CHP TX Gold - Two Free PCP Visits Plan Details for 2020- HealthPocket

Apply For This Plan

Zip Code79936
Applicant4/1/1985 Male
Apply Now

Benefits & Coverage

Insurance TypeACA (Obamacare)
Plan NameCHP TX Gold - Two Free PCP Visits
Plan IDqhp-66252TX0070007
Plan Year2020
Insurance ProviderCHRISTUS Health Plan
Metal LevelGold
Plan TypeHMO
Deductible$800
Out-of-Pocket Maximum$8,150
Plan Highlights

Costs for Medical Care

Primary Care Visit to Treat an Injury or Illness$10 Copay
Specialist Visit$35 Copay
Laboratory Outpatient and Professional Services30% Coinsurance after deductible
X-rays and Diagnostic ImagingNot Applicable
Deductible - Family$1600
Out-of-Pocket Maximum - Family$16300

Prescription drug coverage

Generic Drugs$4 Copay
Preferred Brand Drugs$35 Copay
Non-Preferred Brand Drugs$75 Copay
Specialty Drugs45% Coinsurance after deductible

Access to doctors and hospitals

Provider directory URLhttps://www.christushealthplan.org/individual-family

Hospital services

Emergency Room Services$950 Copay
Inpatient Hospital Services (e.g., Hospital Stay)No Charge after Deductible
Inpatient Physician and Surgical Services$950 Copay

Maternity

Prenatal and Postnatal CareNot Applicable

Mental Health

Mental/Behavioral Health Outpatient ServicesNot Applicable
Mental/Behavioral Health Inpatient ServicesNot Applicable

Vision Coverage

Routine Eye Exam for ChildrenNo Charge
Eye Glasses for ChildrenNo Charge

Exclusions and Limitations

More Included BenefitsUrgent Care Centers or Facilities
Home Health Care Services
Other Practitioner Office Visit (Nurse, Physician Assistant)
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)
Outpatient Surgery Physician/Surgical Services
Hospice Services
Inpatient Physician and Surgical Services
Skilled Nursing Facility
Outpatient Rehabilitation Services
Habilitation Services
Chiropractic Care
Durable Medical Equipment
Hearing Aids
Imaging (CT/PET Scans, MRIs)
Preventive Care/Screening/Immunization
Dental Check-Up for Children
Rehabilitative Speech Therapy
Rehabilitative Occupational and Rehabilitative Physical Therapy
Well Baby Visits and Care
Transplant
Accidental Dental
Dialysis
Allergy Testing
Chemotherapy
Radiation
Diabetes Education
Prosthetic Devices
Infusion Therapy
Treatment for Temporomandibular Joint Disorders
Reconstructive Surgery
Diabetes Care Management
Autism Spectrum Disorders
Brain Injury
Transplant Donor Coverage
Post-Mastectomy Care
Off Label Prescription Drugs
Prescription Drugs Other
Pediatric Services Other
Inherited Metabolic Disorder - PKU
More Excluded BenefitsInfertility Treatment
Long-Term/Custodial Nursing Home Care
Private-Duty Nursing
Bariatric Surgery
Cosmetic Surgery
Routine Foot Care
Acupuncture
Weight Loss Programs
Abortion for Which Public Funding is Prohibited
Nutritional Counseling
Mental Health Other
Newborn Hearing Screening
PremiumPlan NameDeductible
from $379
Blue Advantage Gold HMO℠ 206 - Three $30 PCP Visits
$750.00Select
from $442
Blue Advantage Plus Gold℠ 203
$750.00Select
from $446
Community Health Choice HMO Gold 005
$750.00Select
from $476
Blue Advantage Gold HMO 206 - Three $30 PCP Visits
$750.00Select
from $521
Blue Advantage Plus Gold 203
$750.00Select
/
Please select the correct zip
Olmer, Brooker
View All Details
Huma, Lodhi
View All Details
Patricia, Azarcon-samonte
View All Details
Thomas, Hoffer
View All Details
Bertha, Garcia
View All Details
Bertha, Anderson
View All Details
Alyson, Martinez
View All Details
Dawn, Sackett
View All Details
Erin, Ginithan
View All Details
Saranya, Gangupalli
View All Details
Elena, Paul
View All Details
Jose, Ruiz
View All Details
El Paso Pelvic Health Pllc
View All Details
The Foot Institute, P.a.
View All Details
Stephanie, Acosta
View All Details
Jose, Marquez
View All Details
Eduardo, Torres
View All Details
Cep America Llc
View All Details
Katelyn, Vera
View All Details
Larry, Felix
View All Details
Lluvia, Mendiola
View All Details
C Care Cardiovascular Center
View All Details
Olmer Brooker, M.D.
View All Details
  • Phone Number
    (915) 855-7900
  • Office Locations
    1418 George Dieter Dr
    El Paso, TX 79936
1418 George Dieter Dr El Paso TX, 79936
  • What is the Gold Plan?

    ObamaCare’s Gold Plan is a type of Metal Plan on the Health Insurance Marketplace. Gold Plans qualify for Tax Credits, have high premiums, and good cost sharing. Gold plans mean higher premiums, less Tax Credits, but much better cost sharing on average than Silver or Bronze.

  • How are Gold Plans different than other Obamacare health plans?

    The fundamental difference among the new Obamacare health plans is the percentage of covered medical costs paid by the health plan. The Gold Plan typically pays 80% of covered medical costs.

  • How much does a Gold Plan cost?

    The monthly premium for a Gold Plan depends on the insurer from whom you purchase the plan, the number of people to be insured by the plan, your age, whether you smoke, and your geographic region. You can use HealthPocket’s comparison tool to compare Gold Plan premiums in your area.

  • When Can I Enroll in a Gold Plan?

    The Open Enrollment period for the 2018 Affordable Care Act health plans begins November 1, 2017 and ends December 15, 2017. See our Open Enrollment article for more information.

Read More

HealthPocket is a free information source designed to help consumers find medical coverage. Whether you are looking for Medicare, or an individual and family health insurance plan, we will help you find the right healthcare option and save on your out of pocket healthcare costs. We receive our data from government, non-profit and private sources, and you should confirm key provisions of your coverage with your selected health plan. If you select a plan presented on our site, you will be directed (via a click or a call) to one of our partners who can help you with your application. Our website is not a health insurance agency and not affiliated with and does not represent or endorse any health plan. HealthPocket, Inc. is part of the Health Insurance Innovations, Inc. family of companies (NASDAQ: HIIQ).

Health Plans Found

 

HealthPocket.com provides information on insurance products. If you choose to obtain a quote or apply for an insurance plan, you may be transferred to a partner website to complete your request. Always review the privacy and terms of use of the partner website.

HealthPocket is a free information source designed to help consumers find medical coverage. Whether you are looking for Medicare, or an individual and family health insurance plan, we will help you find the right healthcare option and save on your out of pocket healthcare costs. We receive our data from government, non-profit and private sources, and you should confirm key provisions of your coverage with your selected health plan. If you select a plan presented on our site, you will be directed (via a click or a call) to one of our partners who can help you with your application. Our website is not a health insurance agency and not affiliated with and does not represent or endorse any health plan. HealthPocket, Inc. is part of the Health Insurance Innovations, Inc. family of companies (NASDAQ: HIIQ).