Catamount Health Plan Benefits

Catamount Health Plans have comprehensive coverage, including:

• Primary care
• Preventive care
• Acute episodic care
• Hospital services
• Chronic care management
• Medications

Catamount Health Plan Cost-Sharing Information

Catamount Health Plans also have low cost-sharing to keep out-of-pocket expenses affordable.

Deductibles:

In-Network: $250.00/individual, $500.00/family
Out-of-Network: $500.00/individual, $1,000.00/family

Co-insurance:

20%

Co-payment:

$10.00 office visit

Prescription Drug Coverage:

No deductible
Co-payments: $10.00 generic drugs, $30.00 drugs on the preferred drug list, $50.00 non-preferred drugs

Out-of-pocket Maximum:

In-Network $800.00/individual, $1,600.00/family
Out-of-Network $1,500.00/individual, $3,000.00/family
(does not include premium payments: includes deductibles, co-insurance and co-payments)

Preventative Care:

$0 Not subject to deductible, co-insurance and co-payments

Chronic Care:

$0 for individuals enrolled in a chronic care management program; otherwise, subject to the above amounts.