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University Community Care Plan by Community First - Silver Plan
Community First · 2026 plan year
Silver
- Ind. deductible
- $0
- Family deductible
- $0
- Ind. OOP max
- $9,950
- Family OOP max
- $19,900
Other cost-sharing reduction variants for this plan:
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Monthly premiums by age
Rating Area 18
| Age | Individual |
|---|---|
| Under 15 | $389 |
| 21 | $509 |
| 30 | $578 |
| 40 | $650 |
| 50 | $909 |
| 60 | $1,381 |
| 64 and over | $1,527 |
Live premium estimate
Benefits & cost sharing
Primary Care
| Benefit | In-network |
|---|---|
| Preventive Care/Screening/Immunization | No charge |
| Primary Care Visit to Treat an Injury or Illness | $55.00 |
Specialist
| Benefit | In-network |
|---|---|
| Specialist Visit | $115.00 |
Hospital
| Benefit | In-network |
|---|---|
| Emergency Room Services | $750.00 |
| Inpatient Hospital Services (e.g., Hospital Stay) | $1750.00 Copay per Stay |
| Outpatient Surgery Physician/Surgical Services | $1,000.00 |
| Urgent Care Centers or Facilities | $55.00 |
Pharmacy
| Benefit | In-network |
|---|---|
| Generic Drugs | $15.00 |
| Non-Preferred Brand Drugs | $120.00 |
| Preferred Brand Drugs | $60.00 |
| Specialty Drugs | 50.00% |
Mental Health
| Benefit | In-network |
|---|---|
| Mental/Behavioral Health Inpatient Services | $1750.00 Copay per Stay |
| Mental/Behavioral Health Outpatient Services | $55.00 |
Other
| Benefit | In-network |
|---|---|
| Chemotherapy | $1,000.00 |
| Orthodontia - Child | Not covered |
| Abortion for Which Public Funding is Prohibited | Not covered |
| Accidental Dental | $1,750.00 |
| Acupuncture | Not covered |
| Allergy Testing | $115.00 |
| Bariatric Surgery | Not covered |
| Basic Dental Care - Adult | Not covered |
| Basic Dental Care - Child | Not covered |
| Chiropractic Care | $115.00 |
| Cosmetic Surgery | Not covered |
| Delivery and All Inpatient Services for Maternity Care | $1,750.00 |
| Dental Check-Up for Children | Not covered |
| Diabetes Education | No charge |
| Dialysis | $115.00 |
| Durable Medical Equipment | $115.00 |
| Emergency Transportation/Ambulance | $750.00 |
| Eye Glasses for Children | $55.00 |
| Habilitation Services | $105.00 |
| Hearing Aids | $115.00 |
| Home Health Care Services | $115.00 |
| Hospice Services | $115.00 |
| Imaging (CT/PET Scans, MRIs) | $175.00 |
| Infertility Treatment | Not covered |
| Infusion Therapy | $115.00 |
| Inpatient Physician and Surgical Services | No charge |
| Laboratory Outpatient and Professional Services | $175.00 |
| Long-Term/Custodial Nursing Home Care | Not covered |
| Major Dental Care - Adult | Not covered |
| Major Dental Care - Child | Not covered |
| Nutritional Counseling | Not covered |
| Orthodontia - Adult | Not covered |
| Other Practitioner Office Visit (Nurse, Physician Assistant) | $55.00 |
| Outpatient Facility Fee (e.g., Ambulatory Surgery Center) | $350.00 |
| Outpatient Rehabilitation Services | $105.00 |
| Prenatal and Postnatal Care | $55.00 |
| Private-Duty Nursing | Not covered |
| Prosthetic Devices | $115.00 |
| Radiation | $1,000.00 |
| Reconstructive Surgery | $1,750.00 |
| Rehabilitative Occupational and Rehabilitative Physical Therapy | $105.00 |
| Rehabilitative Speech Therapy | $105.00 |
| Routine Dental Services (Adult) | Not covered |
| Routine Eye Exam (Adult) | Not covered |
| Routine Eye Exam for Children | $55.00 |
| Routine Foot Care | Not covered |
| Skilled Nursing Facility | $500.00 Copay per Day |
| Substance Abuse Disorder Inpatient Services | $1750.00 Copay per Stay |
| Substance Abuse Disorder Outpatient Services | $55.00 |
| Transplant | $1,750.00 |
| Treatment for Temporomandibular Joint Disorders | $115.00 |
| Weight Loss Programs | Not covered |
| Well Baby Visits and Care | No charge |
| X-rays and Diagnostic Imaging | $175.00 |
Service area
This plan covers 1 geographic area.
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