ConnectiCare Choice Plan 2 (HMO-POS) Medicare Advantage Plan H3528-003 • 2026 • Windham County, CT

ConnectiCare Choice Plan 2 Overview

Coverage Overview for ConnectiCare Choice Plan 2

ConnectiCare Choice Plan 2 is a Medicare Advantage HMO-POS plan that includes Medicare Part A and Part B coverage, with limited access to out-of-network providers in certain situations. The monthly premium is $0.00, and costs are generally lower when services are received from in-network providers.

Primary care visits have a $0 copay, specialist visits come with a $10 copay, urgent care services carry a $10 copay, and ambulance transportation is $50 copay. These costs apply toward the annual maximum out-of-pocket (MOOP) limit of $6000.00. After this limit is reached, in-network services are fully covered.

This plan is listed by CMS under Plan ID H3528-003. A summary of cost sharing is provided below.

Cost-Sharing Overview

Cost-sharing for ConnectiCare Choice Plan 2 includes out-of-pocket expenses for covered healthcare services. The table below provides a summary of typical in-network out-of-pocket costs for plan H3528-003.

Certain preventive services are covered 100% by ConnectiCare Choice Plan 2 as a Part B benefit.

Prescription Drug Coverage

This plan does not include a Medicare Part D plan for prescriptions.

CMS 5-Star Ratings

Medicare Advantage (Part C) and Part D plans are rated each year by CMS on a 5-star scale. Ratings summarize plan performance across clinical care and member experience measures.