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

Catastrophic

Catastrophic

Our popular Catastrophic 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
Catastrophic
Individual medical and Rx deductible
$9,450
Individual Medical and Rx Coinsurance
0% after deductible
Individual medical and Rx Out-of-Pocket Maximum
$9,450
Family
Family Medical and Rx Deductible
$18,900
Family Medical and Rx Out-of-Pocket Maximum
$18,900
Medical Services
Primary care office visit
3 free visits, then 0% after deductible
Speciality/specialist office visit
0% after deductible
Inpatient services
0% after deductible
Urgent care
0% after deductible
Emergency room
0% after deductible
Outpatient lab services
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
0% after deductible
Tier 5: ACA preventive prescriptions
$0
Tier 6: Select generics, including select insulin
$0
Vision
Routine Pediatric Exams
$0
Pediatric Eyewear
0% after deductible
Adult Vision Exams/Eyewear
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