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
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
Chorus Silver
Chorus Core Silver
Chorus Standard Silver
Chorus Silver Select
Individual medical and prescription deductible
$5,000
$5,800
$4,000
$3,250
Individual medical and prescription maximum out-of-pocket
$8,700
$8,900
$9,100
$9,100
Family
Family medical and prescription maximum deductible
$10,000
$11,600
$8,000
$6,500
Family medical and prescription out-of-pocket maximum
$17,400
$17,800
$18,200
$18,200
Medical Services
Primary care office visit
$30 copay
$40 copay
$35 copay
$35 copay
Speciality/specialist office visit
$70 copay
$80 copay
$70 copay
$80 copay
Inpatient services
30% after deductible
40% after deductible
20% after deductible
40% after deductible
Urgent care
30% after deductible
$60 copay
20% after deductible
40% after deductible
Emergency room
30% after deductible
40% after deductible
20% after deductible
40% after deductible
Outpatient lab services
30% after deductible
40% after deductible
$40 copay per visit
40% after deductible
Prescription Drugs
Tier 1: Generic
$15 copay
$20 copay
$20 copay
$15 copay
Tier 2: Preferred brand
30% after deductible
$40 copay
$85 copay
$75 copay
Tier 3: Non-preferred brand
30% after deductible
$80* copay
20% after deductible
40% after deductible
Tier 4: Specialty
30% after deductible
$350* copay
20% after deductible
40% after deductible
Tier 5: ACA preventive
$0
$0
$0
$0
Tier 6: Select generics, including select insulin
$0
$0
$0
$0
Vision
Routine Pediatric Exams
$0
$0
$0
$0
Pediatric Eyewear
30% after deductible
40% after deductible
20% after deductible
40% after deductible
Adult Vision Exams/Eyewear
Not Covered
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
* 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