Catastrophic Plan
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Catastrophic 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.

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

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 2021 Prescription Medication List.
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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