Community Health Plan of Washington Cascade Select Silver

Community Health Plan of Washington · 2027 plan year

Silver

Ind. deductible: $550
Family deductible: $1,100
Ind. OOP max: $4,000
Family OOP max: $8,000

Other cost-sharing reduction variants for this plan:

73% AV Level Silver Plan 94% AV Level Silver Plan Limited Cost Sharing Plan Variation Standard Silver Off Exchange Plan Standard Silver On Exchange Plan Zero Cost Sharing Plan Variation

More Community Health Plan of Washington plans in WA

Community Health Plan of Washington Cascade Select Complete Gold Community Health Plan of Washington Cascade Select Bronze Community Health Plan of Washington Cascade Select Vital Gold

Live premium estimate

Benefits & cost sharing

Primary Care

Benefit	In-network
Preventive Care/Screening/Immunization	No charge
Primary Care Visit to Treat an Injury or Illness	$5.00

Specialist

Benefit	In-network
Specialist Visit	$20.00

Hospital

Benefit	In-network
Emergency Room Services	$425.00 Copay after deductible
Inpatient Hospital Services (e.g., Hospital Stay)	$425.00 Copay per Day after deductible
Outpatient Surgery Physician/Surgical Services	$120.00 Copay after deductible
Urgent Care Centers or Facilities	$30.00

Pharmacy

Benefit	In-network
Generic Drugs	$10.00
Non-Preferred Brand Drugs	$160.00
Preferred Brand Drugs	$35.00
Specialty Drugs	$160.00

Mental Health

Benefit	In-network
Mental/Behavioral Health Inpatient Services	$425.00 Copay per Day after deductible
Mental/Behavioral Health Outpatient Services	$5.00

Other

Benefit	In-network
Habilitation Services	$20.00
Hearing Aids	20.00%
Hearing Exams	$5.00
Home Health Care Services	$10.00
Hospice Services	$10.00
Abortion for Which Public Funding is Prohibited	No charge
Acupuncture	$5.00
Allergy Testing	$20.00
Chemotherapy	20.00% Coinsurance after deductible
Chiropractic Care	$5.00
Cosmetic Surgery	$425.00 Copay after deductible
Delivery and All Inpatient Services for Maternity Care	$425.00 Copay after deductible
Dental Anesthesia	20.00% Coinsurance after deductible
Diabetes Care Management	No charge
Diabetes Education	No charge
Dialysis	20.00% Coinsurance after deductible
Durable Medical Equipment	20.00% Coinsurance after deductible
Emergency Transportation/Ambulance	$175.00
Eye Glasses for Children	No charge
Gender Affirming Care	$5.00
Imaging (CT/PET Scans, MRIs)	20.00% Coinsurance after deductible
Infertility Treatment	20.00% Coinsurance after deductible
Infusion Therapy	$20.00
Inherited Metabolic Disorder - PKU	20.00% Coinsurance after deductible
Inpatient Physician and Surgical Services	No Charge after deductible
Laboratory Outpatient and Professional Services	$20.00
Nutritional Counseling	No charge
Other Practitioner Office Visit (Nurse, Physician Assistant)	$5.00
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)	$325.00 Copay after deductible
Outpatient Rehabilitation Services	$20.00
Prenatal and Postnatal Care	No charge
Prosthetic Devices	20.00% Coinsurance after deductible
Radiation	20.00% Coinsurance after deductible
Reconstructive Surgery	$425.00 Copay after deductible
Rehabilitative Occupational and Rehabilitative Physical Therapy	$20.00
Rehabilitative Speech Therapy	$20.00
Routine Eye Exam for Children	No charge
Routine Foot Care	No charge
Skilled Nursing Facility	$425.00 Copay per Day after deductible
Substance Abuse Disorder Inpatient Services	$425.00 Copay per Day after deductible
Substance Abuse Disorder Outpatient Services	$5.00
Transplant	$425.00 Copay after deductible
Treatment for Temporomandibular Joint Disorders	20.00% Coinsurance after deductible
Well Baby Visits and Care	No charge
X-rays and Diagnostic Imaging	$30.00

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