CHRISTUS - CHP TX Gold

Texas, 2018

  • Plan Type

    HMO

  • Metal Tier

    Gold

  • Out of Pocket Maximum

    $4,150

  • Deductible

    $2,600

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) $2,600
Deductible (Family) $5,200
Coinsurance Not applicable
Out of Pocket Maximum (Individual) $4,150
Out of Pocket Maximum (Family) $8,300

Doctor Visits

Primary Care Visit Data Not Available
Specialist Visit Data Not Available
Inpatient Facility $150 Copay per stay after deductible
Inpatient Physician $150 Copay after deductible
Emergency Room Services $150 Copay after deductible

Tests and Imaging

Imaging (CT/PET Scans, MRIs) $100 Copay after 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 $150 Copay per stay after deductible
Mental / Behavioral Health Outpatient Data Not Available
Rehabilitative Speech Therapy $20 Copay after deductible
Rehabilitative Occupational & Physical Therapy $20 Copay after deductible
Outpatient Facility 15% Coinsurance after deductible
Outpatient Surgery 15% Coinsurance after deductible

Prescription Drugs

Generic Rx $4 Copay after deductible
Preferred Brand Rx $35 Copay after deductible
Non Preferred Brand Rx $75 Copay after deductible
Specialty Drugs 15% Coinsurance after deductible

Other Plans in Texas

Plan CHP TX Catastrophic Deductible $7,350 Coinsurance Not applicable Out of Pocket $7,350
Plan CHP TX Bronze Deductible $5,500 Coinsurance Not applicable Out of Pocket $7,350
Plan CHP TX Gold Deductible $2,600 Coinsurance Not applicable Out of Pocket $4,150
Plan CHP TX Silver HD Deductible $5,000 Coinsurance Not applicable Out of Pocket $6,000
Plan CHP TX Silver LD Deductible $3,000 Coinsurance Not applicable Out of Pocket $5,000
Plan CHP TX Silver HD Deductible $5,000 Coinsurance Not applicable Out of Pocket $6,000
Plan CHP TX Silver LD Deductible $3,000 Coinsurance Not applicable Out of Pocket $5,000
Plan CHP TX Gold Deductible $2,600 Coinsurance Not applicable Out of Pocket $4,150
Plan CHP TX Catastrophic Deductible $7,350 Coinsurance Not applicable Out of Pocket $7,350
Plan CHP TX Catastrophic Deductible $7,350 Coinsurance Not applicable Out of Pocket $7,350
Plan CHP TX Bronze Deductible $5,500 Coinsurance Not applicable Out of Pocket $7,350
Plan CHP TX Bronze Deductible $5,500 Coinsurance Not applicable Out of Pocket $7,350
Plan CHP TX Bronze Deductible $5,500 Coinsurance Not applicable Out of Pocket $7,350
Plan CHP TX Catastrophic Deductible $7,350 Coinsurance Not applicable Out of Pocket $7,350
Plan CHP TX Silver LD Deductible $3,000 Coinsurance Not applicable Out of Pocket $5,000
Plan CHP TX Silver HD Deductible $5,000 Coinsurance Not applicable Out of Pocket $6,000
Plan CHP TX Gold Deductible $2,600 Coinsurance Not applicable Out of Pocket $4,150
Plan CHP TX Silver LD Deductible $3,000 Coinsurance Not applicable Out of Pocket $5,000
Plan CHP TX Silver LD Deductible $3,000 Coinsurance Not applicable Out of Pocket $5,000
Plan CHP TX Silver HD Deductible $5,000 Coinsurance Not applicable Out of Pocket $6,000
Plan CHP TX Silver HD Deductible $5,000 Coinsurance Not applicable Out of Pocket $6,000
Plan CHP TX Gold Deductible $2,600 Coinsurance Not applicable Out of Pocket $4,150
Plan CHP TX Bronze Deductible $5,500 Coinsurance Not applicable Out of Pocket $7,350
Plan CHP TX Catastrophic Deductible $7,350 Coinsurance Not applicable Out of Pocket $7,350
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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) $2,600
Deductible (Family) $5,200
Coinsurance Not applicable
Out of Pocket Maximum (Individual) $4,150
Out of Pocket Maximum (Family) $8,300

Doctor Visits

Primary Care Visit Data Not Available
Specialist Visit Data Not Available
Inpatient Facility $150 Copay per stay after deductible
Inpatient Physician $150 Copay after deductible
Emergency Room Services $150 Copay after deductible

Tests and Imaging

Imaging (CT/PET Scans, MRIs) $100 Copay after 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 $150 Copay per stay after deductible
Mental / Behavioral Health Outpatient Data Not Available
Rehabilitative Speech Therapy $20 Copay after deductible
Rehabilitative Occupational & Physical Therapy $20 Copay after deductible
Outpatient Facility 15% Coinsurance after deductible
Outpatient Surgery 15% Coinsurance after deductible

Prescription Drugs

Generic Rx $4 Copay after deductible
Preferred Brand Rx $35 Copay after deductible
Non Preferred Brand Rx $75 Copay after deductible
Specialty Drugs 15% Coinsurance after deductible

Other Plans in Texas

Plan CHP TX Catastrophic Deductible $7,350 Coinsurance Not applicable Out of Pocket $7,350
Plan CHP TX Bronze Deductible $5,500 Coinsurance Not applicable Out of Pocket $7,350
Plan CHP TX Gold Deductible $2,600 Coinsurance Not applicable Out of Pocket $4,150
Plan CHP TX Silver HD Deductible $5,000 Coinsurance Not applicable Out of Pocket $6,000
Plan CHP TX Silver LD Deductible $3,000 Coinsurance Not applicable Out of Pocket $5,000
Plan CHP TX Silver HD Deductible $5,000 Coinsurance Not applicable Out of Pocket $6,000
Plan CHP TX Silver LD Deductible $3,000 Coinsurance Not applicable Out of Pocket $5,000
Plan CHP TX Gold Deductible $2,600 Coinsurance Not applicable Out of Pocket $4,150
Plan CHP TX Catastrophic Deductible $7,350 Coinsurance Not applicable Out of Pocket $7,350
Plan CHP TX Catastrophic Deductible $7,350 Coinsurance Not applicable Out of Pocket $7,350
Plan CHP TX Bronze Deductible $5,500 Coinsurance Not applicable Out of Pocket $7,350
Plan CHP TX Bronze Deductible $5,500 Coinsurance Not applicable Out of Pocket $7,350
Plan CHP TX Bronze Deductible $5,500 Coinsurance Not applicable Out of Pocket $7,350
Plan CHP TX Catastrophic Deductible $7,350 Coinsurance Not applicable Out of Pocket $7,350
Plan CHP TX Silver LD Deductible $3,000 Coinsurance Not applicable Out of Pocket $5,000
Plan CHP TX Silver HD Deductible $5,000 Coinsurance Not applicable Out of Pocket $6,000
Plan CHP TX Gold Deductible $2,600 Coinsurance Not applicable Out of Pocket $4,150
Plan CHP TX Silver LD Deductible $3,000 Coinsurance Not applicable Out of Pocket $5,000
Plan CHP TX Silver LD Deductible $3,000 Coinsurance Not applicable Out of Pocket $5,000
Plan CHP TX Silver HD Deductible $5,000 Coinsurance Not applicable Out of Pocket $6,000
Plan CHP TX Silver HD Deductible $5,000 Coinsurance Not applicable Out of Pocket $6,000
Plan CHP TX Gold Deductible $2,600 Coinsurance Not applicable Out of Pocket $4,150
Plan CHP TX Bronze Deductible $5,500 Coinsurance Not applicable Out of Pocket $7,350
Plan CHP TX Catastrophic Deductible $7,350 Coinsurance Not applicable Out of Pocket $7,350