2024 Individual and Family Plans

Compare our plans to find the best fit for you.

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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
Chorus Core Silver
Chorus Standard Silver
Chorus Silver Select

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.

Get a Quote
Individual
Chorus Silver
Chorus Core Silver
Chorus Standard Silver
Chorus Silver Select
Individual Medical and Rx Deductible
$5,000
$5,900
$4,000
$3,250
Individual Medical and Rx Coinsurance
30% after deductible
40% after deductible
20% after deductible
40% after deductible
Individual Medical and Rx Out-of-Pocket Maximum
$8,500
$9,100
$9,100
$9,100
Family
Family Medical and Rx Deductible
$10,000
$11,800
$8,000
$6,500
Family Medical and Rx Out-of-Pocket Maximum
$17,000
$18,200
$18,200
$18,200
Medical Services
Primary care office visit
$30 copay
$40 copay
$35 copay
$35 copay
Speciality/specialist office visit
$60 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
$40 copay per visit
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 after deductible
20% after deductible
40% after deductible
Tier 4: Specialty
30% after deductible
$350 copay after dudctible
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

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