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.
CHRISTUS Gold Plus Dental & Vision & Fitness ($0 Deductible, $5 PCP, $0 Generic Rx, $0 Virtual Urgent Care)
CHRISTUS Health Plan · 2027 plan year
Gold
- Ind. deductible
- $0
- Family deductible
- $0
- Ind. OOP max
- $9,950
- Family OOP max
- $19,900
Other cost-sharing reduction variants for this plan:
Monthly premiums by age
Rating Area 3 — the lowest-priced of the 10 areas this plan covers. Premiums differ by area.
| Age | Individual | Individual + tobacco |
|---|---|---|
| Under 15 | $367 | $367 |
| 21 | $479 | $719 |
| 30 | $544 | $816 |
| 40 | $612 | $919 |
| 50 | $856 | $1,284 |
| 60 | $1,301 | $1,951 |
| 64 and over | $1,438 | $2,156 |
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 |
|---|---|
| Urgent Care Centers or Facilities | $60.00 |
| Outpatient Surgery Physician/Surgical Services | 40.00% |
| Emergency Room Services | $950.00 |
| Inpatient Hospital Services (e.g., Hospital Stay) | $950.00 Copay per Stay |
Pharmacy
| Benefit | In-network |
|---|---|
| Preferred Brand Drugs | $60.00 |
| Prescription Drugs Other | 40.00% |
| Specialty Drugs | $350.00 |
| Non-Preferred Brand Drugs | $80.00 |
| Off Label Prescription Drugs | 40.00% |
| Generic Drugs | No charge |
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 |
|---|---|
| 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 |
| Chemotherapy | 40.00% |
| Chiropractic Care | $60.00 |
| Cosmetic Surgery | Not covered |
| Major Dental Care - Adult | 50.00% |
| Major Dental Care - Child | 50.00% |
| Nutritional Counseling | Not covered |
| Orthodontia - Adult | 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 |
| Basic Dental Care - Child | 20.00% |
| Brain Injury | 40.00% |
| 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% |
| 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 |
Service area
This plan covers 39 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.
Open enrollment coming up?
Get notified when it opens — we'll remind you so you don't miss your window.