Plans & Pricing Service Level 1 Level 2 Level 3 Unlimited Telemedicine done done done Unlimited Clinic Visits done done close Generic Prescription Program done done done Pricing Level 1 Level 2 Level 3 Individual $34.00/mo. $19.50/mo. $15.00/mo. Individual +1 $34.00/mo. $19.50/mo. $15.00/mo. Family $59.00/mo. $34.50/mo. $15.00/mo. Visit Fees $0/visit $30/visit $0/visit info If a member utilizes a clinic outside of the CCP network, CCP will pay up to $150 per visit and the balance shall be the responsibility of the member. Plan Individual Individual +1 Family Level Level 1 Level 2 Level 3
Billing Information Address City State Select Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Code