Wisconsin health plan · 2025

Chorus Bronze HDHP · 14630WI0010005

Chorus Community Health Plans offers this marketplace health insurance plan (Plan ID 14630WI0010005) so you can compare premiums, coverage levels, and provider access against other health plan insurance options. Use the modules below to decide whether this is the best health insurance plan for your household or if another insurance health plan fits better.

Metal level: Expanded Bronze Plan type: EPO CSR: Standard Bronze On Exchange Plan Issuer: Chorus Community Health Plans
Telehealth Data pending HSA eligible Yes Dental Not listed Vision Child

CMS AV Calculator output: 61.46% (38.54% member share on average). Learn about AV methodology.

2025 cost summary

Key premiums & cost sharing

Rates mirror the latest CMS import (Tue, 02 Dec 2025 06:13 GMT). Personalize costs with your ZIP, age, and subsidies in the plan finder.

Monthly premium

$286 – $1258

Before subsidies

Estimate after subsidies

Deductible

$8,250

$16500 per group

See deductible details

Max out-of-pocket

$8,250

$16500 per group

Review MOOP rules

Office visits

Primary care 0.00% Coinsurance after deductible
Specialist 0.00% Coinsurance after deductible
HSA Eligible

Drug tiers

Generic 0.00% Coinsurance after deductible
Preferred brand 0.00% Coinsurance after deductible

View formulary tiers

$420 / mo before subsidies

≈ $5038 per year before tax credits.

Start with this unsubsidized premium, then apply marketplace tax credits to see your final monthly payment.

  • Ideal for shoppers comparing Bronze vs. Silver budgets.
  • Update your Marketplace application to apply premium tax credits.

$1310 / mo before subsidies

≈ $15723 per year before tax credits.

Pre-subsidy rate for a couple with one dependent. Switch to Silver CSR plans if you qualify to reduce these numbers.

  • Compares well against PPO vs HMO networks when planning for childcare and telehealth needs.
  • CSR savings require a Silver variant. Use the plan finder to load Silver options if you need lower deductibles.

$1571 / mo before subsidies

≈ $18852 per year before tax credits.

Pairs with cost-sharing reductions (CSR) when you select a Silver tier and qualify based on income.

  • Use this estimate before adding childcare, dental, or vision extras.
  • CSR Silver variants can lower deductibles dramatically for eligible incomes.
  • CSR savings require a Silver variant. Use the plan finder to load Silver options if you need lower deductibles.

$1024 / mo before subsidies

≈ $12287 per year before tax credits.

Shows the combined pre-subsidy rate for two adults. Add dependents or subsidies in your application to refine it.

  • Great for households deciding between PPO and HMO networks.
  • Telehealth and HSA perks (when offered) apply to both members.
Issuer profile See benefits

Preventive Care/Screening/Immunization

No Charge, No Charge

Emergency Room Services

0.00% Coinsurance after deductible

Durable Medical Equipment

0.00% Coinsurance after deductible

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Enrollment guidance

Stay on top of 2025 ACA deadlines

Open Enrollment window

Marketplace enrollment for 2025 coverage typically runs Nov 1 – Jan 15 (dates may vary slightly in Wisconsin). Submit changes before the deadline to avoid a coverage gap.

  • Enroll by Dec 15 for Jan 1 starts.
  • Finalize plan switches before the window closes.

Special Enrollment Periods

You can change plans mid-year if you experience a qualifying life event (move, childbirth, marriage, loss of other coverage).

  • Report the event within 60 days.
  • Keep documentation handy for Healthcare.gov or your state exchange.

CSR & subsidy reminders

Premium tax credits and cost-sharing reductions (CSR) update annually when you re-submit your marketplace application.

  • Enter accurate income to maximize Advanced Premium Tax Credits.
  • Standard Bronze On Exchange Plan plans like this one keep deductibles and copays lower if you qualify.

Thinking about switching?

Before you leave your current plan, compare networks, drug coverage, and total cost using the cards on this page.

  • Match provider networks so ongoing care isn’t disrupted.
  • Confirm prescriptions stay on-formulary or budget for tier changes.

Top covered benefits

How this plan handles key care scenarios

Preventive Care/Screening/Immunization

No Charge, No Charge

Emergency Room Services

0.00% Coinsurance after deductible

Durable Medical Equipment

0.00% Coinsurance after deductible

Premium snapshot

Plan identifiers & filings

Track the official identifiers, documents, and filing dates tied to this plan. Open the marketing or formulary links whenever you need the latest PDF from the issuer.

Plan ID 14630WI0010005
Coverage year 2025
State Wisconsin
Issuer Chorus Community Health Plans
Formulary document Download formulary
Marketing materials View marketing kit
Variant ID 14630WI0010005-01
Available variants

Standard Off Exchange Plan · 14630WI0010005-00

Standard On Exchange Plan · 14630WI0010005-01

Open to Indians below 300% FPL · 14630WI0010005-02

Open to Indians above 300% FPL · 14630WI0010005-03

Last plan update Thu, 07 Nov 2024 00:00 GMT
Last HealthPorta import Tue, 02 Dec 2025 06:13 GMT

Network stats

Provider access snapshot

Review the network branding plus the number of in-network clinicians we track from issuer filings. Counts update with each CMS import (Tue, 02 Dec 2025 06:13 GMT).

All providers in Wisconsin 10077
PCPs in Wisconsin 1382
Telehealth support Data pending
Nationwide providers 71599
10,077 doctors statewide 1,382 PCPs 56 OB/GYN
Providers Wisconsin All US states
All 10077 71599
PCP 1382 1478
Allergy 4 4
OB/GYN 56 59
Dentists 77 92

Drug coverage overview

4,636 drugs tracked

Inspect tier distribution plus authorization, step therapy, and quantity-limit counts sourced from HealthPorta’s formulary import.

Tier Covered drugs
NON-PREFERRED-BRAND 1,697
PREFERRED-GENERIC 1,682
PREFERRED-SPECIALTY-DRUGS 1,257
Prior authorization Drugs
Required 1,684
Not Required 2,952
Step therapy Drugs
Required 107
Not Required 4,529
Quantity limits Drugs
Has Limit 2,218
No Limit 2,418

Customer highlights

What stands out for members

  • Issuer: Chorus Community Health Plans · Plan ID 14630WI0010005 · 2025 filing.
  • Disease management programs available: Asthma, Depression, Diabetes, Pregnancy.
  • Download the latest formulary directly from the issuer here.
  • Review marketing brochures and SBC PDFs via the issuer marketing repository.
  • Variant 14630WI0010005-01 (Standard On Exchange Plan) currently displayed.
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Benefits

Covered services & limitations

Everyday care

Office visits, preventive care, labs, imaging, and home health.

Chiropractic Care

0.00% Coinsurance after deductible

Diabetes Education

0.00% Coinsurance after deductible

Home Health Care Services

0.00% Coinsurance after deductible

Laboratory Outpatient and Professional Services

0.00% Coinsurance after deductible

Other Practitioner Office Visit (Nurse, Physician Assistant)

0.00% Coinsurance after deductible

Preventive Care/Screening/Immunization

No Charge, No Charge

Primary Care Visit to Treat an Injury or Illness

0.00% Coinsurance after deductible

Rehabilitative Occupational and Rehabilitative Physical Therapy

0.00% Coinsurance after deductible

Rehabilitative Speech Therapy

0.00% Coinsurance after deductible

Specialist Visit

0.00% Coinsurance after deductible

Urgent Care Centers or Facilities

0.00% Coinsurance after deductible

X-rays and Diagnostic Imaging

0.00% Coinsurance after deductible

Hospital & urgent

Emergency room, inpatient stays, ambulance, and surgeries.

Chemotherapy

0.00% Coinsurance after deductible

Delivery and All Inpatient Services for Maternity Care

0.00% Coinsurance after deductible

Dialysis

0.00% Coinsurance after deductible

Durable Medical Equipment

0.00% Coinsurance after deductible

Emergency Room Services

0.00% Coinsurance after deductible

Emergency Transportation/Ambulance

0.00% Coinsurance after deductible

Hospice Services

0.00% Coinsurance after deductible

Inpatient Hospital Services (e.g., Hospital Stay)

0.00% Coinsurance after deductible

Inpatient Physician and Surgical Services

0.00% Coinsurance after deductible

Mental/Behavioral Health Inpatient Services

0.00% Coinsurance after deductible

Mental/Behavioral Health Outpatient Services

0.00% Coinsurance after deductible

Outpatient Facility Fee (e.g., Ambulatory Surgery Center)

0.00% Coinsurance after deductible

Outpatient Rehabilitation Services

0.00% Coinsurance after deductible

Outpatient Surgery Physician/Surgical Services

0.00% Coinsurance after deductible

Radiation

0.00% Coinsurance after deductible

Skilled Nursing Facility

0.00% Coinsurance after deductible

Substance Abuse Disorder Inpatient Services

0.00% Coinsurance after deductible

Substance Abuse Disorder Outpatient Services

0.00% Coinsurance after deductible

Transplant

0.00% Coinsurance after deductible

Pregnancy & family

Maternity, newborn, pediatric dental and vision extras.

Basic Dental Care - Child

Coverage details pending

Hearing Aids

0.00% Coinsurance after deductible

Major Dental Care - Child

Coverage details pending

Prenatal and Postnatal Care

0.00% Coinsurance after deductible

Routine Eye Exam for Children

No Charge, No Charge

Well Baby Visits and Care

No Charge, No Charge

Pharmacy & drugs

Generic, brand, specialty, and mail order tiers.

Generic Drugs

0.00% Coinsurance after deductible

Non-Preferred Brand Drugs

0.00% Coinsurance after deductible

Preferred Brand Drugs

0.00% Coinsurance after deductible

Specialty Drugs

0.00% Coinsurance after deductible

Wellness & extras

Vision, dental, therapies, prosthetics, weight management.

Accidental Dental

0.00% Coinsurance after deductible

Basic Dental Care - Adult

Coverage details pending

Dental Check-Up for Children

Coverage details pending

Infusion Therapy

0.00% Coinsurance after deductible

Major Dental Care - Adult

Coverage details pending

Nutritional Counseling

Coverage details pending

Orthodontia - Adult

Coverage details pending

Orthodontia - Child

Coverage details pending

Prosthetic Devices

0.00% Coinsurance after deductible

Routine Dental Services (Adult)

Coverage details pending

Weight Loss Programs

Coverage details pending

Additional benefits

Other plan-specific services and limitations.

Abortion for Which Public Funding is Prohibited

Coverage details pending

Acupuncture

Coverage details pending

Allergy Testing

Coverage details pending

Bariatric Surgery

Coverage details pending

Cosmetic Surgery

Coverage details pending

Eye Glasses for Children

0.00% Coinsurance after deductible

Gender Affirming Care

0.00% Coinsurance after deductible

Habilitation Services

0.00% Coinsurance after deductible

Imaging (CT/PET Scans, MRIs)

0.00% Coinsurance after deductible

Infertility Treatment

Coverage details pending

Long-Term/Custodial Nursing Home Care

Coverage details pending

Private-Duty Nursing

Coverage details pending

Reconstructive Surgery

0.00% Coinsurance after deductible

Routine Eye Exam (Adult)

Coverage details pending

Routine Foot Care

Coverage details pending

Treatment for Temporomandibular Joint Disorders

0.00% Coinsurance after deductible

Variant attributes

Chorus Bronze HDHP · Variant 14630WI0010005-01

Plan identifiers & tier

Issuer-provided metadata for this variant.

Business Year

2025

CSR Variation Type

Standard Bronze On Exchange Plan

HIOS Product ID

14630WI001

Metal Level

Expanded Bronze

Plan ID (Standard Component ID with Variant)

14630WI0010005-01

Plan Marketing Name

Chorus Bronze HDHP

Plan Variant Marketing Name

Chorus Bronze HDHP

Issuer & service area

Issuer-provided metadata for this variant.

Issuer ID

14630

Issuer Marketplace Marketing Name

Chorus Community Health Plans

Market Coverage

Individual

Multiple In Network Tiers

No

National Network

No

Network ID

WIN001

Out of Country Coverage

Yes

Out of Country Coverage Description

Emergency

Out of Service Area Coverage

Yes

Out of Service Area Coverage Description

Emergency

Service Area ID

WIS001

State Code

WI

URL for Summary of Benefits & Coverage

Open link

Cost sharing & actuarial values

Issuer-provided metadata for this variant.

AV Calculator Output Number

0.614589730786788

Begin Primary Care Deductible Coinsurance After Number Of Copays

0

Inpatient Copayment Maximum Days

0

Medical Drug Deductibles Integrated

Yes

Medical Drug Maximum Out of Pocket Integrated

Yes

SBC Scenario, Having a Baby, Coinsurance

$0

SBC Scenario, Having a Baby, Copayment

$0

SBC Scenario, Having a Baby, Deductible

$8,250

SBC Scenario, Having Diabetes, Coinsurance

$0

SBC Scenario, Having Diabetes, Copayment

$0

SBC Scenario, Having Diabetes, Deductible

$2,300

SBC Scenario, Treatment of a Simple Fracture, Coinsurance

$0

SBC Scenario, Treatment of a Simple Fracture, Copayment

$0

SBC Scenario, Treatment of a Simple Fracture, Deductible

$2,800

Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Combined In/Out Network, Family Per Group

per group not applicable

Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Combined In/Out Network, Family Per Person

per person not applicable

Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Combined In/Out Network, Individual

Not Applicable

Combined Medical and Drug EHB Deductible, In Network (Tier 1), Default Coinsurance

0.00%

Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), In Network (Tier 1), Family Per Group

$16500 per group

Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), In Network (Tier 1), Family Per Person

$8250 per person

Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), In Network (Tier 1), Individual

$8,250

Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Out of Network, Family Per Group

per group not applicable

Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Out of Network, Family Per Person

per person not applicable

Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Out of Network, Individual

Not Applicable

Enrollment & documents

Issuer-provided metadata for this variant.

Formulary ID

WIF001

Formulary URL

Open link

Plan Brochure

Open link

SBC Scenario, Having a Baby, Limit

$60

SBC Scenario, Having Diabetes, Limit

$20

SBC Scenario, Treatment of a Simple Fracture, Limit

$0

URL for Enrollment Payment

Open link

Additional attributes

Issuer-provided metadata for this variant.

Begin Primary Care Cost-Sharing After Number Of Visits

0

Child-Only Offering

Allows Adult and Child-Only

Composite Rating Offered

No

Dental Only Plan

No

Design Type

Not Applicable

Disease Management Programs Offered

Asthma, Depression, Diabetes, Pregnancy

EHB Percent of Total Premium

1.0

First Tier Utilization

100%

Import Date

2024-11-07 00:02:00

Limited Cost Sharing Plan Variation - Estimated Advanced Payment

$0.00

HSA Eligible

Yes

New/Existing Plan

Existing

Notice Required for Pregnancy

No

Is a Referral Required for Specialist?

No

Plan Effective Date

2025-01-01

Plan Expiration Date

2025-12-31

Plan Type

EPO

QHP/Non QHP

Both

Source Name

HIOS

Plan ID

14630WI0010005

Combined Medical and Drug EHB Deductible, Combined In/Out of Network, Family Per Group

per group not applicable

Combined Medical and Drug EHB Deductible, Combined In/Out of Network, Family Per Person

per person not applicable

Combined Medical and Drug EHB Deductible, Combined In/Out of Network, Individual

Not Applicable

Combined Medical and Drug EHB Deductible, In Network (Tier 1), Family Per Group

$16500 per group

Combined Medical and Drug EHB Deductible, In Network (Tier 1), Family Per Person

$8250 per person

Combined Medical and Drug EHB Deductible, In Network (Tier 1), Individual

$8,250

Combined Medical and Drug EHB Deductible, Out of Network, Family Per Group

per group not applicable

Combined Medical and Drug EHB Deductible, Out of Network, Family Per Person

per person not applicable

Combined Medical and Drug EHB Deductible, Out of Network, Individual

Not Applicable

Unique Plan Design

No

Wellness Program Offered

Yes

Copay & coinsurance

Pharmacy cost sharing by tier

Drug tier Pharmacy type Copay amount Copay option Coinsurance rate Coinsurance option Mail order

Questions & answers

Frequently asked questions

How do I choose the right ACA plan in Wisconsin?

Chorus Bronze HDHP (14630WI0010005) is a Expanded Bronze EPO from Chorus Community Health Plans in Wisconsin for the 2025 coverage year.

Compare it against other options with the HealthPorta plan finder to confirm premiums, deductibles, and network access fit your household.

Does Chorus Bronze HDHP support telehealth or virtual urgent care?

The issuer has not published telehealth details yet. Review the Summary of Benefits and Coverage to confirm if virtual visits are included.

Is Chorus Bronze HDHP HSA-eligible and does it include dental or vision coverage?

It is HSA-eligible, so you can pair it with a Health Savings Account to lower taxes.

Dental coverage is not listed for this plan.

Vision add-ons: Child.

Does Chorus Bronze HDHP support mail-order prescriptions?

Mail order coverage is not listed for this plan, so confirm with the issuer before relying on home delivery.

Which disease management programs come with Chorus Bronze HDHP?

The issuer lists disease management resources for: Asthma, Depression, Diabetes, Pregnancy.

Is there out-of-country coverage for Chorus Bronze HDHP?

Yes, limited out-of-country coverage is available. Review the Summary of Benefits for reimbursement steps. Details: Emergency

Does Chorus Bronze HDHP cover care outside the service area?

Yes, you have limited out-of-area coverage. See the plan documents for referral and prior authorization rules. Details: Emergency

Disclaimer: Based on the Tue, 02 Dec 2025 06:13 GMT HealthPorta import from CMS issuer filings. Data is best-effort and should be validated with the issuer directly. Sources: CMS.gov and the HealthPorta Healthcare MRF API.
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