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CHRISTUS Gold - 2 free PCP visits;$10 PCP;$35 SPE;$35 UC;$1,700 Med Ded;$0 Rx Ded

Field Data
Health Insurance Plan ID98780LA0030003
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

98780LA0030003-00

98780LA0030003-01

98780LA0030003-02

98780LA0030003-03

Copay & Coinsurance of CHRISTUS Gold - 2 free PCP visits;$10 PCP;$35 SPE;$35 UC;$1,700 Med Ded;$0 Rx Ded Health Insurance Plan, 98780LA0030003

Drug Tier Pharmacy Type Copay amount Copay option Coinsurance rate Coinsurance option Mail Order
Non preferred brand 1 month in retail $0 0% YES
Non preferred brand 3 month in mail $0 0% 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 $0 0% YES
Preferred brand 3 month in mail $0 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 0% YES
Specialty 3 month in mail $0 0% 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 Gold - 2 free PCP visits;$10 PCP;$35 SPE;$35 UC;$1,700 Med Ded;$0 Rx Ded, 98780LA0030003 Health Insurance Plan, 98780LA0030003

Does CHRISTUS Gold - 2 free PCP visits;$10 PCP;$35 SPE;$35 UC;$1,700 Med Ded;$0 Rx Ded Health Insurance Plan, 98780LA0030003 support Mail Ordering?

Yes, CHRISTUS Gold - 2 free PCP visits;$10 PCP;$35 SPE;$35 UC;$1,700 Med Ded;$0 Rx Ded Health Insurance Plan, 98780LA0030003 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 Gold - 2 free PCP visits;$10 PCP;$35 SPE;$35 UC;$1,700 Med Ded;$0 Rx Ded (98780LA0030003) 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 Gold - 2 free PCP visits;$10 PCP;$35 SPE;$35 UC;$1,700 Med Ded;$0 Rx Ded Health Insurance Plan (98780LA0030003)?

For non preferred brand drug tier, non preferred brand drug tier, preferred brand drug tier, preferred brand drug tier

What are the copay and coinsurance options for Brand Drugs with CHRISTUS Gold - 2 free PCP visits;$10 PCP;$35 SPE;$35 UC;$1,700 Med Ded;$0 Rx Ded Health Insurance Plan (98780LA0030003)?

, non preferred brand drug tier, non preferred brand drug tier, preferred brand drug tier, preferred brand drug tier

 

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