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
Silver
Our popular silver plans typically provide lower out of pocket costs, while also allowing for affordable monthly premiums. You may also qualify for a silver cost reduction plan, not listed here. Visit healthcare.gov to learn more.
Individual
Silver
Silver Standard
Silver Select
Individual Medical Deductible
$5,400
$4,000
$3,250
Individual Prescription Deductible
Included in medical deductible
Included in medical deductible
Included in medical deductible
Individual medical and prescription maximum out-of-pocket1
$8,700
$8,700
$8,700
Family
Family Medical Deductible
$10,800
$8,000
$6,500
Family Prescription Deductible
Included in medical deductible
Included in medical deductible
Included in medical deductible
Family medical and prescription out-of-pocket maximum1
$17,400
$17,400
$17,400
Medical Services
Preventative Care Office Visit
$0
$0
$0
Primary care office visit
$50 copayment
$35 copayment
$35 copayment
Specialist Office Visit
$100 copayment
$70 copayment
$80 copayment
Chiropractic Care Office Visit
$50 copayment
$35 copayment
$35 copayment
Outpatient Mental Health/Substance Abuse Office Visit
$50 copayment
$35 copayment
$35 copayment
Urgent care
40% after deductible
20% after deductible
40% after deductible
Emergency Room Visit
40% after deductible
20% after deductible
40% after deductible
Inpatient Services
40% after deductible
20% after deductible
40% after deductible
Outpatient Facility
40% after deductible
20% after deductible
40% after deductible
Outpatient Lab and Professional Services
40% after deductible
$40 copayment per visit
40% after deductible
X-Rays and Diagnostic Imaging
40% after deductible
20% after deductible
40% after deductible
Prescription Drugs
Tier 1: Generic
$15 copayment
$15 copayment
$15 copayment
Tier 2: Preferred brand
40% after deductible
$65 copayment
$65 copayment
Tier 3: Non-preferred brand
40% after deductible
20% after deductible
40% after deductible
Tier 4: Specialty prescriptions
40% after deductible
20% after deductible
40% 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
40% after deductible
20% after deductible
40% after deductible
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