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
2023 Plan Options
Gold
Our gold plan is designed for individuals who may have higher health care costs, and are interested in a lower deductible and out of pocket expenses.
Individual
Chorus Gold
Chorus Core Gold
Individual medical and prescription deductible
$2,000
$2,000
Individual medical and prescription maximum out-of-pocket
$7,000
$8,700
Family
Family medical and prescription maximum deductible
$4,000
$4,000
Family medical and prescription out-of-pocket maximum
$14,000
$17,400
Medical Services
Primary care office visit
$35 copay
$30 copay
Speciality/specialist office visit
$70 copay
$60 copay
Inpatient services
20% after deductible
25% after deductible
Urgent care
20% after deductible
$45 copay
Emergency room
20% after deductible
25% after deductible
Outpatient lab services
20% after deductible
25% after deductible
Prescription Drugs
Tier 1: Generic
$10 copayment
$15 copayment
Tier 2: Preferred brand
$65 copay
$30 copay
Tier 3: Non-preferred brand
20% after deductible
$60 copay
Tier 4: Specialty
20% after deductible
$250 copay
Tier 5: ACA preventive
$0
$0
Tier 6: Select generics, including select insulin
$0
$0
Vision
Routine Pediatric Exams
$0
$0
Pediatric Eyewear
20% after deductible
25% after deductible
Adult Vision Exams/Eyewear
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
* Copay applies after deductible
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
* Copay applies after deductible