CHRISTUS Gold + Dental & Vision + Fitness ($0 Deductible, $5 PCP, $0 Generic Rx, $0 Virtual Urgent Care)
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 TX
Side by side: deductibles, out-of-pocket limits and copays.
Other cost-sharing reduction variants for this plan:
More CHRISTUS Health Plan plans in TX
Monthly premiums by age
Rating Area 15 — the lowest-priced of the 10 areas this plan covers. Premiums differ by area.
| Age | Individual | Individual + tobacco |
|---|---|---|
| Under 15 | $330 | $330 |
| 21 | $432 | $648 |
| 30 | $490 | $735 |
| 40 | $552 | $828 |
| 50 | $771 | $1,157 |
| 60 | $1,172 | $1,758 |
| 64 and over | $1,296 | $1,943 |
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 | $5.00 |
Specialist
| Benefit | In-network |
|---|---|
| Specialist Visit | $60.00 |
Hospital
| Benefit | In-network |
|---|---|
| Emergency Room Services | $950.00 |
| Inpatient Hospital Services (e.g., Hospital Stay) | $950.00 Copay per Stay |
| Outpatient Surgery Physician/Surgical Services | 40.00% |
| Urgent Care Centers or Facilities | $60.00 |
Pharmacy
| Benefit | In-network |
|---|---|
| Generic Drugs | No charge |
| Non-Preferred Brand Drugs | $80.00 |
| Off Label Prescription Drugs | 40.00% |
| Preferred Brand Drugs | $60.00 |
| Prescription Drugs Other | 40.00% |
| Specialty Drugs | $350.00 |
Mental Health
| Benefit | In-network |
|---|---|
| Mental/Behavioral Health Inpatient Services | $950.00 Copay per Stay |
| Mental/Behavioral Health Outpatient Services | $60.00 |
Other
| Benefit | In-network |
|---|---|
| Orthodontia - Adult | Not covered |
| Abortion for Which Public Funding is Prohibited | Not covered |
| Accidental Dental | 40.00% |
| Acupuncture | Not covered |
| Allergy Testing | $60.00 |
| Autism Spectrum Disorders | $5.00 |
| Bariatric Surgery | Not covered |
| Basic Dental Care - Adult | 20.00% |
| Basic Dental Care - Child | 20.00% |
| Brain Injury | 40.00% |
| Chemotherapy | 40.00% |
| Chiropractic Care | $60.00 |
| Cosmetic Surgery | Not covered |
| Delivery and All Inpatient Services for Maternity Care | $950.00 |
| Dental Check-Up for Children | No charge |
| Diabetes Care Management | $5.00 |
| Diabetes Education | No charge |
| Dialysis | 40.00% |
| Durable Medical Equipment | 40.00% |
| Emergency Transportation/Ambulance | 40.00% |
| Eye Glasses for Adults | No charge |
| Eye Glasses for Children | No charge |
| Fitness Benefit - Adult | No charge |
| Gender Affirming Care | Not covered |
| Habilitation Services | $60.00 |
| Hearing Aids | 40.00% |
| Home Health Care Services | 40.00% |
| Hospice Services | 40.00% |
| Imaging (CT/PET Scans, MRIs) | $400.00 |
| Infertility Treatment | Not covered |
| Infusion Therapy | $60.00 |
| Inherited Metabolic Disorder - PKU | 40.00% |
| Inpatient Physician and Surgical Services | No charge |
| Laboratory Outpatient and Professional Services | $60.00 |
| Long-Term/Custodial Nursing Home Care | Not covered |
| Major Dental Care - Adult | 50.00% |
| Major Dental Care - Child | 50.00% |
| Nutritional Counseling | Not covered |
| Orthodontia - Child | 50.00% |
| Other Practitioner Office Visit (Nurse, Physician Assistant) | $60.00 |
| Outpatient Facility Fee (e.g., Ambulatory Surgery Center) | 40.00% |
| Outpatient Rehabilitation Services | $60.00 |
| Pediatric Services Other | 40.00% |
| Post-Mastectomy Care | $60.00 |
| Prenatal and Postnatal Care | $60.00 |
| Private-Duty Nursing | Not covered |
| Prosthetic Devices | 40.00% |
| Radiation | 40.00% |
| Reconstructive Surgery | 40.00% |
| 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 Children | No charge |
| Routine Foot Care | Not covered |
| Skilled Nursing Facility | 40.00% |
| Substance Abuse Disorder Inpatient Services | $950.00 Copay per Stay |
| Substance Abuse Disorder Outpatient Services | $60.00 |
| Transplant | $950.00 |
| Transplant Donor Coverage | 40.00% |
| Treatment for Temporomandibular Joint Disorders | 40.00% |
| Weight Loss Programs | Not covered |
| Well Baby Visits and Care | No charge |
| X-rays and Diagnostic Imaging | $60.00 |
Plan rules
Service area
This plan covers 38 geographic areas. One of them is covered only in part, meaning specific ZIP codes rather than the whole county. The filing does not list which, so confirm with the insurer or on HealthCare.gov before enrolling.
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