Chronic Illness Support Program (CISP)

Dedicated plans for chronic conditions

Do you have a hard time paying medical bills? Do you avoid calling your PCP because you are worried about the cost? With CISP, some of these worries are alleviated by your benefits. Through CISP, routine and usual care for select chronic conditions are supported by reducing your out-of-pocket costs!

Receive reduced out-of-pocket medical & pharmacy services for select chronic conditions

  • Asthma
  • Coronary Artery Disease
  • Diabetes
  • Chronic Obstructive Pulmonary Disease (COPD)
  • Hypertension
  • Emphysema

CISP removes financial barriers (Copays, deductible, coinsurance) for select services for Members with certain chronic conditions and enables them to receive reduced out-of-pocket medical and pharmacy services for these conditions when received from – or provided by – an in network provider.

Our Medical Management Team is composed of registered nurses, licensed social workers, a registered dietician, and navigators/chronic care professionals who support Members’ overall health through a spectrum of services.

Services provided at no additional out-of-pocket costs

  • Healthy Living/Wellness
    Lifestyle modifications (e.g., tobacco use).
  • Complex Care Management
    Catastrophic/extensive use of healthcare resources.
  • Care Management
    Medical/behavioral moderate to high- risk diagnoses.
  • Disease Management
    Condition-specific support for Diabetes, Coronary Artery Disease, and Congestive Heart Failure.
  • Care Navigation
    Point-of-service barriers, outreach campaigns.

Prescription drug benefit

(when filled through home delivery)

  • $0 Cost for specific Tier 1 generic medications used to treat the chronic illness.
  • For Select Tier 2 medications, the deductibles are waived and your cost share is reduced according to your plan design.
  • For Select Tier 3 medications, the deductible is waived and your cost share is reduced according to your plan design.

Medical services

$0 Cost when performed by a network provider for the following services (unless otherwise noted)