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CHRISTUS Bronze HSA

Field Data
Health Insurance Plan ID98780LA0050003
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

98780LA0050003-00

98780LA0050003-01

98780LA0050003-02

98780LA0050003-03

Copay & Coinsurance of CHRISTUS Bronze HSA Health Insurance Plan, 98780LA0050003

Drug Tier Pharmacy Type Copay amount Copay option Coinsurance rate Coinsurance option Mail Order
Non preferred brand 1 month in retail $0 40.0% After deductible YES
Non preferred brand 3 month in mail $0 40.0% After deductible YES
Non preferred generic 1 month in retail $0 40.0% After deductible YES
Non preferred generic 3 month in mail $0 40.0% After deductible YES
Preferred brand 1 month in retail $0 40.0% After deductible YES
Preferred brand 3 month in mail $0 40.0% After deductible YES
Preferred generic 1 month in retail $0 40.0% After deductible YES
Preferred generic 3 month in mail $0 40.0% After deductible YES
Specialty 1 month in retail $0 40.0% After deductible YES
Specialty 3 month in mail $0 40.0% 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 HSA, 98780LA0050003 Health Insurance Plan, 98780LA0050003

Does CHRISTUS Bronze HSA Health Insurance Plan, 98780LA0050003 support Mail Ordering?

Yes, CHRISTUS Bronze HSA Health Insurance Plan, 98780LA0050003 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 HSA (98780LA0050003) Health Insurance Plan?

For non preferred generic drug tier coinsurance (After deductible) is 40.0%, non preferred generic drug tier coinsurance (After deductible) is 40.0%, preferred generic drug tier coinsurance (After deductible) is 40.0%, preferred generic drug tier coinsurance (After deductible) is 40.0%

What are the copay and coinsurance options for Brand Drugs with CHRISTUS Bronze HSA Health Insurance Plan (98780LA0050003)?

For non preferred brand drug tier coinsurance (After deductible) is 40.0%, non preferred brand drug tier coinsurance (After deductible) is 40.0%, preferred brand drug tier coinsurance (After deductible) is 40.0%, preferred brand drug tier coinsurance (After deductible) is 40.0%

What are the copay and coinsurance options for Brand Drugs with CHRISTUS Bronze HSA Health Insurance Plan (98780LA0050003)?

, non preferred brand drug tier coinsurance (After deductible) is 40.0%, non preferred brand drug tier coinsurance (After deductible) is 40.0%, preferred brand drug tier coinsurance (After deductible) is 40.0%, preferred brand drug tier coinsurance (After deductible) is 40.0%

 

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