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
Catastrophic
This plan is designed for those who have lower health care costs and primarily use their plan for checkups. You must be under the age of 30 or qualify for a hardship exemption to choose this plan. To see if you qualify, visit healthcare.gov.
Individual
Catastrophic
Individual Medical Deductible
$8,700
Individual Prescription Deductible
Included in medical deductible
Individual medical and prescription maximum out-of-pocket1
$8,700
Family
Family Medical Deductible
$17,400
Family Prescription Deductible
Included in medical deductible
Family medical and prescription out-of-pocket maximum1
$17,400
Medical Services
Preventative Care Office Visit
$0
Primary care office visit
3 free visits, then 0% after deductable
Specialist Office Visit
0% after deductible
Chiropractic Care Office Visit
0% after deductible
Outpatient Mental Health/Substance Abuse Office Visit
0% after deductible
Urgent care
0% after deductible
Emergency room
0% after deductible
Inpatient Services
0% after deductible
Outpatient Facility
0% after deductible
Outpatient lab services
0% after deductible
X-Rays and Diagnostic Imaging
0% after deductible
Prescription Drugs
Tier 1: Generic
0% after deductible
Tier 2: Preferred brand
0% after deductible
Tier 3: Non-preferred brand
0% after deductible
Tier 4: Specialty prescriptions3
0% after deductible
Tier 5: ACA preventive prescriptions
$0
Tier 6: Select generics, including insulin
$0
Vision
Routine Pediatric Exams
$0
Pediatric Eyewear
0% after deductible
Adjust Vision Exams/Eyewear
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