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

Quick Summary of Plans

2024 Plan Options

Catastrophic

Lowest Premium

Bronze

Silver

Gold

$$$$

Silver Choice Plan (Off-Exchange only)

$$$

$0 Deductible Plans

$$$

Chorus Bronze Copay

Chorus Silver Copay

$0 Deductible Plans

Get a Quote

Individual

Chorus Bronze Copay

Chorus Silver Copay

Individual medical and prescription deductible

$0 / $3000*

$0 / $2750*

Individual Medical and Rx Coinsurance

0% / 50% after deductible

0% / 40% after deductible

Individual Medical and Rx Out-of-Pocket Maximum

$9,450

$9,000

Family

Family Medical and Rx Deductible

$0 / $6000*

$0 / $5500*

Family Medical and Rx Out-of-Pocket Maximum

$18,900

$18,000

Medical Services

Primary care office visit

$70 copay

$40 copay

Speciality/specialist office visit

$140 copay

$100 copay

Inpatient services

$1,500 copay**

$1,250 copay**

Urgent care

$65 copay

$45 copay

Emergency room

$2,200 copay

$1,500 copay

Outpatient lab services

$60 copay

$50 copay

Prescription Drugs

Tier 1: Generic

$30 copayment

$20 copay

Tier 2: Preferred brand

$150 copay

$140 copay

Tier 3: Non-preferred brand

50% after deductible

40% after deductible

Tier 4: Specialty

50% after deductible

40% after deductible

Tier 5: ACA preventive

Tier 6: Select generics, including insulin

Vision

Routine Pediatric Exams

Pediatric Eyewear

No Charge

Adult Vision Exams/Eyewear

Not Covered

¹The 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.
²Some services listed above may require prior authorization to be filed. Refer to our Evidence of Coverage for more information.
³For 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