2024 Gold Plans

Gold Plans Overview

Once you understand the differences, it’s easier to find the best plan that fits you and your family. We want you to get all the coverage you need without paying for benefits you don’t.

Gold cheat sheet:

Gold plans have the highest premiums.
Gold plans have lower out-of-pocket costs.
On average, the insurance company pays 80%. You pay 20%.
“Get this plan if your doctor knows you better than your spouse.”

Questions?

Our hours of operation
are 8 a.m. – 5 p.m.

Call Us:
Local: 713.295.6704
Toll-Free: 1.855.315.5386

All Community plans come with:

Preventative Services

One of the largest Provider
and facilities network in
Southeast Texas

Low copay on many
generic drugs

Most primary care visits,
specialist visits, urgent care, and generic drugs are not subject to deductible

Free 24/7 telehealth

No referrals needed
for specialists

Preventative Services

Free 24/7 telehealth

One of the largest Provider
and facilities network in
Southwest Texas

Low copay on many
generic drugs

No referrals needed
for specialists

Most primary care visits, specialist visits, urgent care, and generic drugs are not subject to deductible

Which Gold plan is right for you?

Premier
Gold 005
Premier
Gold 021
Select
Gold 022

PREMIER GOLD PLAN 005

MODERATE MONTHLY PREMIUMS
LOW COST-SHARING

Plan Overview

Important Features of 2024 Premier Gold 005 Plan:

Things to Keep in Mind:

The Advanced Premium Tax Credit can lower your monthly payment. If you’re eligible, you can apply it to the Gold 005 Plan.

View Quick Reference Guide

Summary of Benefits
and Coverage

View 2024 Premier Gold 005 Plan Details

Medical Deductible (Individual)
$1,600
Maximum Out-of-Pocket (Individual)
$9,450
Primary Care Physician Office Visit
$20*
Specialist Office Visit
$40*
Urgent Care Visit
$40*
Emergency Room Visit
25%

Inpatient Hospital Stay
25%
Prescription Drug Deductible
Combined with Medical Deductible
Generic
$10*
Preferred Brand
$50
Non-Preferred Brand
$75
Specialty High-Cost Drugs
35%

*Services are exempt from deductible where indicated (PCP/Specialist/Urgent Care/Generic RX)

PREMIER GOLD PLAN 021

MODERATE MONTHLY PREMIUMS
LOW COST-SHARING

Plan Overview

Important Features of 2024 Premier Gold 021 Plan:

Things to Keep in Mind:

The Advanced Premium Tax Credit can lower your monthly payment.

View Quick Reference Guide

Summary of Benefits
and Coverage

Off-Exchange

Download PDF

On-Exchange

Download PDF

Zero Cost-Sharing

Download PDF

Limited Cost-Sharing

Download PDF

View Premier Gold 021 Details

Medical Deductible (Individual)
$1,500
Maximum Out-of-Pocket (Individual)
$8,700
Primary Care Physician Office Visit
$30*
Specialist Office Visit
$60*
Urgent Care Visit
$45*
Emergency Room Visit
25%

Inpatient Hospital Stay
25%
Prescription Drug Deductible
Combined with Medical Deductible
Generic
$15*
Preferred Brand
$30*
Non-Preferred Brand
$60*
Specialty High-Cost Drugs
$250*

*Services are exempt from deductible where indicated (PCP/Specialist/Urgent Care/Generic RX)

SELECT GOLD PLAN 022

MODERATE MONTHLY PREMIUMS
LOW COST-SHARING

Plan Overview

Important Features of 2024 Select Gold 022 Plan:

Things to Keep in Mind:

The Advanced Premium Tax Credit can lower your monthly payment. If you’re eligible, you can apply it to the Gold 005 Plan.

View Quick Reference Guide

Summary of Benefits
and Coverage

Off-Exchange

Download PDF

On-Exchange

Download PDF

Zero Cost-Sharing

Download PDF

Limited Cost-Sharing

Download PDF

View Select Gold 022 Details

Medical Deductible (Individual)
$1,800
Maximum Out-of-Pocket (Individual)
$9,450
Primary Care Physician Office Visit
$15*
Specialist Office Visit
$30*
Urgent Care Visit
$30*
Emergency Room Visit
30%

Inpatient Hospital Stay
30%
Prescription Drug Deductible
Combined with Medical Deductible
Generic
$10*
Preferred Brand
$50
Non-Preferred Brand
$100
Specialty High-Cost Drugs
40%

*Services are exempt from deductible where indicated (PCP/Specialist/Urgent Care/Generic RX)

Local and Neighborly

What does it mean when we say we are local? It means that our service area is 20 counties in the Greater Houston and Beaumont areas. It means that our Providers and facilities are near to you. That’s why we partner with about 7,500 Providers across 20 counties in Southeast Texas, including doctors and clinics at integrated-care organizations. The doctors and facilities and specialists that you see in your times of need are nearby and neighborly.

Why Choose Community?

As a local nonprofit health plan, Community Health Choice gives you plenty of reasons to join our Community. From the benefits and special programs we offer to the way our Member Services team helps you make the most of them, Community is always working life forward for you and your family.

“Community Health Choice is always there to answer my questions and help me and my family with our medical needs. I truly appreciate and value their customer support and service.”
– Cecily
Member of Community Health Choice

2024 Gold Plans

2024 Gold Plans

Gold Plans Overview

Questions?

All Community plans come with:

Preventative Services

One of the largest Provider and facilities network in Southeast Texas

Low copay on manygeneric drugs

Most primary care visits, specialist visits, urgent care, and generic drugs are not subject to deductible

Free 24/7 telehealth

No referrals needed for specialists

Preventative Services

Free 24/7 telehealth

One of the largest Provider and facilities network in Southwest Texas

Low copay on manygeneric drugs

No referrals needed for specialists

Most primary care visits, specialist visits, urgent care, and generic drugs are not subject to deductible

Which Gold plan is right for you?

PREMIER GOLD PLAN 005

Plan Overview

Summary of Benefits and Coverage

Off-Exchange

On-Exchange

Zero Cost-Sharing

Limited Cost-Sharing

PREMIER GOLD PLAN 021

Plan Overview

Summary of Benefits and Coverage

Off-Exchange

On-Exchange

Zero Cost-Sharing

Limited Cost-Sharing

SELECT GOLD PLAN 022

Plan Overview

Summary of Benefits and Coverage

Off-Exchange

On-Exchange

Zero Cost-Sharing

Limited Cost-Sharing

Local and Neighborly

Why Choose Community?

One of the largest Provider
and facilities network in
Southeast Texas

Low copay on many
generic drugs

Most primary care visits,
specialist visits, urgent care, and generic drugs are not subject to deductible

No referrals needed
for specialists

One of the largest Provider
and facilities network in
Southwest Texas

Low copay on many
generic drugs

No referrals needed
for specialists

Summary of Benefits
and Coverage

Summary of Benefits
and Coverage

Summary of Benefits
and Coverage