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

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 Deductible
$2,000
Individual Prescription Deductible
Included in medical deductible
Individual medical and prescription maximum out-of-pocket1
$6,500
Family
Family Medical Deductible
$4,000
Family Prescription Deductible
Included in medical deductible
Family medical and prescription out-of-pocket maximum1
$13,000
Medical Services
Preventative Care Office Visit
$0
Primary care office visit
$30 copayment
Specialist Office Visit
$60 copayment
Chiropractic Care Office Visit
$30 copayment
Outpatient Mental Health/Substance Abuse Office Visit
$30 copayment
Urgent care
20% after deductible
Emergency room
20% after deductible
Inpatient Services
20% after deductible
Outpatient Facility
20% after deductible
Outpatient Lab and Professional Services
20% after deductible
X-Rays and Diagnostic Imaging
20% after deductible
Prescription Drugs
Tier 1: Generic
$10 copayment
Tier 2: Preferred brand
$65 copayment
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
Vision
Routine Pediatric Exams
$0
Pediatric Eyewear
0% after deductible
Adjust 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