Sold outside the marketplace. This plan is bought directly from the insurer, so it is not eligible for a premium tax credit. If your income qualifies you for savings, a marketplace plan at the same price will usually cost you less.
Community Premier Silver 012 (No deductible for PCP, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options)
Community Health Choice · 2026 plan year
Silver
- Ind. deductible
- $2,800
- Family deductible
- $5,600
- Ind. OOP max
- $10,600
- Family OOP max
- $21,200
Other cost-sharing reduction variants for this plan:
More Community Health Choice plans in TX
Community Ultra Select Bronze 018 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options)Community Ultra Select Silver 020 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options)Community Ultra Select Gold 022 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options)
Monthly premiums by age
Rating Area 4 — the lowest-priced of the 4 areas this plan covers. Premiums differ by area.
| Age | Individual | Individual + tobacco |
|---|---|---|
| Under 15 | $416 | $416 |
| 21 | $544 | $653 |
| 30 | $618 | $741 |
| 40 | $695 | $835 |
| 50 | $972 | $1,166 |
| 60 | $1,477 | $1,772 |
| 64 and over | $1,633 | $1,959 |
Live premium estimate
Benefits & cost sharing
Primary Care
| Benefit | In-network |
|---|---|
| Preventive Care/Screening/Immunization | No charge |
| Primary Care Visit to Treat an Injury or Illness | $30.00 |
Specialist
| Benefit | In-network |
|---|---|
| Specialist Visit | $60.00 Copay after deductible |
Hospital
| Benefit | In-network |
|---|---|
| Emergency Room Services | 50.00% Coinsurance after deductible |
| Inpatient Hospital Services (e.g., Hospital Stay) | 50.00% Coinsurance after deductible |
| Outpatient Surgery Physician/Surgical Services | 50.00% Coinsurance after deductible |
| Urgent Care Centers or Facilities | $60.00 |
Pharmacy
| Benefit | In-network |
|---|---|
| Generic Drugs | $10.00 |
| Non-Preferred Brand Drugs | $120.00 Copay after deductible |
| Preferred Brand Drugs | $80.00 Copay after deductible |
| Specialty Drugs | 50.00% Coinsurance after deductible |
Mental Health
| Benefit | In-network |
|---|---|
| Mental/Behavioral Health Inpatient Services | 50.00% Coinsurance after deductible |
| Mental/Behavioral Health Outpatient Services | $30.00 |
Other
| Benefit | In-network |
|---|---|
| Routine Dental Services (Adult) | Not covered |
| Routine Eye Exam (Adult) | Not covered |
| Abortion for Which Public Funding is Prohibited | Not covered |
| Accidental Dental | $60.00 Copay after deductible |
| Acupuncture | Not covered |
| Allergy Testing | $30.00 Copay after deductible |
| Bariatric Surgery | Not covered |
| Basic Dental Care - Adult | Not covered |
| Basic Dental Care - Child | Not covered |
| Chemotherapy | $60.00 Copay after deductible |
| Chiropractic Care | $60.00 Copay after deductible |
| Cosmetic Surgery | Not covered |
| Delivery and All Inpatient Services for Maternity Care | 50.00% Coinsurance after deductible |
| Dental Check-Up for Children | Not covered |
| Diabetes Education | $30.00 Copay after deductible |
| Dialysis | $60.00 Copay after deductible |
| Durable Medical Equipment | 30.00% Coinsurance after deductible |
| Emergency Transportation/Ambulance | $60.00 Copay after deductible |
| Eye Glasses for Children | $60.00 Copay after deductible |
| Habilitation Services | $60.00 Copay after deductible |
| Hearing Aids | 30.00% Coinsurance after deductible |
| Home Health Care Services | $60.00 Copay after deductible |
| Hospice Services | $60.00 Copay after deductible |
| Imaging (CT/PET Scans, MRIs) | 50.00% Coinsurance after deductible |
| Infertility Treatment | Not covered |
| Infusion Therapy | $60.00 Copay after deductible |
| Inpatient Physician and Surgical Services | No Charge after deductible |
| Laboratory Outpatient and Professional Services | $30.00 Copay after deductible |
| Long-Term/Custodial Nursing Home Care | Not covered |
| Major Dental Care - Adult | Not covered |
| Major Dental Care - Child | Not covered |
| Nutritional Counseling | Not covered |
| Orthodontia - Adult | Not covered |
| Orthodontia - Child | Not covered |
| Other Practitioner Office Visit (Nurse, Physician Assistant) | $30.00 |
| Outpatient Facility Fee (e.g., Ambulatory Surgery Center) | 50.00% Coinsurance after deductible |
| Outpatient Rehabilitation Services | $60.00 Copay after deductible |
| Prenatal and Postnatal Care | $60.00 Copay after deductible |
| Private-Duty Nursing | Not covered |
| Prosthetic Devices | 30.00% Coinsurance after deductible |
| Radiation | $60.00 Copay after deductible |
| Reconstructive Surgery | 50.00% Coinsurance after deductible |
| Rehabilitative Occupational and Rehabilitative Physical Therapy | $60.00 Copay after deductible |
| Rehabilitative Speech Therapy | $60.00 Copay after deductible |
| Routine Eye Exam for Children | $60.00 Copay after deductible |
| Routine Foot Care | Not covered |
| Skilled Nursing Facility | 50.00% Coinsurance after deductible |
| Substance Abuse Disorder Inpatient Services | 50.00% Coinsurance after deductible |
| Substance Abuse Disorder Outpatient Services | $30.00 |
| Transplant | 50.00% Coinsurance after deductible |
| Treatment for Temporomandibular Joint Disorders | $60.00 Copay after deductible |
| Weight Loss Programs | Not covered |
| Well Baby Visits and Care | No charge |
| X-rays and Diagnostic Imaging | $30.00 Copay after deductible |
Service area
This plan covers 20 geographic areas.
Open enrollment coming up?
Get notified when it opens — we'll remind you so you don't miss your window.