Explore our Plans
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. You may also use our Online Quote Tool to see if you qualify for a plan with lower out of pocket costs. To discuss your plan options, contact our Sales Team at 844-708-3837 or CCHP-MemberSales@chw.org
2021 Plan Options
Bronze
Our bronze plans are designed to offer individuals a plan option with all of the essential health benefits, at a lower monthly cost.
Individual
Bronze
BRONZE HDHP
Individual medical and prescription deductible
$7,000
$7,000
Individual medical and prescription maximum out-of-pocket1
$8,550
$7,000
Family
Family medical and prescription maximum deductible
$14,000
$14,000
Family medical and prescription out-of-pocket maximum1
$17,100
$14,000
Medical Services
Primary care office visit
$60 copay
0% after deductible
Speciality/specialist office visit
$120 copay
0% after deductible
Inpatient and outpatient services
50% after deductible
0% after deductible
Outpatient lab services
50% after deductible
0% after deductible
Urgent care
50% after deductible
0% after deductible
Emergency room
50% after deductible
0% after deductible
Prescription Drugs
Tier 1: Generic
$20 copay
0% after deductible
Tier 2: Preferred brand
50% after deductible
0% after deductible
Tier 3: Non-preferred brand
50% after deductible
0% after deductible
Tier 4: Specialty prescriptions3
50% after deductible
0% after deductible
Tier 5: ACA preventive prescriptions
$0
$0
Tier 6: Select generics, including insulin
$0
$0
Health management programs
X
X
CCHP on Call Nurse line
X
X
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.
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.