2025 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@chorushealthplans.org

2025 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
$9,200
Individual Medical and Rx Coinsurance
0% after deductible
Individual medical and Rx Out-of-Pocket Maximum
$9,200
Family
Family Medical and Rx Deductible
$18,400
Family Medical and Rx Out-of-Pocket Maximum
$18,400
Medical Services
Primary Care Provider/Practitioner/Physician/Doctor Visit
3 free visits, then 0% after deductible
Specialist Visit
Subject to Deductible & Coinsurance
Chiropractic Care Visit
Subject to Deductible & Coinsurance
Inpatient services
Subject to Deductible & Coinsurance
Urgent care
Subject to Deductible & Coinsurance
Emergency room
Subject to Deductible & Coinsurance
Outpatient lab services
Subject to Deductible & Coinsurance
Prescription Drugs
Tier 1: Generic
Subject to Deductible & Coinsurance
Tier 2: Preferred brand
Subject to Deductible & Coinsurance
Tier 3: Non-preferred brand
Subject to Deductible & Coinsurance
Tier 4: Specialty
Subject to Deductible & Coinsurance
Tier 5: ACA preventive prescriptions
Tier 6: Select generics, including insulin
Vision
Children’s Routine Vision Exam (1 exam per calendar year)
$0
Children’s Eyewear
Subject to Deductible & Coinsurance
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