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PPO Plans

Prior Plan Approval (PPA) is required on all Plans for certain services regardless of whether the provider is participating or non-participating. Members are not required to select a PCP for any benefit plan offered by CHA Health, but it is recommended. PPO Plans The PrimeCare Silver Plan, our PPO option, provides members with two benefit levels: in-network (higher benefit level) and out-of-network (lower benefit level). Members can receive the higher benefit level by using CHA Health Participating providers. The lower benefit level is provided when the member goes to a provider who is not participating with CHA Health. Out-of-network benefits require the member to pay substantially more, including deductible, coinsurance and any amount above the eligible expense. Members can refer to their Certificate of Coverage (COC) for further details. Product Grids: Small Group (2-50) | Large Group (50+)