Christus Health Plans - TEXAS

 

About Christus

Believing that everyone has the right to quality health insurance, CHRISTUS Health embarked on an effort to expand. CHRISTUS Health Plan began offering Medicare Advantage and Health Insurance Exchange (HIX) plans.

Today Christus offers Medicare Advantage plans in Southeast Texas and Health Insurance Exchange plans in Texas. It’s affordable care that is smart, simple, and there for you when you need it the most.

The goal of Christus is to always put you first by providing access to the best providers, hospitals and clinics. Above all, they are committed to offering a unique healing experience that embodies our values and respects the dignity and worth of each life.

Provider Network – 2026

CHRISTUS HEALTH PLAN TEXAS HEALTH EXCHANGE COVERS MEMBERS IN THE FOLLOWING COUNTIES:

Anderson
Aransas
Bee
Bowie
Brooks
Caldwell
Cass
Cherokee
Comal
Franklin
Harrison
Hays*
Hopkins
Jasper
Jefferson
Jim Wells
Karnes
Kenedy
Kleberg
Live Oak
Marion
Morris
Newton
Nueces
Orange
Rains
Red River
Refugio
San Patricio
Smith
Titus
Tyler
Upshur
Van Zandt
Wood

    Good Health Starts With The Right Insurance

    You need personal and reliable health insurance. CHRISTUS Health Plan makes that easy with access to our large network of doctors, clinics and hospitals in your community. With multiple health insurance plans, we have options that fit your needs.CHRISTUS Health Plan offers Bronze, Silver and Gold level plans.

    Plan Categories CHRISTUS Health Plan pays* You pay*
    Bronze 60% 40%
    Silver 70% 30%
    Silver with extra savings 73–96% 6–27%
    Gold 80% 20%
    Platinum 90% 10%

     

     

     

    Christus Catastrophic and Bronze Plans Comparison

    Christus Catastrophic and Bronze Plans

    Catastrophic plans are designed for people under 30 or those who qualify for a hardship exemption and want the lowest monthly premium possible.
    These plans offer essential protection in case of major accidents or serious illness, while keeping upfront costs minimal.

    Catastrophic plans are a good fit if you:
    ✔ want the lowest monthly premium available
    ✔ rarely need medical care
    ✔ primarily want coverage for worst-case scenarios
    ✔ don’t mind a very high deductible before the plan starts paying
    ✔ still want access to free preventive services and a limited number of free primary care visits

    While monthly premiums are lower, these plans come with higher deductibles and out-of-pocket costs compared to Bronze and Silver options. They include all ACA-required essential health benefits and use the CHRISTUS Health Plan HMO network.

    Bronze plans offer lower monthly premiums with higher out-of-pocket costs when you need care.
    They’re designed for individuals who want essential health coverage at the most affordable monthly rate and are comfortable paying more when using services.

    Bronze plans are a strong fit if you:
    ✔ don’t visit doctors often
    ✔ want protection in case of serious illness or injury
    ✔ prefer the lowest premium available
    ✔ are okay with higher deductibles and copays for services

    Plan Name Network Deductible (Ind/Fam) OOP Max (Ind/Fam) PCP / Specialist Urgent Care Preferred Generic Rx Generic Rx
    CHRISTUS Bronze Essential HMO $7,450 / $14,900 $9,850 / $19,700 $60 / $80
    First 2 PCP visits: $0
    $80 $0 $30
    CHRISTUS Bronze HMO $9,300 / $18,600 $9,650 / $19,300 $80 / $110 $110 $15 $40
    CHRISTUS Standard Expanded Bronze HMO $9,650 / $19,300 $9,650 / $19,300 $50 / $75 $75 $15 $40
    CHRISTUS Catastrophic HMO $10,600 / $21,200 $10,600 / $21,200 $0 / $0
    First 3 PCP visits: $0
    $0 $0 $0
    Christus Silver Plans Comparison

    Christus Silver Plans

    The best value and the most balance between your monthly premium payments and out-of-pocket expenses. Silver Care plans provide the best value and most balance between your monthly premium payments and out-of-pocket costs, especially if you’re eligible for financial assistance. Recommended if you:

    • See your primary care physician for preventive care every year
    • Don’t anticipate any major ongoing medical needs
    • Want a monthly premium that fit most budgets
    • Want Out-of-pocket expenses that fit most budgets

    Plan Name Network Deductible (Ind/Fam) Out of Pocket Max (Ind/Fam) Primary Care / Specialist Urgent Care Visit Preferred Generic Rx Generic Rx
    CHRISTUS Standard Silver 70 HMO $6,000 / $12,000 $8,900 / $17,800 $40 / $80 $60 $20 $20
    CHRISTUS Silver Essential 70 HMO $6,900 / $13,800 $9,300 / $18,600 $5 / $50 $50 $0 $10
    CHRISTUS Value Silver 70 HMO $5,990 / $11,980 $5,990 / $11,980 No charge / No charge No charge No charge No charge
    Christus Gold Plans Comparison

    Christus Gold Plans

    Peace of mind for all your healthcare needs. You’ll have peace of mind for all your healthcare needs with Gold Care. Expect higher monthly premium payments to help limit your out-of-pocket costs later. Recommended if you:

    • Will use coverage often
    • Have an ongoing medical condition that needs treatment
    • Want additional security and peace of mind
    • Don’t mind higher monthly premiums
    • Want lower out-of-pocket costs

     

    Plan Name Network Deductible (Ind/Fam) Out of Pocket Max (Ind/Fam) Primary Care / Specialist Urgent Care Visit Preferred Generic Rx Generic Rx
    CHRISTUS Gold Essential HMO $3,750 / $7,500 $9,200 / $18,400 $5 / $35 $35 No charge $10
    CHRISTUS Gold + Fitness HMO $1,050 / $2,100 $8,700 / $17,400 $20 / $40 $40 $5 $20
    CHRISTUS Standard Gold HMO $2,000 / $4,000 $8,200 / $16,400 $30 / $60 $45 $15 $15

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    Christus Coverage Map