CHRISTUS Gold Plus

CHRISTUS Health Plan · 2026 plan year

Gold
Ind. deductible
$0
Family deductible
$0
Ind. OOP max
$9,200
Family OOP max
$18,400

Compare with other Gold plans in LA

Side by side: deductibles, out-of-pocket limits and copays.

More CHRISTUS Health Plan plans in LA

Monthly premiums by age

Rating Area 8 — the lowest-priced of the 3 areas this plan covers. Premiums differ by area.

AgeIndividualIndividual + tobacco
Under 15$409$409
21$535$802
30$607$910
40$683$1,025
50$955$1,433
60$1,451$2,177
64 and over$1,604$2,406

Live premium estimate

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Benefits & cost sharing

Primary Care

BenefitIn-network
Preventive Care/Screening/ImmunizationNo charge
Primary Care Visit to Treat an Injury or Illness$5.00

Specialist

BenefitIn-network
Specialist Visit$60.00

Hospital

BenefitIn-network
Emergency Room Services$950.00
Inpatient Hospital Services (e.g., Hospital Stay)$950.00 Copay per Stay
Outpatient Surgery Physician/Surgical Services40.00%
Urgent Care Centers or Facilities$60.00

Pharmacy

BenefitIn-network
Generic DrugsNo charge
Non-Preferred Brand Drugs$80.00
Preferred Brand Drugs$60.00
Specialty Drugs$150.00

Mental Health

BenefitIn-network
Mental/Behavioral Health Inpatient Services$950.00 Copay per Stay
Mental/Behavioral Health Outpatient Services$60.00

Other

BenefitIn-network
Abortion for Which Public Funding is ProhibitedNot covered
Accidental Dental40.00%
AcupunctureNot covered
Allergy Testing$60.00
Attention Deficit Disorder$5.00
Bariatric SurgeryNot covered
Infusion Therapy$60.00
Inherited Metabolic Disorder - PKU40.00%
Basic Dental Care - Adult20.00%
Basic Dental Care - Child20.00%
Chemotherapy40.00%
Chiropractic Care$60.00
Clinical Trials$60.00
Congenital Anomaly, including Cleft Lip/Palate40.00%
Cosmetic SurgeryNot covered
Delivery and All Inpatient Services for Maternity Care$950.00
Dental Anesthesia40.00%
Dental Check-Up for ChildrenNo charge
Diabetes Care Management$5.00
Diabetes EducationNo charge
Dialysis40.00%
Durable Medical Equipment40.00%
Emergency Transportation/Ambulance40.00%
Eye Glasses for AdultsNo charge
Eye Glasses for ChildrenNo charge
Fitness Benefit - AdultNo charge
Gender Affirming CareNot covered
Habilitation Services$60.00
Hearing Aids40.00%
Home Health Care Services40.00%
Hospice Services40.00%
Imaging (CT/PET Scans, MRIs)$400.00
Infertility TreatmentNot covered
Inpatient Physician and Surgical ServicesNo charge
Laboratory Outpatient and Professional Services$60.00
Long-Term/Custodial Nursing Home CareNot covered
Major Dental Care - Adult50.00%
Major Dental Care - Child50.00%
Nutritional CounselingNo charge
Orthodontia - AdultNot covered
Orthodontia - Child50.00%
Other Practitioner Office Visit (Nurse, Physician Assistant)$60.00
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)40.00%
Outpatient Rehabilitation Services$60.00
Prenatal and Postnatal Care$60.00
Private-Duty Nursing40.00%
Prosthetic Devices40.00%
Radiation40.00%
Reconstructive Surgery40.00%
Rehabilitative Occupational and Rehabilitative Physical Therapy$60.00
Rehabilitative Speech Therapy$60.00
Routine Dental Services (Adult)No charge
Routine Eye Exam (Adult)No charge
Routine Eye Exam for ChildrenNo charge
Routine Foot CareNot covered
Skilled Nursing Facility40.00%
Substance Abuse Disorder Inpatient Services$950.00 Copay per Stay
Substance Abuse Disorder Outpatient Services$60.00
Transplant$950.00
Treatment for Temporomandibular Joint DisordersNot covered
Weight Loss ProgramsNot covered
Well Baby Visits and CareNo charge
X-rays and Diagnostic Imaging$60.00

Plan rules

Service area

This plan covers 8 geographic areas.

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