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
2023 Plan Options
$0 Deductible Plans
Individual
Chorus Bronze Copay
Chorus Silver Copay
Individual medical and prescription deductible
$0 / $3000
$0 / $2750
Individual medical and prescription maximum out-of-pocket
$9,100
$8,700
Family
Family medical and prescription maximum deductible
$0 / $6000
$0 / $5500
Family medical and prescription out-of-pocket maximum
$18,200
$17,400
Medical Services
Primary care office visit
$65 copay
$40 copay
Speciality/specialist office visit
$130 copay
$100 copay
Inpatient services
$1,500 copay
$1,250 copay
Urgent care
$55 copay
$45 copay
Emergency room
$2,000 copay
$1,500 copay
Outpatient lab services
$60 copay
$50 copay
Prescription Drugs
Tier 1: Generic
$20 copayment
$15 copay
Tier 2: Preferred brand
$140 copay
$120 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
$0
$0
Tier 6: Select generics, including insulin
$0
$0
Vision
Routine Pediatric Exams
$0
$0
Pediatric Eyewear
No Charge
No Charge
Adult Vision Exams/Eyewear
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
* Copay applies after deductible
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
* Copay applies after deductible