Employer Sponsored Plans

Small Group

Benefit Highlights

Bronze Plans
Plan benefit Bronze HD CHRISTUS Health Bronze 8650 Bronze Copay CHRISTUS Health Bronze Enhanced 7500
Ded/OOP $8,650 / $8,650 $7,500 / $10,150
Combined med/Rx deductible $8,650 / $17,300 $7,500 / $15,000
Individual/family OOP max $8,650 / $17,300 $10,150 / $20,300
Virtual care $0 virtual urgent care* $0 virtual urgent care*
Key copays
Primary care provider (PCP) office visit Ded / $0 $60 copay
Specialist office visit Ded / $0 $100 copay
Emergency room Ded / $0 $950 copay
Urgent care Ded / $0 $100 copay
Pharmacy
Preferred generic drug Ded / $0 $0 copay
Generic drug Ded / $0 $30 copay
Brand drug Ded / $0 $50 copay
Non-preferred brand drug Ded / $0 $100 copay
Specialty drug Ded / $0 $500 copay

* For in-network providers

Silver Plans
Plan benefit CHRISTUS Health Silver 3000 CHRISTUS Health Silver 5700 CHRISTUS Health Silver Enhanced 5300
Ded/OOP $3,000 / $10,150 $5,700 / $5,700 $5,300 / $10,150
Combined med/Rx deductible $3,000 / $6,000 $5,700 / $11,400 $5,300 / $10,600
Individual/family OOP max $10,150 / $20,300 $5,700 / $11,400 $10,150 / $20,300
Virtual care $0 virtual urgent care* $0 virtual urgent care* $0 virtual urgent care*
Key copays
Primary care provider (PCP) office visit $55 copay Ded / $0 $40 copay
Specialist office visit $100 copay Ded / $0 $60 copay
Emergency room Ded / $750 copay Ded / $0 Ded / $950
Urgent care $100 copay Ded / $0 $60 copay
Pharmacy
Preferred generic drug $0 copay Ded / $0 $0 copay
Generic drug $10 copay Ded / $0 $10 copay
Brand drug $50 copay Ded / $0 $50 copay
Non-preferred brand drug $100 copay Ded / $0 $100 copay
Specialty drug $250 copay Ded / $0 $250 copay

* For in-network providers

Gold Plans
Plan benefit Gold LD CHRISTUS Health Gold 2250 Gold HD CHRISTUS Health Gold 3500 Gold Zero Ded CHRISTUS Health Gold Enhanced
Ded/OOP $2,250 / $6,750 $3,500 / $3,500 $0 / $10,150
Combined med/Rx deductible $2,250 / $4,500 $3,500 / $7,000 $0 deductible
Individual/family OOP max $6,750 / $13,500 $3,500 / $7,000 $10,150 / $20,300
Virtual care $0 virtual urgent care* $0 virtual urgent care* $0 virtual urgent care*
Key copays
Primary care provider (PCP) office visit $35 copay Ded / $0 $35 copay
Specialist office visit $70 copay Ded / $0 $70 copay
Emergency room Ded / $500 copay Ded / $0 $950 copay
Urgent care $70 copay Ded / $0 $70 copay
Pharmacy
Preferred generic drug $0 copay Ded / $0 $0 copay
Generic drug $10 copay Ded / $0 $10 copay
Brand drug $50 copay Ded / $0 $50 copay
Non-preferred brand drug $100 copay Ded / $0 $100 copay
Specialty drug $250 copay Ded / $0 $250 copay

* For in-network providers

Platinum Plans
Plan benefit Platinum LD CHRISTUS Health Platinum 350 Platinum HD CHRISTUS Health Platinum Enhanced 1350
Ded/OOP $350 / $1,600 $1,350 / $1,350
Combined med/Rx deductible $350 / $700 $1,350 / $2,700
Individual/family OOP max $1,600 / $3,200 $1,350 / $2,700
Virtual care $0 virtual urgent care* $0 virtual urgent care*
Key copays
Primary care provider (PCP) office visit $35 copay $30 copay
Specialist office visit $70 copay $55 copay
Emergency room Ded / $300 copay $400 copay
Urgent care $70 copay $55 copay
Pharmacy
Preferred generic drug $0 copay $0 copay
Generic drug $10 copay $10 copay
Brand drug $35 copay $35 copay
Non-preferred brand drug $75 copay $75 copay
Specialty drug $250 copay $250 copay

* For in-network providers