2021 Together with CCHP Plans

Compare our plans to find the best fit for you.

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Explore our Plans

Together with CCHP 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

2021 Plan Options

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.


Individual
Gold
Individual medical and prescription deductible
$2,000
Individual medical and prescription maximum out-of-pocket1
$6,500
Family
Family medical and prescription maximum deductible
$4,000
Family medical and prescription out-of-pocket maximum1
$13,000
Medical Services
Primary care office visit
$30 copay
Speciality/specialist office visit
$60 copay
Inpatient and outpatient services
20% after deductible
Outpatient lab services
20% after deductible
Urgent care
20% after deductible
Emergency room
20% after deductible
Prescription Drugs
Tier 1: Generic
$10 copay
Tier 2: Preferred brand
$55 copay
Tier 3: Non-preferred brand
20% after deductible
Tier 4: Specialty prescriptions3
20% after deductible
Tier 5: ACA preventive prescriptions
$0
Tier 6: Select generics, including insulin
$0
Health management programs
X
CCHP on Call Nurse line
X
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.
For a list of covered preventive prescriptions, please review our 2021 Prescription Medication List.
Many specialty medications are paid according to medical plan benefits, not prescription drug benefits.