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CHRISTUS Bronze - 2 free PCP visits;Virtual;$0 PrefGen;$30 NonPrefGen

Field Data
Health Insurance Plan ID98780LA0040003
Health Insurance Plan Year2023
StateLouisiana
Health Insurance IssuerCHRISTUS Health Plan Louisiana
Plan Formulary Description URLFormulary URL
Plan Marketing Materials URLMarketing URL
Last Plan Update DateFri, 16 Sep 2022 00:00 GMT
Last Import DateThu, 23 Mar 2023 05:06 GMT
 
Available Variants of the Health Plan

98780LA0040003-00

98780LA0040003-01

98780LA0040003-02

98780LA0040003-03

Copay & Coinsurance of CHRISTUS Bronze - 2 free PCP visits;Virtual;$0 PrefGen;$30 NonPrefGen Health Insurance Plan, 98780LA0040003

Drug Tier Pharmacy Type Copay amount Copay option Coinsurance rate Coinsurance option Mail Order
Non preferred brand 1 month in retail $0 50.0% After deductible YES
Non preferred brand 3 month in mail $0 50.0% After deductible YES
Non preferred generic 1 month in retail $0 0% YES
Non preferred generic 3 month in mail $0 0% YES
Preferred brand 1 month in retail $100.0 After deductible 0% YES
Preferred brand 3 month in mail $300.0 After deductible 0% YES
Preferred generic 1 month in retail $0 No charge 0% No charge YES
Preferred generic 3 month in mail $0 No charge 0% No charge YES
Specialty 1 month in retail $0 50.0% After deductible YES
Specialty 3 month in mail $0 50.0% After deductible YES
Zero cost share preventive 1 month in retail $0 No charge 0% No charge YES
Zero cost share preventive 3 month in mail $0 No charge 0% No charge YES

Frequently Asked Questions(FAQ) about CHRISTUS Bronze - 2 free PCP visits;Virtual;$0 PrefGen;$30 NonPrefGen, 98780LA0040003 Health Insurance Plan, 98780LA0040003

Does CHRISTUS Bronze - 2 free PCP visits;Virtual;$0 PrefGen;$30 NonPrefGen Health Insurance Plan, 98780LA0040003 support Mail Ordering?

Yes, CHRISTUS Bronze - 2 free PCP visits;Virtual;$0 PrefGen;$30 NonPrefGen Health Insurance Plan, 98780LA0040003 supports mail ordering for the next drug tiers: Non preferred brand, Non preferred generic, Preferred brand, Preferred generic, Specialty, Zero cost share preventive

What are the Generic Medications coinsurance & copay options with CHRISTUS Bronze - 2 free PCP visits;Virtual;$0 PrefGen;$30 NonPrefGen (98780LA0040003) Health Insurance Plan?

For non preferred generic drug tier, non preferred generic drug tier, preferred generic drug tier copay (No charge) is $0.0 and coinsurance (No charge) is 0.0%, preferred generic drug tier copay (No charge) is $0.0 and coinsurance (No charge) is 0.0%

What are the copay and coinsurance options for Brand Drugs with CHRISTUS Bronze - 2 free PCP visits;Virtual;$0 PrefGen;$30 NonPrefGen Health Insurance Plan (98780LA0040003)?

For non preferred brand drug tier coinsurance (After deductible) is 50.0%, non preferred brand drug tier coinsurance (After deductible) is 50.0%, preferred brand drug tier copay (After deductible) is $100.0, preferred brand drug tier copay (After deductible) is $300.0

What are the copay and coinsurance options for Brand Drugs with CHRISTUS Bronze - 2 free PCP visits;Virtual;$0 PrefGen;$30 NonPrefGen Health Insurance Plan (98780LA0040003)?

, non preferred brand drug tier coinsurance (After deductible) is 50.0%, non preferred brand drug tier coinsurance (After deductible) is 50.0%, preferred brand drug tier copay (After deductible) is $100.0, preferred brand drug tier copay (After deductible) is $300.0

 

Disclaimer: This is based on the import(Date: Thu, 23 Mar 2023 05:06 GMT) of the data from Healthcare Issuers listed by CMS. While we make every effort to ensure that data is accurate, you should assume all results are unvalidated. Source: CMS.gov, HealthPorta HEALTHCARE MRF API