00
Anthem
Anthem Gold Pathway X PPO
2020
Benefit Year: Contract
Referrals: Not Required
Preventative Adult Exams: No Cost
PCP Office Visit: $25.00
Specialist Office Visit $50.00
Prescription Drugs Tier 1: $5; Tier 2: $50; Tier 3: 30% up to $500; Tier 4: 30% up to $1000
Mail Order Drug Tier 1: $13; Tier 2: $150; Tier 3: 30% up to $1500; Tier 4: 30% up to $1000
Inpatient Hospital No Cost after Deductible is met
Emergency Room 20% after Deducitible is meet
Walk-in Urgent Care Walk-In: $25; Urgent Care: $100
Ambulance $0.00
Outpatient Surgery Fac: $300; Hosp: 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 Fac: $0; Hosp: No Cost after Deductible is met
Outpatient Diagnostic Imaging Fac: $75; Hosp: No Cost after Deductible is met
Outpatient Mental Health $25.00
Durable Medical Equipment 50% after 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
Anthem Gold Pathway X HMO
2020
Benefit Year: Contract
Referrals: Not Required
Preventative Adult Exams: No Cost
PCP Office Visit: $25.00
Specialist Office Visit $50.00
Prescription Drugs Tier 1: $5; Tier 2: $50; Tier 3: 30% up to $500; Tier 4: 30% up to $1000
Mail Order Drug Tier 1: $13; Tier 2: $150; Tier 3: 30% up to $1500; Tier 4: 30% up to $1000
Inpatient Hospital No Cost after Deductible is met
Emergency Room 20% after Deducitible is meet
Walk-in Urgent Care Walk-In: $25; Urgent Care: $100
Ambulance $0.00
Outpatient Surgery Fac: $300; Hosp: 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 Fac: $0; Hosp: No cost after Deducitible is meet
Outpatient Diagnostic Imaging Fac: $75; Hosp: No cost after Deducitible is meet
Outpatient Mental Health $25.00
Durable Medical Equipment 50% after Deducitible is meet
Individual Deductible $2,750.00
Family Deductible $5,500.00
Out-of-Pocket Maximum $4,000.00
Family Out-of-Pocket Maximum $8,000.00
Anthem
Anthem Silver Pathway X PPO
2020
Benefit Year: Contract
Referrals: Not Required
Preventative Adult Exams: No Cost
PCP Office Visit: $40.00
Specialist Office Visit $80 after Deductible is met
Prescription Drugs Tier 1: $5; Tier 2: $50; Tier 3: 30% up to $500; Tier 4: 30% up to $1000
Mail Order Drug Tier 1: $13; Tier 2: $150; Tier 3: 30% up to $1500; Tier 4: 30% up to $1000
Inpatient Hospital 25% after Deductible is met
Emergency Room 25% after Deductible is met
Walk-in Urgent Care Walk-In: $40; Urgent Care: $100
Ambulance 25%
Outpatient Surgery Fac: $400; Hosp: 25% after Ded
Laboratory Service No Cost-Share at Site-of-Service Providers 20% Coinsurance after Deductible is met at an Outpatient Hospital Facility
Outpatient Diagnostic Tests Fac: $0; Hosp: 25% after Ded
Outpatient Diagnostic Imaging Fac: $75; Hosp: 25% after Ded
Outpatient Mental Health $40.00
Durable Medical Equipment 50% after Deductible is met
Individual Deductible $5,500.00
Family Deductible $11,000.00
Out-of-Pocket Maximum $8,150.00
Family Out-of-Pocket Maximum $16,300.00
Anthem
Anthem Silver Pathway X PPO w/HSA
2020
Benefit Year: Contract
Referrals: Not Required
Preventative Adult Exams: No Cost
PCP Office Visit: $40 after Deductible is met
Specialist Office Visit $80 after Deductible is met
Prescription Drugs Ded then, Tier 1: $5; Tier 2: $50; Tier 3: 30%; Tier 4: 30%
Mail Order Drug Ded then, Tier 1: $13; Tier 2: $150; Tier 3: 30%; Tier 4: 30%
Inpatient Hospital 20% after Deductible is met
Emergency Room 20% after Deductible is met
Walk-in Urgent Care Ded then, Walk-In: $40; Urgent Care: $100
Ambulance 20% after Deductible is met
Outpatient Surgery 20% after Deductible is met
Laboratory Service No Cost-Share afer Deductible is met at an Independent Lab 25% Coinsurance after Deductible is met at an Outpatient Hospital Facility
Outpatient Diagnostic Tests Ded then, Lab: Fac: $0, Hosp: 20%; X-ray: 20%
Outpatient Diagnostic Imaging 20% after Deductible is met
Outpatient Mental Health No Cost after Deductible is met
Durable Medical Equipment 50% after Deductible is met
Individual Deductible $3,000.00
Family Deductible $6,000.00
Out-of-Pocket Maximum $6,850.00
Family Out-of-Pocket Maximum $13,700.00
Anthem
Anthem Silver Pathway X HMO w/HSA
2020
Benefit Year: Contract
Referrals: Not Required
Preventative Adult Exams: No Cost
PCP Office Visit: $40 after Ded
Specialist Office Visit $80 after Ded
Prescription Drugs Ded then, Tier 1: $5; Tier 2: $50; Tier 3: 30%; Tier 4: 30%
Mail Order Drug Ded then, Tier 1: $13; Tier 2: $150; Tier 3: 30%; Tier 4: 30%
Inpatient Hospital 20% after Deductible is met
Emergency Room 20% after Deductible is met
Walk-in Urgent Care Deductible then, Walk-In: $40; Urgent Care: $100
Ambulance 20% after Deductible is met
Outpatient Surgery 20% after Deductible is met
Laboratory Service No Cost-Share afer Deductible is met at an Independent Lab 20% Coinsurance after Deductible is met at an Outpatient Hospital Facility
Outpatient Diagnostic Tests Deductible then, Lab: Fac: $0, Hosp: 20%; X-ray: 20%
Outpatient Diagnostic Imaging 20% after Deductible is met
Outpatient Mental Health No Cost after Deductible is met
Durable Medical Equipment 50% after Deductible is met
Individual Deductible $3,000.00
Family Deductible $6,000.00
Out-of-Pocket Maximum $6,850.00
Family Out-of-Pocket Maximum $13,700.00
Anthem
Anthem Bronze Pathway X PPO
2020
Benefit Year: Contract
Referrals: Not Required
Preventative Adult Exams: No Cost
PCP Office Visit: No Cost after Deductible is met
Specialist Office Visit No Cost after Deductible is met
Prescription Drugs No Cost after Deductible is met
Mail Order Drug No Cost after Deductible is met
Inpatient Hospital No Cost after Deductible is met
Emergency Room No Cost after Deductible is met
Walk-in Urgent Care No Cost after Deductible is met
Ambulance No Cost after Deductible is met
Outpatient Surgery No Cost after Deductible is met
Laboratory Service No Cost-Share afer Deductible is met at an Independent Lab No Cost after Deductible is met at an Outpatient Hospital Facility
Outpatient Diagnostic Tests No Cost after Deductible is met
Outpatient Diagnostic Imaging No Cost after Deductible is met
Outpatient Mental Health No Cost after Deductible is met
Durable Medical Equipment No Cost after Deductible is met
Individual Deductible $8,150.00
Family Deductible $16,300.00
Out-of-Pocket Maximum $8,150.00
Family Out-of-Pocket Maximum $16,300.00
Anthem
Anthem Bronze Pathway X PPO w/HSA
2020
Benefit Year: Contract
Referrals: Not Required
Preventative Adult Exams: No Cost
PCP Office Visit: No Cost after Deductible is met
Specialist Office Visit No Cost after Deductible is met
Prescription Drugs No Cost after Deductible is met
Mail Order Drug No Cost after Deductible is met
Inpatient Hospital No Cost after Deductible is met
Emergency Room No Cost after Deductible is met
Walk-in Urgent Care No Cost after Deductible is met
Ambulance No Cost after Deductible is met
Outpatient Surgery No Cost after Deductible is met
Laboratory Service No Cost-Share afer Deductible is met at an Independent Lab No Cost after Deductible is met at an Outpatient Hospital Facility
Outpatient Diagnostic Tests No Cost after Deductible is met
Outpatient Diagnostic Imaging No Cost after Deductible is met
Outpatient Mental Health No Cost after Deductible is met
Durable Medical Equipment No Cost after Deductible is met
Individual Deductible $6,850.00
Family Deductible $13,700.00
Out-of-Pocket Maximum $6,850.00
Family Out-of-Pocket Maximum $13,700.00
Anthem
Anthem Bronze Pathway X HMO w/HSA
2020
Benefit Year: Contract
Referrals: Not Required
Preventative Adult Exams: No Cost
PCP Office Visit: No Cost after Deductible is met
Specialist Office Visit No Cost after Deductible is met
Prescription Drugs Deductible then, Tier 1: $5; Tier 2: $50; Tier 3: 30%; Tier 4: 30%
Mail Order Drug Deductible then, Tier 1: $13; Tier 2: $150; Tier 3: 30%; Tier 4: 30%
Inpatient Hospital No Cost after Deductible is met
Emergency Room No Cost after Deductible is met
Walk-in Urgent Care No Cost after Deductible is met
Ambulance No Cost after Deductible is met
Outpatient Surgery No Cost after Deductible is met
Laboratory Service No Cost-Share afer Deductible is met at an Independent Lab No Cost after Deductible is met at an Outpatient Hospital Facility
Outpatient Diagnostic Tests No Cost after Deductible is met
Outpatient Diagnostic Imaging No Cost after Deductible is met
Outpatient Mental Health No Cost after Deductible is met
Durable Medical Equipment 50% after Deducitible is meet
Individual Deductible $6,500.00
Family Deductible $13,000.00
Out-of-Pocket Maximum $6,850.00
Family Out-of-Pocket Maximum $13,700.00
ConnectiCare
CTCare Passage Gold POS PCP
2020
Benefit Year: Contract
Referrals: Required
Preventative Adult Exams: No Cost
PCP Office Visit: $30.00
Specialist Office Visit $50.00
Prescription Drugs Tier 1: $10; Tier 2: $50; Tier 3: 50% up to $250; Tier 4: 50% up to $500
Mail Order Drug Tier 1: $20; Tier 2: $100; Tier 3: 50% up to $500; Tier 4: N/A
Inpatient Hospital 20% after Deductible is met
Emergency Room 20% after Deductible is met
Walk-in Urgent Care $100.00
Ambulance 20% after Deductible is met
Outpatient Surgery Fac: $500; Hosp: 20% after Ded
Laboratory Service Laboratory $10
Outpatient Diagnostic Tests X-ray: Fac: $50, Hosp: 20% after Ded
Outpatient Diagnostic Imaging Fac: $75; Hosp: 20% after Ded
Outpatient Mental Health $50.00
Durable Medical Equipment 50%
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
CTCare Choice Silver POS
2020
Benefit Year: Contract
Referrals: Not Required
Preventative Adult Exams: No Cost
PCP Office Visit: $40.00
Specialist Office Visit $60.00
Prescription Drugs Tier 1: $10; Tier 2: $60; Tier 3: 50% up to $300; Tier 4: 50% up to $500
Mail Order Drug Tier 1: $20; Tier 2: $120; Tier 3: 50% up to $600; Tier 4: N/A
Inpatient Hospital 30% after Deductible is met
Emergency Room 30% after Deductible is met
Walk-in Urgent Care $100.00
Ambulance 30% after Deductible is met
Outpatient Surgery 30% after Deductible is met
Laboratory Service 30% after Deductible is met
Outpatient Diagnostic Tests 30% after Deductible is met
Outpatient Diagnostic Imaging 30% after Deductible is met
Outpatient Mental Health $60.00
Durable Medical Equipment 50% after Deductible is met
Individual Deductible $4,250.00
Family Deductible $8,500.00
Out-of-Pocket Maximum $8,150.00
Family Out-of-Pocket Maximum $16,300.00
ConnectiCare
CTCare Choice Silver POS HSA
2020
Benefit Year: Contract
Referrals: Not Required
Preventative Adult Exams: No Cost
PCP Office Visit: 25% after Deductible is met
Specialist Office Visit 25% after Deductible is met
Prescription Drugs Ded then, Tier 1: $10; Tier 2: $60; Tier 3: 50% up to $300; Tier 4: 50% up to $500
Mail Order Drug Ded then, Tier 1: $20; Tier 2: $120; Tier 3: 50% up to $600; Tier 4: N/A
Inpatient Hospital 25% after Deductible is met
Emergency Room 25% after Deductible is met
Walk-in Urgent Care 25% after Deductible is met
Ambulance 25% after Deductible is met
Outpatient Surgery 25% after Deductible is met
Laboratory Service 25% after Deductible is met
Outpatient Diagnostic Tests 25% after Deductible is met
Outpatient Diagnostic Imaging 25% after Deductible is met
Outpatient Mental Health 25% after Deductible is met
Durable Medical Equipment 25% 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
CTCare Choice Bronze POS
2020
Benefit Year: Contract
Referrals: Not Required
Preventative Adult Exams: No Cost
PCP Office Visit: Sanitas: $0; Other: $40
Specialist Office Visit $60 after Deductible is met
Prescription Drugs Tier 1: $10; Ded then, Tier 2: $60; Tier 3: 50% up to $300; Tier 4: 50% up to $500
Mail Order Drug Tier 1: $20; Ded then, Tier 2: $120; Tier 3: 50% up to $600; Tier 4: N/A
Inpatient Hospital 40% after Deductible is met
Emergency Room 40% after Deductible is met
Walk-in Urgent Care $100 after Deductible is met
Ambulance 40% after Deductible is met
Outpatient Surgery Deductible then, Fac: $500; Hosp: 40%
Laboratory Service $10 after Deductible is met
Outpatient Diagnostic Tests Deductible then, Lab: $10; X-ray: Fac: $50, Hosp: 40%
Outpatient Diagnostic Imaging Deductible then, Fac: $75; Hosp: 40%
Outpatient Mental Health $60.00
Durable Medical Equipment 40% after Deductible is met
Individual Deductible $6,750.00
Family Deductible $13,500.00
Out-of-Pocket Maximum $8,150.00
Family Out-of-Pocket Maximum $16,300.00
ConnectiCare
CTCare Choice Bronze POS HSA
2020
Benefit Year: Contract
Referrals: Not Required
Preventative Adult Exams: No Cost
PCP Office Visit: 50% after Deductible is met
Specialist Office Visit 50% after Deductible is met
Prescription Drugs Ded then, Tier 1: $10; Tier 2: $60; Tier 3: 50% up to $300; Tier 4: 50% up to $500
Mail Order Drug Ded then, Tier 1: $20; Tier 2: $120; Tier 3: 50% up to $600; Tier 4: N/A
Inpatient Hospital 50% after Deductible is met
Emergency Room 50% after Deductible is met
Walk-in Urgent Care 50% after Deductible is met
Ambulance 50% after Deductible is met
Outpatient Surgery 50% after Deductible is met
Laboratory Service 50% after Deductible is met
Outpatient Diagnostic Tests 50% after Deductible is met
Outpatient Diagnostic Imaging 50% after Deductible is met
Outpatient Mental Health 50% after Deductible is met
Durable Medical Equipment 50% after Deductible is met
Individual Deductible $5,500.00
Family Deductible $11,000.00
Out-of-Pocket Maximum $6,900.00
Family Out-of-Pocket Maximum $13,800.00
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 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.