2025 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@chorushealthplans.org

2025 Plan Options

Chorus Gold
Chorus Core Gold
Chorus Elite Gold

Gold

Our gold plan is designed for individuals who may have higher health care costs, and are interested in a lower deductible and out of pocket expenses.

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Individual
Chorus Gold
Chorus Core Gold
Chorus Elite Gold
Individual Medical and Rx Deductible
$2,000
$1,500
$1,250
Individual Medical and Rx Coinsurance
10% after deductible
25% after deductible
10% after deductible
Individual Medical and Rx Out-of-Pocket Maximum
$7,000
$7,800
$5,250
Family
Family Medical and Rx Deductible
$4,000
$3,000
$2,500
Family Medical and Rx Out-of-Pocket Maximum
$14,000
$15,600
$10,500
Medical Services
Primary care office visit
$35 copay
$30 copay
$35 copay
Speciality/specialist office visit
$70 copay
$60 copay
$70 copay
Chiropractic
$35 copay
$30 copay
$35 copay
Outpatient Surg/Phy/ Surg Special
10% after deductible
25% after deductible
10% after deductible
Urgent care
10% after deductible
$45 copay
10% after deductible
Emergency room
10% after deductible
25% after deductible
10% after deductible
Inpatient services
10% after deductible
25% after deductible
Outpatient Facility
10% after deductible
25% after deductible
10% after deductible
Outpatient lab services
10% after deductible
25% after deductible
10% after deductible
X-Rays, Diagnostic Imaging
10% after deductible
25% after deductible
10% after deductible
Prescription Drugs
Tier 1: Generic
$10 copay
$15 copay
$10 copay
Tier 2: Preferred brand
$65 copay
$30 copay
$65 copay
Tier 3: Non-preferred brand
10% after deductible
$60 copay
10% after deductible
Tier 4: Specialty
10% after deductible
$250 copay
10% after deductible
Formulary ID
WIF004
WIF013
WIF004
Tier 6: Select generics, including insulin
Vision
Routine Pediatric Exams
$0
$0
$0
Pediatric Eyewear
10% after deductible
25% after deductible
10% after deductible
Adult Vision Exams/Eyewear
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