Molina Healthcare of Wisconsin
Constant Care Silver 2 250
Plan Overview
Combined Medical and Drug Deductible |
|
Medical Out-of-Pocket Maximum |
|
Combined Medical and Drug Out of Pocket Maximum |
|
Office Visit
Primary Doctor |
|
Specialist |
|
Prescription Drug Information
Preferred Brand Drugs |
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Non Preferred Brand Drugs |
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Generic Drugs |
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Specialty Drugs |
|
Inpatient Coverage
Hospital Services |
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Inpatient Services |
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Emergency and Urgent Care
Emergency Room |
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Urgent Care Facility |
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Maternity
Labor and Delivery Hospital Stay |
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Pre and Postnatal Office Visit |
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Vision
Routine Eye Exams For Children |
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Major Dental Care
Routine Dental Checkups for Children |
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Basic Dental Care - Child |
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Major Dental Care - Child |
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