SimpliveraCoverage Companion

Colorado Access Choice EPO Silver 5000 87%

Access Connected Care Partners · 2027 plan year

Silver
Ind. deductible
$1,000
Family deductible
$2,000
Ind. OOP max
$3,000
Family OOP max
$6,000

Other cost-sharing reduction variants for this plan:

73% AV Level Silver Plan94% AV Level Silver PlanLimited Cost Sharing Plan VariationStandard Silver Off Exchange PlanStandard Silver On Exchange PlanZero Cost Sharing Plan Variation

More Access Connected Care Partners plans in CO

Colorado Access Choice EPO Colorado Option BronzeColorado Access Choice EPO Bronze 8000Colorado Access Choice EPO Bronze 7000 Rx CopayColorado Access Choice EPO Silver 4000 Rx Copay

Live premium estimate

$

Benefits & cost sharing

Primary Care

BenefitIn-network
Preventive Care/Screening/ImmunizationNo charge
Primary Care Visit to Treat an Injury or Illness$15.00

Specialist

BenefitIn-network
Specialist Visit$50.00

Hospital

BenefitIn-network
Emergency Room Services30.00% Coinsurance after deductible
Inpatient Hospital Services (e.g., Hospital Stay)30.00% Coinsurance after deductible
Outpatient Surgery Physician/Surgical Services30.00% Coinsurance after deductible
Urgent Care Centers or Facilities$50.00

Pharmacy

BenefitIn-network
Preferred Brand Drugs$50.00
Preventive DrugsNo charge
Generic Drugs$15.00
Medical Service Drugs30.00% Coinsurance after deductible
Non-Preferred Brand Drugs30.00% Coinsurance after deductible
Non-Preferred Generic Drugs30.00% Coinsurance after deductible
Specialty Drugs30.00% Coinsurance after deductible

Mental Health

BenefitIn-network
Postpartum Substance Use Disorder$15.00
Intensive Outpatient for Mental/Behavioral Health30.00% Coinsurance after deductible
Intensive Outpatient for Substance Use Disorder30.00% Coinsurance after deductible
Mental Health Wellness VisitNo charge
Mental/Behavioral Health Inpatient Services30.00% Coinsurance after deductible
Mental/Behavioral Health Outpatient Services30.00% Coinsurance after deductible
Mental/Behavioral Health Prenatal Care$15.00
Office Visit - Mental/Behavioral Health$15.00
Office Visit - Substance Use Disorder$15.00
Partial Hospitalization for Mental/Behavioral Health30.00% Coinsurance after deductible
Partial Hospitalization for Substance Use Disorder30.00% Coinsurance after deductible
Postpartum Mental/Behavioral Health$15.00
Residential Day Treatment for Mental/Behavioral Health30.00% Coinsurance after deductible
Residential Day Treatment for Substance Use Disorder30.00% Coinsurance after deductible
Substance Use Disorder Prenatal Care$15.00
Telehealth Mental/Behavioral Health$15.00
Telehealth Substance Use Disorder$15.00

Other

BenefitIn-network
Prenatal and Postnatal Care$15.00
Private-Duty Nursing30.00% Coinsurance after deductible
Prosthetic Devices20.00% Coinsurance after deductible
Prosthetics: Legs and Arms20.00%
Chemotherapy30.00% Coinsurance after deductible
Chiropractic Care$50.00
Abortion for Which Public Funding is ProhibitedNo charge
Acupuncture$50.00
Allergy Testing30.00% Coinsurance after deductible
Applied Behavior Analysis Based Therapies30.00% Coinsurance after deductible
Autism Spectrum Disorders - Assessment and Evaluation Services30.00% Coinsurance after deductible
Bariatric Surgery30.00% Coinsurance after deductible
Delivery and All Inpatient Services for Maternity Care30.00% Coinsurance after deductible
Diabetes EducationNo charge
Diabetic Supplies30.00% Coinsurance after deductible
Dialysis30.00% Coinsurance after deductible
Durable Medical Equipment30.00% Coinsurance after deductible
Emergency Transportation/Ambulance30.00% Coinsurance after deductible
Eye Glasses for ChildrenNo charge
Gender Affirming Care30.00% Coinsurance after deductible
Habilitation Services$15.00
Hearing Aids30.00% Coinsurance after deductible
Home Health Care Services30.00% Coinsurance after deductible
Hospice Services30.00% Coinsurance after deductible
Imaging (CT/PET Scans, MRIs)30.00% Coinsurance after deductible
Infertility Treatment30.00% Coinsurance after deductible
Infusion Therapy30.00% Coinsurance after deductible
Inpatient Physician and Surgical Services30.00% Coinsurance after deductible
Inpatient Rehabilitation$15.00
Laboratory Outpatient and Professional Services30.00% Coinsurance after deductible
Nutritional Counseling30.00% Coinsurance after deductible
Other Practitioner Office Visit (Nurse, Physician Assistant)$15.00
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)30.00% Coinsurance after deductible
Outpatient Rehabilitation Services$15.00
Prosthetics: Recreational20.00% Coinsurance after deductible
Radiation30.00% Coinsurance after deductible
Reconstructive Surgery30.00% Coinsurance after deductible
Rehabilitative Occupational and Rehabilitative Physical Therapy$15.00
Rehabilitative Occupational Therapy$15.00
Rehabilitative Physical Therapy$15.00
Rehabilitative Speech Therapy$15.00
Routine Eye Exam for ChildrenNo charge
Skilled Nursing Facility30.00% Coinsurance after deductible
Standalone Laboratory30.00% Coinsurance after deductible
Substance Abuse Disorder Inpatient Services30.00% Coinsurance after deductible
Substance Abuse Disorder Outpatient Services30.00% Coinsurance after deductible
Telehealth PCP$15.00
Telehealth Specialist$50.00
Transplant30.00% Coinsurance after deductible
Treatment for Temporomandibular Joint Disorders30.00% Coinsurance after deductible
Well Baby Visits and CareNo charge
X-rays and Diagnostic Imaging30.00% Coinsurance after deductible

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