CHRISTUS - CHP TX Silver HD

Texas, 2019

  • Plan Type

    HMO

  • Metal Tier

    Silver

  • Out of Pocket Maximum

    $7,900

  • Deductible

    $5,200

Enroll Now
{"state":{"code":"TX","name":"Texas","fips":48,"exchangeName":["Healthcare.gov"],"exchangeUrl":["http:\/\/www.healthcare.gov"],"exchangeType":["Federal"]},"year":"2019","plan":{"name":"CHRISTUS - CHP TX Silver HD","planType":"HMO","tier":"Silver","oopm":"7900.00","deductible":"5200.00","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) $5,200
Deductible (Family) $10,400
Coinsurance Not applicable
Out of Pocket Maximum (Individual) $7,900
Out of Pocket Maximum (Family) $15,800

Doctor Visits

Primary Care Visit Data Not Available
Specialist Visit Data Not Available
Inpatient Facility $1000 Copay per stay after deductible
Inpatient Physician No charge after deductible
Emergency Room Services $950 Copay after deductible

Tests and Imaging

Imaging (CT/PET Scans, MRIs) $250 Copay after deductible
Laboratory Outpatient and Professional Services 20% Coinsurance after deductible
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 $1000 Copay per stay after deductible
Mental / Behavioral Health Outpatient Data Not Available
Rehabilitative Speech Therapy $30 Copay after deductible
Rehabilitative Occupational & Physical Therapy $30 Copay after deductible
Outpatient Facility 20% Coinsurance after deductible
Outpatient Surgery 20% Coinsurance after deductible

Prescription Drugs

Generic Rx Data Not Available
Preferred Brand Rx $60 Copay after deductible
Non Preferred Brand Rx $95 Copay after deductible
Specialty Drugs 45% Coinsurance after deductible

73% Cost Sharing Benefits

Households with incomes between 200% to 250% of FPL qualify for the following cost sharing benefits for this silver plan. To understand how cost sharing reductions work and how they work for you see our article about Obamacare Cost Sharing Reduction Discounts

Deductibles and Cost Sharing

Deductible (Individual) $3,600
Deductible (Family) $7,200
Out of Pocket Maximum (Individual) $6,300
Out of Pocket Maximum (Family) $12,600

Doctor Visits

Primary Care Physician
Specialists
Emergency Room $950 Copay after deductible
Inpatient Facility $1000 Copay per stay after deductible
Inpatient Physician No charge after deductible

Prescription Drugs

Generic Rx
Preferred Brand Rx $60 Copay after deductible
Non Preferred Brand Rx $95 Copay after deductible
Specialty Drugs 45% Coinsurance after deductible

87% Cost Sharing Benefits

Households with incomes between 150% to 200% of FPL qualify for the following cost sharing benefits for this silver plan.

Deductibles and Cost Sharing

Deductible (Individual) $450
Deductible (Family) $900
Out of Pocket Maximum (Individual) $2,000
Out of Pocket Maximum (Family) $4,000

Doctor Visits

Primary Care Physician
Specialists
Emergency Room $950 Copay after deductible
Inpatient Facility $1000 Copay per stay after deductible
Inpatient Physician No charge after deductible

Prescription Drugs

Generic Rx
Preferred Brand Rx $60 Copay after deductible
Non Preferred Brand Rx $95 Copay after deductible
Specialty Drugs 45% Coinsurance after deductible

94% Cost Sharing Benefits

Households with incomes between 138% to 150% of FPL qualify for the following cost sharing benefits for this silver plan.

Deductibles and Cost Sharing

Deductible (Individual) $75
Deductible (Family) $150
Out of Pocket Maximum (Individual) $700
Out of Pocket Maximum (Family) $1,400

Doctor Visits

Primary Care Physician
Specialists
Emergency Room $700 Copay after deductible
Inpatient Facility $700 Copay per stay after deductible
Inpatient Physician No charge after deductible

Prescription Drugs

Generic Rx
Preferred Brand Rx $60 Copay after deductible
Non Preferred Brand Rx $95 Copay after deductible
Specialty Drugs 45% 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 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 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
{"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) $5,200
Deductible (Family) $10,400
Coinsurance Not applicable
Out of Pocket Maximum (Individual) $7,900
Out of Pocket Maximum (Family) $15,800

Doctor Visits

Primary Care Visit Data Not Available
Specialist Visit Data Not Available
Inpatient Facility $1000 Copay per stay after deductible
Inpatient Physician No charge after deductible
Emergency Room Services $950 Copay after deductible

Tests and Imaging

Imaging (CT/PET Scans, MRIs) $250 Copay after deductible
Laboratory Outpatient and Professional Services 20% Coinsurance after deductible
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 $1000 Copay per stay after deductible
Mental / Behavioral Health Outpatient Data Not Available
Rehabilitative Speech Therapy $30 Copay after deductible
Rehabilitative Occupational & Physical Therapy $30 Copay after deductible
Outpatient Facility 20% Coinsurance after deductible
Outpatient Surgery 20% Coinsurance after deductible

Prescription Drugs

Generic Rx Data Not Available
Preferred Brand Rx $60 Copay after deductible
Non Preferred Brand Rx $95 Copay after deductible
Specialty Drugs 45% Coinsurance after deductible

73% Cost Sharing Benefits

Households with incomes between 200% to 250% of FPL qualify for the following cost sharing benefits for this silver plan. To understand how cost sharing reductions work and how they work for you see our article about Obamacare Cost Sharing Reduction Discounts

Deductibles and Cost Sharing

Deductible (Individual) $3,600
Deductible (Family) $7,200
Out of Pocket Maximum (Individual) $6,300
Out of Pocket Maximum (Family) $12,600

Doctor Visits

Primary Care Physician
Specialists
Emergency Room $950 Copay after deductible
Inpatient Facility $1000 Copay per stay after deductible
Inpatient Physician No charge after deductible

Prescription Drugs

Generic Rx
Preferred Brand Rx $60 Copay after deductible
Non Preferred Brand Rx $95 Copay after deductible
Specialty Drugs 45% Coinsurance after deductible

87% Cost Sharing Benefits

Households with incomes between 150% to 200% of FPL qualify for the following cost sharing benefits for this silver plan.

Deductibles and Cost Sharing

Deductible (Individual) $450
Deductible (Family) $900
Out of Pocket Maximum (Individual) $2,000
Out of Pocket Maximum (Family) $4,000

Doctor Visits

Primary Care Physician
Specialists
Emergency Room $950 Copay after deductible
Inpatient Facility $1000 Copay per stay after deductible
Inpatient Physician No charge after deductible

Prescription Drugs

Generic Rx
Preferred Brand Rx $60 Copay after deductible
Non Preferred Brand Rx $95 Copay after deductible
Specialty Drugs 45% Coinsurance after deductible

94% Cost Sharing Benefits

Households with incomes between 138% to 150% of FPL qualify for the following cost sharing benefits for this silver plan.

Deductibles and Cost Sharing

Deductible (Individual) $75
Deductible (Family) $150
Out of Pocket Maximum (Individual) $700
Out of Pocket Maximum (Family) $1,400

Doctor Visits

Primary Care Physician
Specialists
Emergency Room $700 Copay after deductible
Inpatient Facility $700 Copay per stay after deductible
Inpatient Physician No charge after deductible

Prescription Drugs

Generic Rx
Preferred Brand Rx $60 Copay after deductible
Non Preferred Brand Rx $95 Copay after deductible
Specialty Drugs 45% 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 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 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