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

CHP LA Gold - Two Free PCP Visits

$431.66/mo

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Zip Code70816
Applicant6/3/1985 Male
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Benefits & Coverage

Insurance TypeACA (Obamacare)
Plan NameCHP LA Gold - Two Free PCP Visits
Plan IDqhp-98780LA0030001
Plan Year2020
Insurance Provider
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 URLhttp://www.christushealthplan.org/workfiles/Christus_Directory_NM_HIX_1UP_20141112_0919_with_cover.pdf

Hospital services

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

Maternity

Prenatal and Postnatal Care0.00%

Mental Health

Mental/Behavioral Health Outpatient Services0.00%
Mental/Behavioral Health Inpatient Services0.00%

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
Inpatient Physician and Surgical Services
Skilled Nursing Facility
Other Practitioner Office Visit (Nurse, Physician Assistant)
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)
Outpatient Surgery Physician/Surgical Services
Hospice Services
Private-Duty Nursing
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
Nutritional Counseling
Reconstructive Surgery
Attention Deficit Disorder
Clinical Trials
Congenital Anomaly, including Cleft Lip/Palate
Dental Anesthesia
Diabetes Care Management
Inherited Metabolic Disorder - PKU
More Excluded BenefitsBariatric Surgery
Cosmetic Surgery
Infertility Treatment
Long-Term/Custodial Nursing Home Care
Routine Foot Care
Acupuncture
Weight Loss Programs
Abortion for Which Public Funding is Prohibited
Treatment for Temporomandibular Joint Disorders
PremiumPlan NameDeductible
from $420
Community Blue Copay 80/60 $1000
$1,000.00Select
from $420
Blue Connect Copay 80/60 $1000 (N)
$1,000.00Select
from $420
Signature Blue Copay 80/60 $1000
$1,000.00Select
from $425
CHP LA Gold - Two Free PCP Visits
$800.00Select
from $455
Precision Blue Copay 80/60 $1000
$1,000.00Select
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  • Phone Number
    (225) 761-5200
  • Office Locations
    16777 Medical Center Dr
    Baton Rouge, LA 70816
16777 Medical Center Dr Baton Rouge LA, 70816
  • 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.

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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).