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

Silver
Silver Standard
Silver Select

Silver

Our popular silver 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
Silver
Silver Standard
Silver Select
Individual Medical Deductible
$5,400
$4,000
$3,250
Individual Prescription Deductible
Included in medical deductible
Included in medical deductible
Included in medical deductible
Individual medical and prescription maximum out-of-pocket1
$8,700
$8,700
$8,700
Family
Family Medical Deductible
$10,800
$8,000
$6,500
Family Prescription Deductible
Included in medical deductible
Included in medical deductible
Included in medical deductible
Family medical and prescription out-of-pocket maximum1
$17,400
$17,400
$17,400
Medical Services
Preventative Care Office Visit
$0
$0
$0
Primary care office visit
$50 copayment
$35 copayment
$35 copayment
Specialist Office Visit
$100 copayment
$70 copayment
$80 copayment
Chiropractic Care Office Visit
$50 copayment
$35 copayment
$35 copayment
Outpatient Mental Health/Substance Abuse Office Visit
$50 copayment
$35 copayment
$35 copayment
Urgent care
40% after deductible
20% after deductible
40% after deductible
Emergency Room Visit
40% after deductible
20% after deductible
40% after deductible
Inpatient Services
40% after deductible
20% after deductible
40% after deductible
Outpatient Facility
40% after deductible
20% after deductible
40% after deductible
Outpatient Lab and Professional Services
40% after deductible
$40 copayment per visit
40% after deductible
X-Rays and Diagnostic Imaging
40% after deductible
20% after deductible
40% after deductible
Prescription Drugs
Tier 1: Generic
$15 copayment
$15 copayment
$15 copayment
Tier 2: Preferred brand
40% after deductible
$65 copayment
$65 copayment
Tier 3: Non-preferred brand
40% after deductible
20% after deductible
40% after deductible
Tier 4: Specialty prescriptions
40% after deductible
20% after deductible
40% 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
40% after deductible
20% after deductible
40% after deductible
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