2022 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

2022 Plan Options

Bronze
Bronze HDHP
Bronze Copay

Bronze

Our bronze plans are designed to offer individuals a plan option with all of the essential health benefits, at a lower monthly cost.


Individual
Bronze
Bronze HDHP
Bronze Copay
Individual Medical Deductible
$7,500
$7,000
$0
Individual Prescription Deductible
Included in medical deductible
Included in medical deductible
$3,000
Individual medical and prescription maximum out-of-pocket1
$8,700
$7,000
$8,700
Family
Family Medical Deductible
$15,000
$14,000
$0
Family Prescription Deductible
Included in medical deductible
Included in medical deductible
$6,000
Family medical and prescription out-of-pocket maximum1
$17,400
$14,000
$17,400
Medical Services
Preventative Care Office Visit
$0
$0
$0
Primary care office visit
$60 copayment
0% after deductible
$55 copayment
Specialist Office Visit
$120 copayment
0% after deductible
$120 copayment
Chiropractic Care Office Visit
$60 copayment
0% after deductible
$55 copayment
Outpatient Mental Health/Substance Abuse Office Visit
$60 copayment
0% after deductible
$55 copayment
Urgent care
50% after deductible
0% after deductible
$55 copayment
Emergency Room Visit
50% after deductible
0% after deductible
$1,850 copayment
Inpatient Services
50% after deductible
0% after deductible
$1,500 per day copayment (up to 2 days)
Outpatient Facility
50% after deductible
0% after deductible
$130 copayment
Outpatient Lab and Professional Services
50% after deductible
0% after deductible
$60 copayment
X-Rays and Diagnostic Imaging
50% after deductible
0% after deductible
$140 copayment
Prescription Drugs
Tier 1: Generic
$20 copayment
0% after deductible
$20 copayment
Tier 2: Preferred brand
50% after deductible
0% after deductible
$130 copayment
Tier 3: Non-preferred brand
50% after deductible
0% after deductible
50% after deductible
Tier 4: Specialty prescriptions3
50% after deductible
0% after deductible
50% after deductible
Tier 5: ACA preventive prescriptions
$0
$0
$0
Tier 6: Select generics, including insulin
$0
$0
$0
Vision
Routine Pediatric Exams
$0
$0
$0
Pediatric Eyewear
50% after deductible
0% after deductible
$0
Adult Vision Exams/Eyewear
Not Covered
Not Covered
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