Benefits at a Glance
CHRISTUS Medicare Advantage
Explore Your Medicare Advantage Benefits
Choosing the right health plan means making sure you have access to the care and services that fit your needs. With CHRISTUS Health Medicare Advantage, we offer a range of benefits designed to support your overall health, from dental and hearing care to fitness programs and home-delivered meals. Explore the key benefits below.
| PREMIUM/BENEFIT | CHRISTUS HEALTH MEDICARE ADVANTAGE |
|---|---|
| Monthly Plan Premium | $0 |
| Out-of-Pocket Max. | $4,400 or $4,900 annually |
| Inpatient Hospital Day 1-90 |
From $0 copay/day to $295 copay/day |
| Day 91-100 | $50 copay/day to $320 copay/day |
| DOCTOR VISITS | |
| Primary Care | $0 copay |
| Specialist Office Visit | $25 copay |
| Preventive Care | $0 copay |
| Emergency Care | $60 - $95 copay |
| Diagnostic Radiology Service | $125 - $150 copay |
| Routine Hearing Exam (1 every year) | $35 copay |
| Routine Eye Exam | $0 copay |
| Transportation (24 round trips per year) | $0 |
| Over the Counter Benefit | $ 100 to $150 |
| Combined Preventive and Comprehensive Dental Annual Allowance (Includes Dentures) | $2,000 to $5,500 Benefit Max |
| Routine Dental Cleaning (1 every 6 months) | $0 copay |
| Comprehensive Dental Benefit | $20 copay |
| Fitness: Silver & Fit | $0 Annual Membership Fee |
| PRESCRIPTION DRUG COVERAGE | |
| Tier 1: Preferred Generic Drugs | Retail: $4 (30-day supply) Mail Order: $0 (90-day supply) |
| Tier 2: Preferred Generic Drugs | Retail: $10 (30-day supply) Mail Order: $0 (90-day supply) |
| Tier 6: Preferred Generic Drugs | Retail: $0 (30-day supply) Mail Order: $0 (90-day supply) |
Coverage That Works for You
Health Care Services
- Dental Services
- Hearing Care Services
- Vision Care Services
- Prescription Services
Wellness and prevention
- Fitness Program
- Home-delivered Meals
- Over-the-Counter (OTC) Products
Convenience and Health Care Support
- Transportation Services
- 24-hour Nurse Line
Health Care Services
Dental Services: Delta Dental
All our plans include preventive and comprehensive dental, which includes in-network or out-of-network dental providers.
Our plans with Delta Dental cover:
- Preventive dental services with $0 copay
- Comprehensive dental services with $20 copay
- Annual maximums from $2,000 to $5,500
Hearing Services: Amplifon
CHRISTUS Health Advantage plan offers quality hearing care and hearing instruments with Amplifon:
- $2,000 hearing aid benefit every two years
- Virtual services for hearing needs
- Risk-free 60-day trial for hearing aids
- Complimentary aftercare including follow-up and hearing aid battery support
Vision Care Services
Maintain your eyesight with:
- Annual eye exams
- Diabetic retinopathy screenings
- Hardware allowance from $100 to $300 for contact lenses, glasses, lenses, or frames.
Prescription Services: Express Scripts
Through the Express Scripts mail order pharmacy home delivery services, we offer:
- $0 for a 90-day supply of preferred generic drugs
Wellness and Prevention
Fitness Program: Silver & Fit:
Stay active with various options for fitness resources:
- Membership at thousands of fitness centers
- Choose one home fitness kit per year, including options like activity trackers (Garmin or Fitbit), swimming, yoga, Pilates, walking, or strength kits.
- Access to on-demand workout videos and well-being education
- Access to Well-Being Club for community, education, and events
Home-delivered Meals: GA Foods
Get home-delivered meals after a hospital stay:
- Up to 14 chef-curated meals delivered to your door over the course of 7 days
- Personalized for dietary needs including gluten-free, vegetarian, or for those with diabetes or cardiac conditions
Over-the-Counter Products: OTC Health Solutions
Receive over-the-counter health and wellness products:
- Get up to $150 quarterly for products
- Including generic and name-brand allergy medicine, bathroom safety supplies, cold and flu medicine, vitamins and minerals, and pain relief aids
Convenience and Health Care Support
Transportation Services: SafeRide Health
Regular visits with your doctor is the best way to prevent and manage health concerns. With CHRISTUS Health Plan, you can:
- Schedule rides to and from your health care appointments
- Call member services to learn more (844) 282-3026
24-Hour Nurse Line
- Receive free, confidential support from a nurse 24/7 by calling (844) 581-3174
- Nurses can answer questions about medications, help guide you on when and where to seek care, or provide reassurance
Explore Plans in 3 Ways
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Open Enrollment
Open Enrollment
Open Enrollment is your chance to review and update your healthcare coverage for the coming year, ensuring you get the benefits you need.
Qualifying Life Events
Qualifying Life Events
A Qualifying Life Event allows you to adjust your health insurance outside the standard enrollment period.
Understanding Medicare
Understanding Medicare
Understanding Medicare and all of its parts can be confusing. We can offer clarity.