CHRISTUS - CHP TX Bronze HSA

Texas, 2019

  • Plan Type

    HMO

  • Metal Tier

    Bronze

  • Out of Pocket Maximum

    $6,650

  • Deductible

    $6,000

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) $6,000
Deductible (Family) $12,000
Coinsurance Not applicable
Out of Pocket Maximum (Individual) $6,650
Out of Pocket Maximum (Family) $13,300

Doctor Visits

Primary Care Visit 40% Coinsurance after deductible
Specialist Visit 40% Coinsurance after deductible
Inpatient Facility 40% Coinsurance after deductible
Inpatient Physician 40% Coinsurance after deductible
Emergency Room Services 40% Coinsurance after deductible

Tests and Imaging

Imaging (CT/PET Scans, MRIs) 40% Coinsurance after deductible
Laboratory Outpatient and Professional Services 40% Coinsurance after deductible
X-Ray and Diagnostic Imaging 40% Coinsurance after deductible

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 40% Coinsurance after deductible
Mental / Behavioral Health Outpatient 40% Coinsurance after deductible
Rehabilitative Speech Therapy 40% Coinsurance after deductible
Rehabilitative Occupational & Physical Therapy 40% Coinsurance after deductible
Outpatient Facility 40% Coinsurance after deductible
Outpatient Surgery 40% Coinsurance after deductible

Prescription Drugs

Generic Rx 40% Coinsurance after deductible
Preferred Brand Rx 40% Coinsurance after deductible
Non Preferred Brand Rx 40% Coinsurance after deductible
Specialty Drugs 40% Coinsurance after deductible

Other Plans in Texas

Plan CHP TX Silver LD Deductible $3,000 Coinsurance Not applicable Out of Pocket $7,900
Plan CHP TX Gold Deductible $2,400 Coinsurance Not applicable Out of Pocket $7,900
Plan CHP TX Silver HD Deductible $5,200 Coinsurance Not applicable Out of Pocket $7,900
Plan CHP TX Silver HD Deductible $5,200 Coinsurance Not applicable Out of Pocket $7,900
Plan CHP TX Gold Deductible $2,400 Coinsurance Not applicable Out of Pocket $7,900
Plan CHP TX Catastrophic Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
Plan CHP TX Bronze HSA Deductible $6,000 Coinsurance Not applicable Out of Pocket $6,650
Plan CHP TX Bronze Deductible $5,500 Coinsurance Not applicable Out of Pocket $7,900
Plan CHP TX Catastrophic Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
Plan CHP TX Bronze HSA Deductible $6,000 Coinsurance Not applicable Out of Pocket $6,650
Plan CHP TX Bronze Deductible $5,500 Coinsurance Not applicable Out of Pocket $7,900
Plan CHP TX Bronze Deductible $5,500 Coinsurance Not applicable Out of Pocket $7,900
Plan CHP TX Bronze HSA Deductible $6,000 Coinsurance Not applicable Out of Pocket $6,650
Plan CHP TX Catastrophic Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
Plan CHP TX Silver LD Deductible $3,000 Coinsurance Not applicable Out of Pocket $7,900
Plan CHP TX Silver HD Deductible $5,200 Coinsurance Not applicable Out of Pocket $7,900
Plan CHP TX Gold Deductible $2,400 Coinsurance Not applicable Out of Pocket $7,900
Plan CHP TX Silver LD Deductible $3,000 Coinsurance Not applicable Out of Pocket $7,900
Plan CHP TX Gold Deductible $2,400 Coinsurance Not applicable Out of Pocket $7,900
Plan CHP TX Silver HD Deductible $5,200 Coinsurance Not applicable Out of Pocket $7,900
Plan CHP TX Silver LD Deductible $3,000 Coinsurance Not applicable Out of Pocket $7,900
Plan CHP TX Silver HD Deductible $5,200 Coinsurance Not applicable Out of Pocket $7,900
Plan CHP TX Gold Deductible $2,400 Coinsurance Not applicable Out of Pocket $7,900
Plan CHP TX Catastrophic Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
Plan CHP TX Catastrophic Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
Plan CHP TX Bronze Deductible $5,500 Coinsurance Not applicable Out of Pocket $7,900
Plan CHP TX Bronze HSA Deductible $6,000 Coinsurance Not applicable Out of Pocket $6,650
Plan CHP TX Bronze Deductible $5,500 Coinsurance Not applicable Out of Pocket $7,900
Plan CHP TX Catastrophic Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
Plan CHP TX Bronze Deductible $5,500 Coinsurance Not applicable Out of Pocket $7,900
Plan CHP TX Bronze HSA Deductible $6,000 Coinsurance Not applicable Out of Pocket $6,650
Plan CHP TX Gold Deductible $2,400 Coinsurance Not applicable Out of Pocket $7,900
Plan CHP TX Silver HD Deductible $5,200 Coinsurance Not applicable Out of Pocket $7,900
Plan CHP TX Silver LD Deductible $3,000 Coinsurance Not applicable Out of Pocket $7,900
Plan CHP TX Silver LD Deductible $3,000 Coinsurance Not applicable Out of Pocket $7,900
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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) $6,000
Deductible (Family) $12,000
Coinsurance Not applicable
Out of Pocket Maximum (Individual) $6,650
Out of Pocket Maximum (Family) $13,300

Doctor Visits

Primary Care Visit 40% Coinsurance after deductible
Specialist Visit 40% Coinsurance after deductible
Inpatient Facility 40% Coinsurance after deductible
Inpatient Physician 40% Coinsurance after deductible
Emergency Room Services 40% Coinsurance after deductible

Tests and Imaging

Imaging (CT/PET Scans, MRIs) 40% Coinsurance after deductible
Laboratory Outpatient and Professional Services 40% Coinsurance after deductible
X-Ray and Diagnostic Imaging 40% Coinsurance after deductible

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 40% Coinsurance after deductible
Mental / Behavioral Health Outpatient 40% Coinsurance after deductible
Rehabilitative Speech Therapy 40% Coinsurance after deductible
Rehabilitative Occupational & Physical Therapy 40% Coinsurance after deductible
Outpatient Facility 40% Coinsurance after deductible
Outpatient Surgery 40% Coinsurance after deductible

Prescription Drugs

Generic Rx 40% Coinsurance after deductible
Preferred Brand Rx 40% Coinsurance after deductible
Non Preferred Brand Rx 40% Coinsurance after deductible
Specialty Drugs 40% Coinsurance after deductible

Other Plans in Texas

Plan CHP TX Silver LD Deductible $3,000 Coinsurance Not applicable Out of Pocket $7,900
Plan CHP TX Gold Deductible $2,400 Coinsurance Not applicable Out of Pocket $7,900
Plan CHP TX Silver HD Deductible $5,200 Coinsurance Not applicable Out of Pocket $7,900
Plan CHP TX Silver HD Deductible $5,200 Coinsurance Not applicable Out of Pocket $7,900
Plan CHP TX Gold Deductible $2,400 Coinsurance Not applicable Out of Pocket $7,900
Plan CHP TX Catastrophic Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
Plan CHP TX Bronze HSA Deductible $6,000 Coinsurance Not applicable Out of Pocket $6,650
Plan CHP TX Bronze Deductible $5,500 Coinsurance Not applicable Out of Pocket $7,900
Plan CHP TX Catastrophic Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
Plan CHP TX Bronze HSA Deductible $6,000 Coinsurance Not applicable Out of Pocket $6,650
Plan CHP TX Bronze Deductible $5,500 Coinsurance Not applicable Out of Pocket $7,900
Plan CHP TX Bronze Deductible $5,500 Coinsurance Not applicable Out of Pocket $7,900
Plan CHP TX Bronze HSA Deductible $6,000 Coinsurance Not applicable Out of Pocket $6,650
Plan CHP TX Catastrophic Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
Plan CHP TX Silver LD Deductible $3,000 Coinsurance Not applicable Out of Pocket $7,900
Plan CHP TX Silver HD Deductible $5,200 Coinsurance Not applicable Out of Pocket $7,900
Plan CHP TX Gold Deductible $2,400 Coinsurance Not applicable Out of Pocket $7,900
Plan CHP TX Silver LD Deductible $3,000 Coinsurance Not applicable Out of Pocket $7,900
Plan CHP TX Gold Deductible $2,400 Coinsurance Not applicable Out of Pocket $7,900
Plan CHP TX Silver HD Deductible $5,200 Coinsurance Not applicable Out of Pocket $7,900
Plan CHP TX Silver LD Deductible $3,000 Coinsurance Not applicable Out of Pocket $7,900
Plan CHP TX Silver HD Deductible $5,200 Coinsurance Not applicable Out of Pocket $7,900
Plan CHP TX Gold Deductible $2,400 Coinsurance Not applicable Out of Pocket $7,900
Plan CHP TX Catastrophic Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
Plan CHP TX Catastrophic Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
Plan CHP TX Bronze Deductible $5,500 Coinsurance Not applicable Out of Pocket $7,900
Plan CHP TX Bronze HSA Deductible $6,000 Coinsurance Not applicable Out of Pocket $6,650
Plan CHP TX Bronze Deductible $5,500 Coinsurance Not applicable Out of Pocket $7,900
Plan CHP TX Catastrophic Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
Plan CHP TX Bronze Deductible $5,500 Coinsurance Not applicable Out of Pocket $7,900
Plan CHP TX Bronze HSA Deductible $6,000 Coinsurance Not applicable Out of Pocket $6,650
Plan CHP TX Gold Deductible $2,400 Coinsurance Not applicable Out of Pocket $7,900
Plan CHP TX Silver HD Deductible $5,200 Coinsurance Not applicable Out of Pocket $7,900
Plan CHP TX Silver LD Deductible $3,000 Coinsurance Not applicable Out of Pocket $7,900
Plan CHP TX Silver LD Deductible $3,000 Coinsurance Not applicable Out of Pocket $7,900