ADVERTISEMENT
|
Blue Cross Blue Shield of Texas
Local: 1-888-697-0683 | Toll Free: 1-888-697-0683 | TTY: 1-800-735-2989
|
|
Gold
|
Annual Out of Pocket Expenses
|
Individual |
Family |
Annual Deductible |
$750 |
$2,250 |
Maximum Out of Pocket Per Year |
$8,150 |
$16,300 |
Deductible: Individual:
$750
| Family:
$2,250
Out of Pocket Maximum per year: Individual:
$8,150
| Family:
$16,300
Monthly Premiums:
|
21
30
40
50
60
|
$389.69
$442.29
$498.02
$695.98
$1,057.61 |
$779.38
$884.58
$996.04
$1,391.96
$2,115.22 |
$1,077.49
$1,182.69
$1,294.15
$1,690.07 |
$1,375.60
$1,480.80
$1,592.26
$1,988.18 |
$1,673.71
$1,778.91
$1,890.37
$2,286.29 |
$687.80
$740.40
$796.13
$994.09 |
$985.91
$1,038.51
$1,094.24
$1,292.20 |
$1,284.02
$1,336.62
$1,392.35
$1,590.31 |
$298.11 |
|
Catastrophic
|
Annual Out of Pocket Expenses
|
Individual |
Family |
Annual Deductible |
$8,150 |
$16,300 |
Maximum Out of Pocket Per Year |
$8,150 |
$16,300 |
Deductible: Individual:
$8,150
| Family:
$16,300
Out of Pocket Maximum per year: Individual:
$8,150
| Family:
$16,300
Monthly Premiums:
|
21
30
40
50
60
|
$266.35
$302.30
$340.39
$475.70
$722.87 |
$532.70
$604.60
$680.78
$951.40
$1,445.74 |
$736.46
$808.36
$884.54
$1,155.16 |
$940.22
$1,012.12
$1,088.30
$1,358.92 |
$1,143.98
$1,215.88
$1,292.06
$1,562.68 |
$470.11
$506.06
$544.15
$679.46 |
$673.87
$709.82
$747.91
$883.22 |
$877.63
$913.58
$951.67
$1,086.98 |
$203.76 |
|
Silver
|
Annual Out of Pocket Expenses
|
Individual |
Family |
Annual Deductible |
$1,900 |
$5,700 |
Maximum Out of Pocket Per Year |
$8,150 |
$16,300 |
Deductible: Individual:
$1,900
| Family:
$5,700
Out of Pocket Maximum per year: Individual:
$8,150
| Family:
$16,300
Monthly Premiums:
|
21
30
40
50
60
|
$386.43
$438.59
$493.85
$690.16
$1,048.76 |
$772.86
$877.18
$987.70
$1,380.32
$2,097.52 |
$1,068.48
$1,172.80
$1,283.32
$1,675.94 |
$1,364.10
$1,468.42
$1,578.94
$1,971.56 |
$1,659.72
$1,764.04
$1,874.56
$2,267.18 |
$682.05
$734.21
$789.47
$985.78 |
$977.67
$1,029.83
$1,085.09
$1,281.40 |
$1,273.29
$1,325.45
$1,380.71
$1,577.02 |
$295.62 |
|
Bronze
|
Annual Out of Pocket Expenses
|
Individual |
Family |
Annual Deductible |
$6,000 |
$16,300 |
Maximum Out of Pocket Per Year |
$8,150 |
$16,300 |
Deductible: Individual:
$6,000
| Family:
$16,300
Out of Pocket Maximum per year: Individual:
$8,150
| Family:
$16,300
Monthly Premiums:
|
21
30
40
50
60
|
$282.64
$320.80
$361.21
$504.80
$767.09 |
$565.28
$641.60
$722.42
$1,009.60
$1,534.18 |
$781.50
$857.82
$938.64
$1,225.82 |
$997.72
$1,074.04
$1,154.86
$1,442.04 |
$1,213.94
$1,290.26
$1,371.08
$1,658.26 |
$498.86
$537.02
$577.43
$721.02 |
$715.08
$753.24
$793.65
$937.24 |
$931.30
$969.46
$1,009.87
$1,153.46 |
$216.22 |
|
Bronze
|
Annual Out of Pocket Expenses
|
Individual |
Family |
Annual Deductible |
$8,150 |
$16,300 |
Maximum Out of Pocket Per Year |
$8,150 |
$16,300 |
Deductible: Individual:
$8,150
| Family:
$16,300
Out of Pocket Maximum per year: Individual:
$8,150
| Family:
$16,300
Monthly Premiums:
|
21
30
40
50
60
|
$289.07
$328.10
$369.43
$516.28
$784.54 |
$578.14
$656.20
$738.86
$1,032.56
$1,569.08 |
$799.28
$877.34
$960.00
$1,253.70 |
$1,020.42
$1,098.48
$1,181.14
$1,474.84 |
$1,241.56
$1,319.62
$1,402.28
$1,695.98 |
$510.21
$549.24
$590.57
$737.42 |
$731.35
$770.38
$811.71
$958.56 |
$952.49
$991.52
$1,032.85
$1,179.70 |
$221.14 |
|
Gold
|
Annual Out of Pocket Expenses
|
Individual |
Family |
Annual Deductible |
$750 |
$2,250 |
Maximum Out of Pocket Per Year |
$8,150 |
$16,300 |
Deductible: Individual:
$750
| Family:
$2,250
Out of Pocket Maximum per year: Individual:
$8,150
| Family:
$16,300
Monthly Premiums:
|
21
30
40
50
60
|
$426.99
$484.64
$545.70
$762.61
$1,158.86 |
$853.98
$969.28
$1,091.40
$1,525.22
$2,317.72 |
$1,180.63
$1,295.93
$1,418.05
$1,851.87 |
$1,507.28
$1,622.58
$1,744.70
$2,178.52 |
$1,833.93
$1,949.23
$2,071.35
$2,505.17 |
$753.64
$811.29
$872.35
$1,089.26 |
$1,080.29
$1,137.94
$1,199.00
$1,415.91 |
$1,406.94
$1,464.59
$1,525.65
$1,742.56 |
$326.65 |
|
Silver
|
Annual Out of Pocket Expenses
|
Individual |
Family |
Annual Deductible |
$1,100 |
$3,300 |
Maximum Out of Pocket Per Year |
$8,150 |
$16,300 |
Deductible: Individual:
$1,100
| Family:
$3,300
Out of Pocket Maximum per year: Individual:
$8,150
| Family:
$16,300
Monthly Premiums:
|
21
30
40
50
60
|
$431.18
$489.39
$551.05
$770.10
$1,170.23 |
$862.36
$978.78
$1,102.10
$1,540.20
$2,340.46 |
$1,192.22
$1,308.64
$1,431.96
$1,870.06 |
$1,522.08
$1,638.50
$1,761.82
$2,199.92 |
$1,851.94
$1,968.36
$2,091.68
$2,529.78 |
$761.04
$819.25
$880.91
$1,099.96 |
$1,090.90
$1,149.11
$1,210.77
$1,429.82 |
$1,420.76
$1,478.97
$1,540.63
$1,759.68 |
$329.86 |
|
Expanded Bronze
|
Annual Out of Pocket Expenses
|
Individual |
Family |
Annual Deductible |
$3,900 |
$11,700 |
Maximum Out of Pocket Per Year |
$8,150 |
$16,300 |
Deductible: Individual:
$3,900
| Family:
$11,700
Out of Pocket Maximum per year: Individual:
$8,150
| Family:
$16,300
Monthly Premiums:
|
21
30
40
50
60
|
$318.18
$361.13
$406.63
$568.26
$863.53 |
$636.36
$722.26
$813.26
$1,136.52
$1,727.06 |
$879.76
$965.66
$1,056.66
$1,379.92 |
$1,123.16
$1,209.06
$1,300.06
$1,623.32 |
$1,366.56
$1,452.46
$1,543.46
$1,866.72 |
$561.58
$604.53
$650.03
$811.66 |
$804.98
$847.93
$893.43
$1,055.06 |
$1,048.38
$1,091.33
$1,136.83
$1,298.46 |
$243.40 |
|
Bronze
|
Annual Out of Pocket Expenses
|
Individual |
Family |
Annual Deductible |
$5,000 |
$15,000 |
Maximum Out of Pocket Per Year |
$8,150 |
$16,300 |
Deductible: Individual:
$5,000
| Family:
$15,000
Out of Pocket Maximum per year: Individual:
$8,150
| Family:
$16,300
Monthly Premiums:
|
21
30
40
50
60
|
$295.99
$335.95
$378.27
$528.64
$803.32 |
$591.98
$671.90
$756.54
$1,057.28
$1,606.64 |
$818.41
$898.33
$982.97
$1,283.71 |
$1,044.84
$1,124.76
$1,209.40
$1,510.14 |
$1,271.27
$1,351.19
$1,435.83
$1,736.57 |
$522.42
$562.38
$604.70
$755.07 |
$748.85
$788.81
$831.13
$981.50 |
$975.28
$1,015.24
$1,057.56
$1,207.93 |
$226.43 |
ADVERTISEMENT
|
CHRISTUS Health Plan
Local: 1-844-282-3025 | Toll Free: 1-844-282-3025 | TTY: 1-800-659-8331
|
|
Catastrophic
|
Annual Out of Pocket Expenses
|
Individual |
Family |
Annual Deductible |
$8,150 |
$16,300 |
Maximum Out of Pocket Per Year |
$8,150 |
$16,300 |
Deductible: Individual:
$8,150
| Family:
$16,300
Out of Pocket Maximum per year: Individual:
$8,150
| Family:
$16,300
Monthly Premiums:
|
21
30
40
50
60
|
$221.71
$251.64
$283.34
$395.97
$601.71 |
$443.42
$503.28
$566.68
$791.94
$1,203.42 |
$613.03
$672.89
$736.29
$961.55 |
$782.64
$842.50
$905.90
$1,131.16 |
$952.25
$1,012.11
$1,075.51
$1,300.77 |
$391.32
$421.25
$452.95
$565.58 |
$560.93
$590.86
$622.56
$735.19 |
$730.54
$760.47
$792.17
$904.80 |
$169.61 |
|
Expanded Bronze
|
Annual Out of Pocket Expenses
|
Individual |
Family |
Annual Deductible |
$7,100 |
$14,200 |
Maximum Out of Pocket Per Year |
$8,150 |
$16,300 |
Deductible: Individual:
$7,100
| Family:
$14,200
Out of Pocket Maximum per year: Individual:
$8,150
| Family:
$16,300
Monthly Premiums:
|
21
30
40
50
60
|
$272.31
$309.08
$348.02
$486.35
$739.06 |
$544.62
$618.16
$696.04
$972.70
$1,478.12 |
$752.94
$826.48
$904.36
$1,181.02 |
$961.26
$1,034.80
$1,112.68
$1,389.34 |
$1,169.58
$1,243.12
$1,321.00
$1,597.66 |
$480.63
$517.40
$556.34
$694.67 |
$688.95
$725.72
$764.66
$902.99 |
$897.27
$934.04
$972.98
$1,111.31 |
$208.32 |
|
Silver
|
Annual Out of Pocket Expenses
|
Individual |
Family |
Annual Deductible |
$5,700 |
$11,400 |
Maximum Out of Pocket Per Year |
$8,150 |
$16,300 |
Deductible: Individual:
$5,700
| Family:
$11,400
Out of Pocket Maximum per year: Individual:
$8,150
| Family:
$16,300
Monthly Premiums:
|
21
30
40
50
60
|
$385.74
$437.82
$492.98
$688.94
$1,046.91 |
$771.48
$875.64
$985.96
$1,377.88
$2,093.82 |
$1,066.57
$1,170.73
$1,281.05
$1,672.97 |
$1,361.66
$1,465.82
$1,576.14
$1,968.06 |
$1,656.75
$1,760.91
$1,871.23
$2,263.15 |
$680.83
$732.91
$788.07
$984.03 |
$975.92
$1,028.00
$1,083.16
$1,279.12 |
$1,271.01
$1,323.09
$1,378.25
$1,574.21 |
$295.09 |
|
Silver
|
Annual Out of Pocket Expenses
|
Individual |
Family |
Annual Deductible |
$3,700 |
$7,400 |
Maximum Out of Pocket Per Year |
$8,150 |
$16,300 |
Deductible: Individual:
$3,700
| Family:
$7,400
Out of Pocket Maximum per year: Individual:
$8,150
| Family:
$16,300
Monthly Premiums:
|
21
30
40
50
60
|
$430.65
$488.79
$550.37
$769.14
$1,168.79 |
$861.30
$977.58
$1,100.74
$1,538.28
$2,337.58 |
$1,190.75
$1,307.03
$1,430.19
$1,867.73 |
$1,520.20
$1,636.48
$1,759.64
$2,197.18 |
$1,849.65
$1,965.93
$2,089.09
$2,526.63 |
$760.10
$818.24
$879.82
$1,098.59 |
$1,089.55
$1,147.69
$1,209.27
$1,428.04 |
$1,419.00
$1,477.14
$1,538.72
$1,757.49 |
$329.45 |
|
Gold
|
Annual Out of Pocket Expenses
|
Individual |
Family |
Annual Deductible |
$800 |
$1,600 |
Maximum Out of Pocket Per Year |
$8,150 |
$16,300 |
Deductible: Individual:
$800
| Family:
$1,600
Out of Pocket Maximum per year: Individual:
$8,150
| Family:
$16,300
Monthly Premiums:
|
21
30
40
50
60
|
$386.93
$439.16
$494.49
$691.05
$1,050.12 |
$773.86
$878.32
$988.98
$1,382.10
$2,100.24 |
$1,069.86
$1,174.32
$1,284.98
$1,678.10 |
$1,365.86
$1,470.32
$1,580.98
$1,974.10 |
$1,661.86
$1,766.32
$1,876.98
$2,270.10 |
$682.93
$735.16
$790.49
$987.05 |
$978.93
$1,031.16
$1,086.49
$1,283.05 |
$1,274.93
$1,327.16
$1,382.49
$1,579.05 |
$296.00 |
|
Expanded Bronze
|
Annual Out of Pocket Expenses
|
Individual |
Family |
Annual Deductible |
$6,000 |
$12,000 |
Maximum Out of Pocket Per Year |
$6,850 |
$13,700 |
Deductible: Individual:
$6,000
| Family:
$12,000
Out of Pocket Maximum per year: Individual:
$6,850
| Family:
$13,700
Monthly Premiums:
|
21
30
40
50
60
|
$302.24
$343.05
$386.27
$539.81
$820.29 |
$604.48
$686.10
$772.54
$1,079.62
$1,640.58 |
$835.70
$917.32
$1,003.76
$1,310.84 |
$1,066.92
$1,148.54
$1,234.98
$1,542.06 |
$1,298.14
$1,379.76
$1,466.20
$1,773.28 |
$533.46
$574.27
$617.49
$771.03 |
$764.68
$805.49
$848.71
$1,002.25 |
$995.90
$1,036.71
$1,079.93
$1,233.47 |
$231.22 |
Cass County is in “Rating Area 26” of Texas.
Currently, there are 15 plans offered in Rating Area 26.