Plan Brochure
CommunityCare Catastrophic Select Plus
Plan Year:
2023
Metal Level:
Catastrophic
CommunityCare's Fundamental Plan is defined by federal regulation as a "catastrophic plan." As defined by the Affordable Care Act (ACA), a catastrophic plan covers essential health benefits, but only after out-of-pocket cost sharing reaches a high deductible that equals the level of the ACA's required out-of-pocket maximum. Catastrophic plans do not qualify as creditable coverage.
| Individual Deductible: | $9,100 |
| Individual Out of Pocket Maximum: | $9,100 |
| Office Visit Copay: | $35† |
| Preferred Generics: | $0* |
| Preferred Brand Name: | $0* |
| Non-Preferred Brand Name: | $0* |
| Individual Rx Deductible: | Integrated |
| Preferred Specialty: | $0* |
| Non-Preferred Specialty: | $0* |
†First 3 primary care visits have a $35 co-payment and are not subject to the deductible.
*Subject to the deductible.
Essential Benefits
All health plans in the exchanges are required to provide a minimum set of benefits which are termed essential benefits. These benefits include:
- Ambulatory patient services
- Emergency services
- Hospitalization
- Maternity and newborn care
- Mental health services
- Substance use disorder services
- Prescription drug coverage
- Rehabilitative and habilitative services and devices
- Preventative and wellness services
- Pediatric Services
