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 Silver Choice

Silver Choice

This plan is offered Off-Exchange only and includes all of the same ACA required benefits as our On-Exchange plans. This plan option is designed for those who may not qualify for financial assistance through the Federally Facilitated Marketplace.


Individual
Chorus Silver Choice
Individual Medical and Rx Deductible
$5,000
Individual Medical and Rx Coinsurance
40% after deductible
Individual Medical and Rx Out-of-Pocket Maximum
$9,000
Family
Family Medical and Rx Deductible
$10,000
Family Medical and Rx Out-of-Pocket Maximum
$18,000
Medical Services
Primary care office visit
$50 copay
Speciality/specialist office visit
$100 copay
Inpatient services
40% after deductible
Urgent care
40% after deductible
Emergency room
40% after deductible
Outpatient lab services
40% after deductible
Prescription Drugs
Tier 1: Generic
$15 copay
Tier 2: Preferred brand
40% after deductible
Tier 3: Non-preferred brand
40% after deductible
Tier 4: Specialty
40% after deductible
Tier 5: ACA preventive
$0
Tier 6: Select generics, including insulin
$0
Vision
Routine Pediatric Exams
$0
Pediatric Eyewear
40% 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