2024 Individual and Family Plans

Compare our plans to find the best fit for you.

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

2024 Plan Options

Chorus Clear Bronze
Chorus Core Bronze
Chorus Bronze HDHP (HSA Eligible)

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
Chorus Clear Bronze
Chorus Core Bronze
Chorus Bronze HDHP (HSA Eligible)
Individual medical and prescription deductible
$9,100
$7,500
$7,500
Individual Medical and Rx Coinsurance
0% after deductible
50% after deductible
0% after deductible
Individual Medical and Rx Out-of-Pocket Maximum
$9,100
$9,400
$7,500
Family
Family Medical and Rx Deductible
$18,200
$15,000
$15,000
Family Medical and Rx Out-of-Pocket Maximum
$18,200
$18,800
$15,000
Medical Services
Primary care office visit
0% after deductible
$50 copay
0% after deductible
Speciality/specialist office visit
0% after deductible
$100 copay
0% after deductible
Inpatient services
0% after deductible
50% after deductible
0% after deductible
Urgent care
0% after deductible
$75 copay
0% after deductible
Emergency room
0% after deductible
50% after deductible
0% after deductible
Outpatient lab services
0% after deductible
50% after deductible
0% after deductible
Prescription Drugs
Tier 1: Generic
0% after deductible
$25 copay
0% after deductible
Tier 2: Preferred brand
0% after deductible
$50 copay after deductible
0% after deductible
Tier 3: Non-preferred brand
0% after deductible
$100 copay after deductible
0% after deductible
Tier 4: Specialty
0% after deductible
$500 copay after deductible
0% after deductible
Tier 5: ACA preventive
$0
$0
$0
Tier 6: Select generics, including select insulin
$0
$0
$0
Vision
Routine Pediatric Exams
$0
$0
$0
Pediatric Eyewear
0% after deductible
50% after deductible
0% after deductible
Adult Vision Exams/Eyewear
Not Covered
Not Covered
Not Covered

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.
Some services listed above may require prior authorization to be filed. Refer to our Evidence of Coverage for more information.
For a list of covered prescription medications, please review our Prescription Medication List

*Deductible applies to RX only
**Inpatient copay capped at 2 days
***Inpatient copay capped at 3 days