Bronze Plan
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Bronze Plan

Together with CCHP offers plan options across four different levels to our members. Plan benefits described below are for in-network services only.

Click on the buttons below to see benefits for each plan level. After November 1, get a quote and enroll with our Online Quote Tool. You can also call our Sales Support team directly for help at 844-708-3837.


With an high deductible health plan (HDHP), you have the ability to combine your health insurance plan with a Health Savings Account (HSA) that provides for tax-free payment or reimbursement of eligible medical expenses to help lower your medical costs.

  Bronze Bronze HDHP
Individual medical and prescription deductible $7,000 $7,000
Individual medical and prescription maximum out-of-pocket1 $8,550 $7,000
Family medical and prescription maximum deductible $14,000 $14,000
Family medical and prescription out-of-pocket maximum1 $17,100 $14,000
Primary care office visit $60 copay 0% after deductible
Speciality / specialist office visit $120 copay 0% after deductible
Inpatient and outpatient services 50% after deductible 0% after deductible
Outpatient lab services 50% after deductible 0% after deductible
Urgent care 50% after deductible 0% after deductible
Emergency room 50% after deductible 0% after deductible
Prescription Drugs2
Tier 1: Generic $20 copay 0% after deductible
Tier 2: Preferred brand 50% after deductible 0% after deductible
Tier 3: Non-preferred brand 50% after deductible 0% after deductible
Tier 4: Specialty prescriptions3 50% after deductible 0% after deductible
Tier 5: ACA preventive prescriptions $0 $0
Tier 6: Select generics, including select Insulin $0 $0
Health management programs
CCHP on Call Nurseline

1 The out-of-pocket maximum is the sum of the deductible amount, prescription drug deductible amount (if applicable), copayment amount and coinsurance percentage of covered expenses, as shown in your Evidence of Coverage.
2 For a list of covered preventive prescriptions, please review our 2020 Prescription Medication List (available November 1st)
3 Many specialty medications are paid according to medical plan benefits, not prescription drug benefits.



Children's Community Health Plan

PO Box 56099
Madison, WI 53705

Together with CCHP

Children's Community Health Plan

PO Box 1997, MS 6280
Milwaukee, WI 53201


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