Coverage - Individual & Family Plans

CCHP's Individual & Family Plans

We know how important it is to keep your family healthy. You’ll find that our Individual & Family Plans offer you and your family quality coverage that’s affordable. You can sign up for our Individual & Family Plans even if you’re self-employed, between jobs, or unemployed. Take a look below and see what plan works best for you.

Jade

CCHP Jade provides comprehensive coverage with no annual deductible. This plan features $0 copays for preventive services, routine labs & x-rays, and a fixed copayment for most of the covered services. It is the right choice for individuals and families who utilize medical services regularly.

  • Annual Deductible: $0
  • Maximum out-of-pocket: Individual $2,000/ Family $4,000
  • Office Visit: $30 Copay

 
 
 
 

Copay 25

CCHP Copay 25 is a budget-minded plan. Many services have a $25 copay and there is no deductible. Prescription drugs and worldwide emergency services are also covered. It is our most popular plan for individuals and families who want to balance their health care needs and expenses.

  • Annual Deductible: $0
  • Maximum out-of-pocket: Individual $5,500/ Family $11,000
  • Office Visit: $25 Copay

 
 
 
 
 

Amber

CCHP Amber is a lower cost plan with low premium and lower deductible. It includes $0 copays for the first three Primary Care Physician visits, preventive services and health, wellness and education classes. This plan is a good choice for health-conscious individual and families.

  • Annual Deductible: Individual $2,000/ Family $4,000
  • Maximum out-of-pocket: Individual $6,350/ Family $12,700
  • Office Visit: $0 Copay for the first 3 visits

 
 
 

ActiveChoice PPO

The new CCHP ActiveChoice PPO is designed to help individuals and families enjoy affordable coverage and a choice of using certain out-of-network services.

(In-Network)

  • Annual Deductible: Individual $2,500/ Family $5,000
  • Maximum out-of-pocket: Individual $6,000/ Family $12,000
  • Office Visit: $0 Copay for the first 3 visits

(Out-Network)

  • Annual Deductible: Individual $2,500/ Family $5,000
  • Maximum out-of-pocket: Individual $6,000/ Family $12,000
  • Office Visit: 50% Coinsurance (After Deductible)

 
 
 

Exchange Plans (Also available in Covered California)

There are four basic levels of coverage: Platinum, Gold, Silver and Bronze. You have the option to choose the plan that best meets your needs and those of your family. All plans include certain essential health benefits: doctor visits, hospital stays, emergency care, maternity care, children’s care, prescriptions, medical tests and mental health care. Financial help is available for those who qualify.

  • Platinum90 HMO
  • Gold80 HMO
  • Silver70 HMO
  • Bronze60 HMO

 
 
 

Compare All Plans Side-by-Side

Individual & Family Plans Benefit Highlights

Rates

Individual & Family Plans Rate - San Francisco County

Individual & Family Plans Rate - Northern San Mateo County

Provider Directory

Formulary

There are four tiers in the drug formulary. Depending on the plan you have, there may be two tiers or four tiers. Tiers include the types of drugs that are covered. Please refer to your Evidence of Coverage and Disclosure Form for details.

  • Tier 1 - Generic Drugs
  • Tier 2 - Preferred Brand Drugs
  • Tier 3 - Non-preferred Brand Drugs
  • Tier 4 - Specialty Drugs

Delta Dental Benefits Information (For Off-Exchange Only)

Pediatric Dental(Age 0-18) EOC

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