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Montana Native American

 

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Advice on choosing a plan

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Choosing a Plan

Picking a health plan starts by considering a coverage tier: Bronze, Silver, and Gold. These tiers represent different levels of coverage and cost-sharing. 

Weigh the trade-offs between deductibles and different coverage costs like copays.

You may qualify for a very low or $0 premium plan.

Premium tax credits might be available to lower monthly premiums.

All premiums are calculated based on each person’s individual circumstances such as age, location, and plan type.

2024 / Montana

Bronze Plans

Overview

Good choice if…
you’re mostly healthy already and want to keep monthly premiums relatively low so you’re willing to accept higher out-of-pocket costs.

Premium Level
Low

Average Cost Split*
You pay 40%
CO-OP pays 60%

Includes Signature Benefits
• 24/7 Telehealth access
• Dental & Vision exam reimbursements
• 100% Preventive Care coverage
• Travel Support
… Learn More

*Cost split refers to what you pay out-of-pocket vs what your plan pays (coinsurance). Estimated average based on in-network rates for coverage tier. Plans vary. Consult the specific plan documents (listed under plan documents and details) for exact details.

Your county determines which network you're eligible to use and is generally partnered with a hospital.

Learn More

Plus Bronze Standard Expanded Zero Cost

Native American Plan

2024

Montana

Plus Standard Expanded

Zero Cost

Bronze

Deductible

$0

Costs are shown split when applicable: ICHP / In-Network 

Indian Health Care Providers (ICHP) will have the lowest cost. In most cases you will pay $0.

Overview*

Max out-of-pocket

$0

Coinsurance (you pay)

0%

Tier 1-Preferred Generic Drug

No Charge

Primary Care Visit

No Charge

Specialist Visit

No Charge

Mental Health Visit

No Charge

*See plan documents for most accurate and up to date details. Telehealth costs may vary.

Plus Bronze High Deductible Zero Cost

Native American Plan

2024

Montana

Plus High Deductible

Zero Cost

Bronze

Deductible

$0

Costs are shown split when applicable: ICHP / In-Network 

Indian Health Care Providers (ICHP) will have the lowest cost. In most cases you will pay $0.

Overview*

Max out-of-pocket

$0

Coinsurance (you pay)

0%

Tier 1-Preferred Generic Drug

No Charge

Primary Care Visit

No Charge

Specialist Visit

No Charge

Mental Health Visit

No Charge

*See plan documents for most accurate and up to date details. Telehealth costs may vary.

Plus Bronze Expanded Zero Cost

Native American Plan

2024

Montana

Plus Standard

Zero Cost

Bronze

Deductible

$0

Costs are shown split when applicable: ICHP / In-Network 

Indian Health Care Providers (ICHP) will have the lowest cost. In most cases you will pay $0.

Overview*

Max out-of-pocket

$0

Coinsurance (you pay)

0%

Tier 1-Preferred Generic Drug

No Charge

Primary Care Visit

No Charge

Specialist Visit

No Charge

Mental Health Visit

No Charge

*See plan documents for most accurate and up to date details. Telehealth costs may vary.

Plus Bronze Standard Expanded Limited Cost

Native American Plan

2024

Montana

Plus Bronze Standard Expanded

Limited Cost

Bronze

Deductible

$7,500

Costs are shown split when applicable: ICHP / In-Network 

Indian Health Care Providers (ICHP) will have the lowest cost. In most cases you will pay $0.

Overview*

Max out-of-pocket

$9,400

Coinsurance (you pay)

50%

Tier 1-Preferred Generic Drug

0% Deductible

Primary Care Visit

0% Deductible

Specialist Visit

0% Deductible

Mental Health Visit

0% Deductible

*See plan documents for most accurate and up to date details. Telehealth costs may vary.

One Moment...

2024 / Montana

Silver Plans

Overview

Good choice if…
you anticipate needing some medical care throughout the year but not excessively. A silver plan can provide a good balance between monthly costs and out-of-pocket expenses.

Premium Level
Medium

Average Cost Split*
You pay 30%
CO-OP pays 70%

Includes Signature Benefits
• 24/7 Telehealth access
• Dental & Vision exam reimbursements
• 100% Preventive Care coverage
• Travel Support
… Learn More

*Cost split refers to what you pay out-of-pocket vs what your plan pays (coinsurance). Estimated average based on in-network rates for coverage tier. Plans vary. Consult the specific plan documents (listed under plan documents and details) for exact details.

Your county determines which network you're eligible to use and is generally partnered with a hospital.

Learn More

Connect Silver Limited Cost

Native American Plan

2024

Montana

Connect

Limited Cost

Silver

Deductible

$7,500

Costs are shown split when applicable: ICHP / In-Network 

Indian Health Care Providers (ICHP) will have the lowest cost. In most cases you will pay $0.

Overview*

Max out-of-pocket

$9,000

Coinsurance (you pay)

40%

Tier 1-Preferred Generic Drug

0% Deductible

Primary Care Visit

0% Deductible

Specialist Visit

0% Deductible

Mental Health Visit

0% Deductible

*See plan documents for most accurate and up to date details. Telehealth costs may vary.

Connect Silver Standard Limited Cost

Native American Plan

2024

Montana

Connect Standard

Limited Cost

Silver

Deductible

5,900

Costs are shown split when applicable: ICHP / In-Network 

Indian Health Care Providers (ICHP) will have the lowest cost. In most cases you will pay $0.

Overview*

Max out-of-pocket

$9,100

Coinsurance (you pay)

40%

Tier 1-Preferred Generic Drug

0% Deductible

Primary Care Visit

0% Deductible

Specialist Visit

0% Deductible

Mental Health Visit

0% Deductible

*See plan documents for most accurate and up to date details. Telehealth costs may vary.

Connect Silver Option 2

Native American Plan

2024

Montana

Connect Option 2

Limited Cost

Silver

Deductible

$5,700

Costs are shown split when applicable: ICHP / In-Network 

Indian Health Care Providers (ICHP) will have the lowest cost. In most cases you will pay $0.

Overview*

Max out-of-pocket

$8,200

Coinsurance (you pay)

30%

Tier 1-Preferred Generic Drug

0% Deductible

Primary Care Visit

0% Deductible

Specialist Visit

0% Deductible

Mental Health Visit

0% Deductible

*See plan documents for most accurate and up to date details. Telehealth costs may vary.

Connect Silver Zero Cost

Native American Plan

2024

Montana

Connect

Zero Cost

Silver

Deductible

$0

Costs are shown split when applicable: ICHP / In-Network 

Indian Health Care Providers (ICHP) will have the lowest cost. In most cases you will pay $0.

Overview*

Max out-of-pocket

$0

Coinsurance (you pay)

0%

Tier 1-Preferred Generic Drug

No Charge

Primary Care Visit

No Charge

Specialist Visit

No Charge

Mental Health Visit

No Charge

*See plan documents for most accurate and up to date details. Telehealth costs may vary.

One moment...

Overview

Good choice if…
you see doctors frequently or are anticipating upcoming events such as surgery or pregnancy. Lower copays, deductibles, and out-of-pocket maximums (compared to bronze or silver plans) can save you money in the long run.

Premium Level
High

Average Cost Split*
You pay 20%
CO-OP pays 80%

Includes Signature Benefits
• 24/7 Telehealth access
• Dental & Vision exam reimbursements
• 100% Preventive Care coverage
• Travel Support
… Learn More

*Cost split refers to what you pay out-of-pocket vs what your plan pays (coinsurance). Estimated average based on in-network rates for coverage tier. Plans vary. Consult the specific plan documents (listed under plan documents and details) for exact details.

Your county determines which network you're eligible to use and is generally partnered with a hospital.

Learn More

Connect Gold Limited Cost

Native American Plan

2024

Montana

Connect

Limited Cost

Gold

Deductible

$1,000

Costs are shown split when applicable: ICHP / In-Network 

Indian Health Care Providers (ICHP) will have the lowest cost. In most cases you will pay $0.

Overview*

Max out-of-pocket

$6,500

Coinsurance (you pay)

30%

Tier 1-Preferred Generic Drug

0% Deductible

Primary Care Visit

0% Deductible

Specialist Visit

0% Deductible

Mental Health Visit

0% Deductible

*See plan documents for most accurate and up to date details. Telehealth costs may vary.

Connect Gold Standard Limited Cost

Native American Plan

2024

Montana

Connect Standard

Limited Cost

Gold

Deductible

$1,500

Costs are shown split when applicable: ICHP / In-Network 

Indian Health Care Providers (ICHP) will have the lowest cost. In most cases you will pay $0.

Overview*

Max out-of-pocket

$8,700

Coinsurance (you pay)

25%

Tier 1-Preferred Generic Drug

0% Deductible

Primary Care Visit

0% Deductible

Specialist Visit

0% Deductible