CHRISTUS - CHP TX Bronze

Texas, 2017

  • Plan Type

    HMO

  • Metal Tier

    Bronze

  • Out of Pocket Maximum

    $6,850

  • Deductible

    $6,650

Enroll Now
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Call (855) 866-5590 to speak with a licensed agent about a new health plan.

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Cost Sharing Benefits (In Network)

Policyholders are generally responsible for 100% of costs until the deductible amount is met. After the deductible has been met the policyholder is responsible for the coinsurance / copay until the out of pocket maximum is reached at which point the insurance company assumes 100% of all costs.

Deductible (Individual) $6,650
Deductible (Family) $13,300
Coinsurance Not applicable
Out of Pocket Maximum (Individual) $6,850
Out of Pocket Maximum (Family) $13,700

Doctor Visits

Primary Care Visit Data Not Available
Specialist Visit $60 Copay before deductible
Inpatient Facility $1150 Copay per stay before deductible
Inpatient Physician $1150 Copay before deductible
Emergency Room Services $350 Copay before deductible

Tests and Imaging

Imaging (CT/PET Scans, MRIs) $400 Copay before deductible
Laboratory Outpatient and Professional Services Data Not Available
X-Ray and Diagnostic Imaging Data Not Available

Health Management Programs

Asthma Not available
Depression Not available
Diabetes Available
Heart Disease Not available
High Blood Pressure / High Cholesterol Not available
Lower Back Pain Not available
Pain Management Not available
Pregnancy Not available
Weight Loss Not available

Other

Mental / Behavioral Health Inpatient $1150 Copay per stay before deductible
Mental / Behavioral Health Outpatient $60 Copay before deductible
Rehabilitative Speech Therapy $60 Copay before deductible
Rehabilitative Occupational & Physical Therapy $60 Copay before deductible
Outpatient Facility 50% Coinsurance after deductible
Outpatient Surgery 50% Coinsurance after deductible

Prescription Drugs

Generic Rx $25 Copay before deductible
Preferred Brand Rx $80 Copay before deductible
Non Preferred Brand Rx 65% Coinsurance after deductible
Specialty Drugs 65% Coinsurance after deductible

Other Plans in Texas

Plan CHP TX Bronze Deductible $6,650 Coinsurance Not applicable Out of Pocket $6,850
Plan CHP TX Catastrophic Deductible $7,150 Coinsurance Not applicable Out of Pocket $7,150
Plan CHP TX Catastrophic Deductible $7,150 Coinsurance Not applicable Out of Pocket $7,150
Plan CHP TX Gold Deductible $2,000 Coinsurance Not applicable Out of Pocket $3,500
Plan CHP TX Silver LD Deductible $3,800 Coinsurance Not applicable Out of Pocket $6,750
Plan CHP TX Silver HD Deductible $5,000 Coinsurance Not applicable Out of Pocket $6,850
Plan CHP TX Gold Deductible $2,000 Coinsurance Not applicable Out of Pocket $3,500
Plan CHP TX Gold Deductible $2,000 Coinsurance Not applicable Out of Pocket $3,500
Plan CHP TX Silver LD Deductible $3,800 Coinsurance Not applicable Out of Pocket $6,750
Plan CHP TX Silver HD Deductible $5,000 Coinsurance Not applicable Out of Pocket $6,850
Plan CHP TX Gold Deductible $2,000 Coinsurance Not applicable Out of Pocket $3,500
Plan CHP TX Bronze Deductible $6,650 Coinsurance Not applicable Out of Pocket $6,850
Plan CHP TX Catastrophic Deductible $7,150 Coinsurance Not applicable Out of Pocket $7,150
Plan CHP TX Catastrophic Deductible $7,150 Coinsurance Not applicable Out of Pocket $7,150
Plan CHP TX Catastrophic Deductible $7,150 Coinsurance Not applicable Out of Pocket $7,150
Plan CHP TX Bronze Deductible $6,650 Coinsurance Not applicable Out of Pocket $6,850
Plan CHP TX Bronze Deductible $6,650 Coinsurance Not applicable Out of Pocket $6,850
Plan CHP TX Silver LD Deductible $3,800 Coinsurance Not applicable Out of Pocket $6,750
Plan CHP TX Gold Deductible $2,000 Coinsurance Not applicable Out of Pocket $3,500
Plan CHP TX Silver HD Deductible $5,000 Coinsurance Not applicable Out of Pocket $6,850
Plan CHP TX Silver HD Deductible $5,000 Coinsurance Not applicable Out of Pocket $6,850
Plan CHP TX Silver LD Deductible $3,800 Coinsurance Not applicable Out of Pocket $6,750
Plan CHP TX Silver LD Deductible $3,800 Coinsurance Not applicable Out of Pocket $6,750
Plan CHP TX Gold Deductible $2,000 Coinsurance Not applicable Out of Pocket $3,500
Plan CHP TX Silver HD Deductible $5,000 Coinsurance Not applicable Out of Pocket $6,850
Plan CHP TX Silver HD Deductible $5,000 Coinsurance Not applicable Out of Pocket $6,850
Plan CHP TX Silver LD Deductible $3,800 Coinsurance Not applicable Out of Pocket $6,750
Plan CHP TX Catastrophic Deductible $7,150 Coinsurance Not applicable Out of Pocket $7,150
Plan CHP TX Bronze Deductible $6,650 Coinsurance Not applicable Out of Pocket $6,850
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Cost Sharing Benefits (In Network)

Policyholders are generally responsible for 100% of costs until the deductible amount is met. After the deductible has been met the policyholder is responsible for the coinsurance / copay until the out of pocket maximum is reached at which point the insurance company assumes 100% of all costs.

Deductible (Individual) $6,650
Deductible (Family) $13,300
Coinsurance Not applicable
Out of Pocket Maximum (Individual) $6,850
Out of Pocket Maximum (Family) $13,700

Doctor Visits

Primary Care Visit Data Not Available
Specialist Visit $60 Copay before deductible
Inpatient Facility $1150 Copay per stay before deductible
Inpatient Physician $1150 Copay before deductible
Emergency Room Services $350 Copay before deductible

Tests and Imaging

Imaging (CT/PET Scans, MRIs) $400 Copay before deductible
Laboratory Outpatient and Professional Services Data Not Available
X-Ray and Diagnostic Imaging Data Not Available

Health Management Programs

Asthma Not available
Depression Not available
Diabetes Available
Heart Disease Not available
High Blood Pressure / High Cholesterol Not available
Lower Back Pain Not available
Pain Management Not available
Pregnancy Not available
Weight Loss Not available

Other

Mental / Behavioral Health Inpatient $1150 Copay per stay before deductible
Mental / Behavioral Health Outpatient $60 Copay before deductible
Rehabilitative Speech Therapy $60 Copay before deductible
Rehabilitative Occupational & Physical Therapy $60 Copay before deductible
Outpatient Facility 50% Coinsurance after deductible
Outpatient Surgery 50% Coinsurance after deductible

Prescription Drugs

Generic Rx $25 Copay before deductible
Preferred Brand Rx $80 Copay before deductible
Non Preferred Brand Rx 65% Coinsurance after deductible
Specialty Drugs 65% Coinsurance after deductible

Other Plans in Texas

Plan CHP TX Bronze Deductible $6,650 Coinsurance Not applicable Out of Pocket $6,850
Plan CHP TX Catastrophic Deductible $7,150 Coinsurance Not applicable Out of Pocket $7,150
Plan CHP TX Catastrophic Deductible $7,150 Coinsurance Not applicable Out of Pocket $7,150
Plan CHP TX Gold Deductible $2,000 Coinsurance Not applicable Out of Pocket $3,500
Plan CHP TX Silver LD Deductible $3,800 Coinsurance Not applicable Out of Pocket $6,750
Plan CHP TX Silver HD Deductible $5,000 Coinsurance Not applicable Out of Pocket $6,850
Plan CHP TX Gold Deductible $2,000 Coinsurance Not applicable Out of Pocket $3,500
Plan CHP TX Gold Deductible $2,000 Coinsurance Not applicable Out of Pocket $3,500
Plan CHP TX Silver LD Deductible $3,800 Coinsurance Not applicable Out of Pocket $6,750
Plan CHP TX Silver HD Deductible $5,000 Coinsurance Not applicable Out of Pocket $6,850
Plan CHP TX Gold Deductible $2,000 Coinsurance Not applicable Out of Pocket $3,500
Plan CHP TX Bronze Deductible $6,650 Coinsurance Not applicable Out of Pocket $6,850
Plan CHP TX Catastrophic Deductible $7,150 Coinsurance Not applicable Out of Pocket $7,150
Plan CHP TX Catastrophic Deductible $7,150 Coinsurance Not applicable Out of Pocket $7,150
Plan CHP TX Catastrophic Deductible $7,150 Coinsurance Not applicable Out of Pocket $7,150
Plan CHP TX Bronze Deductible $6,650 Coinsurance Not applicable Out of Pocket $6,850
Plan CHP TX Bronze Deductible $6,650 Coinsurance Not applicable Out of Pocket $6,850
Plan CHP TX Silver LD Deductible $3,800 Coinsurance Not applicable Out of Pocket $6,750
Plan CHP TX Gold Deductible $2,000 Coinsurance Not applicable Out of Pocket $3,500
Plan CHP TX Silver HD Deductible $5,000 Coinsurance Not applicable Out of Pocket $6,850
Plan CHP TX Silver HD Deductible $5,000 Coinsurance Not applicable Out of Pocket $6,850
Plan CHP TX Silver LD Deductible $3,800 Coinsurance Not applicable Out of Pocket $6,750
Plan CHP TX Silver LD Deductible $3,800 Coinsurance Not applicable Out of Pocket $6,750
Plan CHP TX Gold Deductible $2,000 Coinsurance Not applicable Out of Pocket $3,500
Plan CHP TX Silver HD Deductible $5,000 Coinsurance Not applicable Out of Pocket $6,850
Plan CHP TX Silver HD Deductible $5,000 Coinsurance Not applicable Out of Pocket $6,850
Plan CHP TX Silver LD Deductible $3,800 Coinsurance Not applicable Out of Pocket $6,750
Plan CHP TX Catastrophic Deductible $7,150 Coinsurance Not applicable Out of Pocket $7,150
Plan CHP TX Bronze Deductible $6,650 Coinsurance Not applicable Out of Pocket $6,850