Community - KelseyCare powered by Community Health Choice HMO 006

Texas, 2017

  • Plan Type

    HMO

  • Metal Tier

    Gold

  • Out of Pocket Maximum

    $5,000

  • Deductible

    $0

Enroll Now
{"state":{"code":"TX","name":"Texas","fips":48,"exchangeName":["Healthcare.gov"],"exchangeUrl":["http:\/\/www.healthcare.gov"],"exchangeType":["Federal"]},"year":"2017","plan":{"name":"Community - KelseyCare powered by Community Health Choice HMO 006","planType":"HMO","tier":"Gold","oopm":"5000.00","deductible":"0.00","redirectUrl":"https:\/\/www.healthcare.gov"},"phoneNum":"8558665590"}

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

{"onCurrent":true}

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) $0
Deductible (Family) $0
Coinsurance Not applicable
Out of Pocket Maximum (Individual) $5,000
Out of Pocket Maximum (Family) $10,000

Doctor Visits

Primary Care Visit Data Not Available
Specialist Visit Data Not Available
Inpatient Facility $400 Copay per day
Inpatient Physician Data Not Available
Emergency Room Services Data Not Available

Tests and Imaging

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

Health Management Programs

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

Other

Mental / Behavioral Health Inpatient $400 Copay per day
Mental / Behavioral Health Outpatient Data Not Available
Rehabilitative Speech Therapy Data Not Available
Rehabilitative Occupational & Physical Therapy Data Not Available
Outpatient Facility Data Not Available
Outpatient Surgery Data Not Available

Prescription Drugs

Generic Rx Data Not Available
Preferred Brand Rx Data Not Available
Non Preferred Brand Rx Data Not Available
Specialty Drugs

Other Plans in Texas

Plan Community Health Choice HMO Gold 005 Deductible $500 Coinsurance Not applicable Out of Pocket $5,000
Plan Community Health Choice HMO Bronze 003 Deductible $5,000 Coinsurance Not applicable Out of Pocket $7,150
Plan Community Health Choice HMO Silver 002 Deductible $0 Coinsurance Not applicable Out of Pocket $7,150
Plan Community Health Choice HMO Silver 004 Deductible $1,500 Coinsurance Not applicable Out of Pocket $7,150
Plan Community Health Choice HMO Gold 001 Deductible $0 Coinsurance Not applicable Out of Pocket $5,000
Plan KelseyCare powered by Community Health Choice HMO 007 Deductible $0 Coinsurance Not applicable Out of Pocket $7,150
{"onCurrent":true,"type":"tools"}

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) $0
Deductible (Family) $0
Coinsurance Not applicable
Out of Pocket Maximum (Individual) $5,000
Out of Pocket Maximum (Family) $10,000

Doctor Visits

Primary Care Visit Data Not Available
Specialist Visit Data Not Available
Inpatient Facility $400 Copay per day
Inpatient Physician Data Not Available
Emergency Room Services Data Not Available

Tests and Imaging

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

Health Management Programs

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

Other

Mental / Behavioral Health Inpatient $400 Copay per day
Mental / Behavioral Health Outpatient Data Not Available
Rehabilitative Speech Therapy Data Not Available
Rehabilitative Occupational & Physical Therapy Data Not Available
Outpatient Facility Data Not Available
Outpatient Surgery Data Not Available

Prescription Drugs

Generic Rx Data Not Available
Preferred Brand Rx Data Not Available
Non Preferred Brand Rx Data Not Available
Specialty Drugs

Other Plans in Texas

Plan Community Health Choice HMO Gold 005 Deductible $500 Coinsurance Not applicable Out of Pocket $5,000
Plan Community Health Choice HMO Bronze 003 Deductible $5,000 Coinsurance Not applicable Out of Pocket $7,150
Plan Community Health Choice HMO Silver 002 Deductible $0 Coinsurance Not applicable Out of Pocket $7,150
Plan Community Health Choice HMO Silver 004 Deductible $1,500 Coinsurance Not applicable Out of Pocket $7,150
Plan Community Health Choice HMO Gold 001 Deductible $0 Coinsurance Not applicable Out of Pocket $5,000
Plan KelseyCare powered by Community Health Choice HMO 007 Deductible $0 Coinsurance Not applicable Out of Pocket $7,150