Explore our Plans
Chorus Community Health Plans 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
2022 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
Bronze Copay
Individual Medical Deductible
$7,500
$7,000
$0
Individual Prescription Deductible
Included in medical deductible
Included in medical deductible
$3,000
Individual medical and prescription maximum out-of-pocket1
$8,700
$7,000
$8,700
Family
Family Medical Deductible
$15,000
$14,000
$0
Family Prescription Deductible
Included in medical deductible
Included in medical deductible
$6,000
Family medical and prescription out-of-pocket maximum1
$17,400
$14,000
$17,400
Medical Services
Preventative Care Office Visit
$0
$0
$0
Primary care office visit
$60 copayment
0% after deductible
$55 copayment
Specialist Office Visit
$120 copayment
0% after deductible
$120 copayment
Chiropractic Care Office Visit
$60 copayment
0% after deductible
$55 copayment
Outpatient Mental Health/Substance Abuse Office Visit
$60 copayment
0% after deductible
$55 copayment
Urgent care
50% after deductible
0% after deductible
$55 copayment
Emergency Room Visit
50% after deductible
0% after deductible
$1,850 copayment
Inpatient Services
50% after deductible
0% after deductible
$1,500 per day copayment (up to 2 days)
Outpatient Facility
50% after deductible
0% after deductible
$130 copayment
Outpatient Lab and Professional Services
50% after deductible
0% after deductible
$60 copayment
X-Rays and Diagnostic Imaging
50% after deductible
0% after deductible
$140 copayment
Prescription Drugs
Tier 1: Generic
$20 copayment
0% after deductible
$20 copayment
Tier 2: Preferred brand
50% after deductible
0% after deductible
$130 copayment
Tier 3: Non-preferred brand
50% after deductible
0% after deductible
50% after deductible
Tier 4: Specialty prescriptions3
50% after deductible
0% after deductible
50% after deductible
Tier 5: ACA preventive prescriptions
$0
$0
$0
Tier 6: Select generics, including insulin
$0
$0
$0
Vision
Routine Pediatric Exams
$0
$0
$0
Pediatric Eyewear
50% after deductible
0% after deductible
$0
Adult Vision Exams/Eyewear
Not Covered
Not Covered
Not Covered
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 Some services listed above may require prior authorization to be filed. Refer to our Evidence of Coverage for more information.
3 For a list of covered prescription medications, please review our Prescription Medication List
2 Some services listed above may require prior authorization to be filed. Refer to our Evidence of Coverage for more information.
3 For a list of covered prescription medications, please review our Prescription Medication List