2025 Silver Plans

Silver 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.

Silver cheat sheet:

Silver plans have mid-range premiums.
Silver plans have mid-range out-of-pocket costs.
On average, the insurance company pays 70%. You pay 30%.
“The comprehensive plan balanced with affordability.”

All Community plans come with:

Questions?

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

Call Us:
Local: 713.295.6704
Toll-Free: 1.855.315.5386

Preventive 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

Which Silver plan is right for you?

Premier Silver 012
Select Silver 019
Premier Silver 020
Ultra Select Silver 019
Ultra Select Silver 20

PREMIER SILVER PLAN 012

HIGHER PREMIUMS
LOW TO MODERATE COST-SHARING

Plan Overview

Important Features of 2025 Premier Silver 12 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 any Silver plan.

View Quick Reference Guide

Summary of Benefits
and Coverage

View 2025 Premier Silver 012 Plan Details

Medical Deductible (Individual) Medical and Drug:
$2,800
Maximum Out-of-Pocket (Individual)
$9,200
Primary Care Physician Office Visit
$30*
Urgent Care Services
$60*
Emergency Room Services
50%

Inpatient Hospital Care
50%
Prescription Drug Deductible
Combined with Medical Deductible
Generic
$10*
Preferred Brand
$80
Non-Preferred Brand
$120
Specialty High-Cost Drugs
50%

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

For deductible plans: All coinsurance/copays apply after annual deductible has been met unless otherwise indicated.

View 2025 Premier Silver 12 CSR 73 Plan Details

Medical Deductible (Individual):
$2,400
Maximum Out-of-Pocket (Individual)
$7,100
Primary Care Physician Office Visit
$30*
Urgent Care Services
$60*
Emergency Room Services
50%

Inpatient Hospital Care
50%
Prescription Drug Deductible
Combined with Medical Deductible
Generic
$10*
Preferred Brand
$80
Non-Preferred Brand
$120
Specialty High-Cost Drugs
50%

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

For deductible plans: All coinsurance/copays apply after annual deductible has been met unless otherwise indicated.

View 2025 Premier Silver 12 CSR 87 Plan Details

Medical Deductible (Individual):
$500
Maximum Out-of-Pocket (Individual)
$2,500
Primary Care Physician Office Visit
$25*
Specialist Office Visit
$50
Urgent Care Services
$50*
Emergency Room Services
40%

Inpatient Hospital Care
40%
Prescription Drug Deductible
Combined with Medical Deductible
Generic
$5*
Preferred Brand
$70
Non-Preferred Brand
$100
Specialty High-Cost Drugs
40%

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

For deductible plans: All coinsurance/copays apply after annual deductible has been met unless otherwise indicated.

View 2025 Premier Silver 12 CSR 94 Plan Details

Medical Deductible (Individual):
N/A
Maximum Out-of-Pocket (Individual)
$1,800
Primary Care Physician Office Visit
$10
Specialist Office Visit
$20
Urgent Care Services
$20
Emergency Room Services
10%

Inpatient Hospital Care
10%
Prescription Drug Deductible
N/A
Generic
$5
Preferred Brand
$20
Non-Preferred Brand
$40
Specialty High-Cost Drugs
20%

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

For deductible plans: All coinsurance/copays apply after annual deductible has been met unless otherwise indicated.

SELECT SILVER PLAN 019

HIGHER PREMIUMS
LOW TO MODERATE COST-SHARING

Plan Overview

Important Features of 2025 Select Silver 19 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 any Silver plan.

View Quick Reference Guide

Summary of Benefits
and Coverage

Off-Exchange

Download PDF

Zero Cost Variation

Download PDF

AI/AN Limited Cost

Download PDF

73% AV Level

Download PDF

87% AV Level

Download PDF

On-Exchange

Download PDF

94% AV Level

Download PDF

View 2025 Select Silver 19 Details

Medical Deductible (Individual)
$4,250
Maximum Out-of-Pocket (Individual)
$8,500
Primary Care Physician Office Visit
$30*
Specialist Office Visit
$80*
Urgent Care Services
$80*
Emergency Room Services
40%

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

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

For deductible plans: All coinsurance/copays apply after annual deductible has been met unless otherwise indicated.

View 2025 Select Silver 19 CSR 73 Plan Details

Medical Deductible (Individual):
$3,200
Maximum Out-of-Pocket (Individual)
$7,100
Primary Care Physician Office Visit
$30*
Specialist Office Visit
$80*
Urgent Care Services
$80*
Emergency Room Services
30%

Inpatient Hospital Care
30%
Prescription Drug Deductible
Combined with Medical Deductible
Generic
$10*
Preferred Brand
$40
Non-Preferred Brand
$80
Specialty High-Cost Drugs
50%

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

For deductible plans: All coinsurance/copays apply after annual deductible has been met unless otherwise indicated.

View 2025 Select Silver 19 CSR 87 Plan Details

Medical Deductible (Individual):
$500
Maximum Out-of-Pocket (Individual)
$3,000
Primary Care Physician Office Visit
$20*
Specialist Office Visit
$40*
Urgent Care Services
$40*
Emergency Room Servicese
30%

Inpatient Hospital Care
30%
Prescription Drug Deductible
Combined with Medical Deductible
Generic
$10*
Preferred Brand
$25
Non-Preferred Brand
$60
Specialty High-Cost Drugs
50%

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

For deductible plans: All coinsurance/copays apply after annual deductible has been met unless otherwise indicated.

View 2025 Select Silver 19 CSR 94 Plan Details

Medical Deductible (Individual):
N/A
Maximum Out-of-Pocket (Individual)
$1,600
Primary Care Physician Office Visit
$5
Specialist Office Visit
$25
Urgent Care Services
$25
Emergency Room Services
10%

Inpatient Hospital Care
10%
Prescription Drug Deductible
N/A
Generic
$5
Preferred Brand
$15
Non-Preferred Brand
$40
Specialty High-Cost Drugs
30%

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

For deductible plans: All coinsurance/copays apply after annual deductible has been met unless otherwise indicated.

PREMIER SILVER PLAN 020

HIGHER PREMIUMS
LOW TO MODERATE COST-SHARING

Plan Overview

Important Features of 2025 Premier Silver 20 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 any Silver plan.

View Quick Reference Guide

Summary of Benefits
and Coverage

Off-Exchange

Download PDF

On-Exchange

Download PDF

Zero Cost Variation

Download PDF

AI/AN Limited Cost

Download PDF

73% AV Level

Download PDF

87% AV Level

Download PDF

94% AV Level

Download PDF

View 2025 Premier Silver 20 Plan Details

Medical Deductible (Individual)
$5,000
Maximum Out-of-Pocket (Individual)
$8,000
Primary Care Physician Office Visit
$40*
Specialist Office Visit
$80*
Urgent Care Services
$60*
Emergency Room Services
40%

Inpatient Hospital Care
40%
Prescription Drug Deductible
Combined with Medical Deductible
Generic
$20*
Preferred Brand
$40*
Non-Preferred Brand
$80
Specialty High-Cost Drugs
$350

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

For deductible plans: All coinsurance/copays apply after annual deductible has been met unless otherwise indicated.

View 2025 Premier Silver 20 CSR 73 Plan Details

Medical Deductible (Individual):
$3,000
Maximum Out-of-Pocket (Individual)
$6,400
Primary Care Physician Office Visit
$40*
Specialist Office Visit
$80*
Urgent Care Services
$60*
Emergency Room Services
40%

Inpatient Hospital Care
40%
Prescription Drug Deductible
Combined with Medical Deductible
Generic
$20*
Preferred Brand
$40*
Non-Preferred Brand
$80
Specialty High-Cost Drugs
$350

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

For deductible plans: All coinsurance/copays apply after annual deductible has been met unless otherwise indicated.

View 2025 Premier Silver 20 CSR 87 Plan Details

Medical Deductible (Individual):
$500
Maximum Out-of-Pocket (Individual)
$3,000
Primary Care Physician Office Visit
$20*
Specialist Office Visit
$40*
Urgent Care Services
$30*
Emergency Room Services
30%

Inpatient Hospital Care
30%
Prescription Drug Deductible
Combined with Medical Deductible
Generic
$10*
Preferred Brand
$20*
Non-Preferred Brand
$60
Specialty High-Cost Drugs
$250

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

For deductible plans: All coinsurance/copays apply after annual deductible has been met unless otherwise indicated.

View 2025 Premier Silver 20 CSR 94 Plan Details

Medical Deductible (Individual): N/A
Maximum Out-of-Pocket (Individual) $2,000
Primary Care Physician Office Visit $0
Specialist Office Visit $10
Urgent Care Services $5
Emergency Room Services 25%

Inpatient Hospital Care 25%
Prescription Drug Deductible N/A
Generic $0
Preferred Brand $15
Non-Preferred Brand $50
Specialty High-Cost Drugs $150

*Services are exempt from deductible where indicated (PCP/Specialist/Urgent Care/Generic RX) For deductible plans: All coinsurance/copays apply after annual deductible has been met unless otherwise indicated.

ULTRA SELECT SILVER PLAN 019

HIGHER PREMIUMS
LOW TO MODERATE COST-SHARING

Plan Overview

Important Features of 2025 Ultra Select Silver 19 Plan:

Things to Keep in Mind:

Out-of-network services are not covered under this plan
Prior Authorization/Step Therapy requirements apply to some medical and pharmacy benefits
Only available to Harris County residents
Members receive all their care from one or more of the following high-quality Providers: – Harris County Hospital District, HCA Hospitals, AD Hospital East, Oakbend Hospital, Professional network Baylor AMS, UT Physicians, Privia (provider group associated with HCA) and other providers that admit to these facilities.

The Advanced Premium Tax Credit can lower your monthly payment. If you’re eligible, you can apply it to any Silver plan.

View Quick Reference Guide

Summary of Benefits
and Coverage

Off-Exchange

Download PDF

Zero Cost Variation

Download PDF

AI/AN Limited Cost

Download PDF

73% AV Level

Download PDF

87% AV Level

Download PDF

On-Exchange

Download PDF

94% AV Level

Download PDF

View 2025 Ultra Select Silver 19 Details

Medical Deductible (Individual)
$4,250
Maximum Out-of-Pocket (Individual)
$8,500
Primary Care Physician Office Visit
$30*
Specialist Office Visit
$80*
Urgent Care Services
$80*
Emergency Room Services
40%

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

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

For deductible plans: All coinsurance/copays apply after annual deductible has been met unless otherwise indicated.

View 2025 Ultra Select Silver 19 CSR 73 Plan Details

Medical Deductible (Individual):
$3,200
Maximum Out-of-Pocket (Individual)
$7,100
Primary Care Physician Office Visit
$30*
Specialist Office Visit
$80*
Urgent Care Services
$80*
Emergency Room Services
30%

Inpatient Hospital Care
30%
Prescription Drug Deductible
Combined with Medical Deductible
Generic
$10*
Preferred Brand
$40
Non-Preferred Brand
$80
Specialty High-Cost Drugs
50%

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

For deductible plans: All coinsurance/copays apply after annual deductible has been met unless otherwise indicated.

View 2025 Ultra Select Silver 19 CSR 87 Plan Details

Medical Deductible (Individual):
$500
Maximum Out-of-Pocket (Individual)
$3,000
Primary Care Physician Office Visit
$20*
Specialist Office Visit
$40*
Urgent Care Services
$40*
Emergency Room Servicese
30%

Inpatient Hospital Care
30%
Prescription Drug Deductible
Combined with Medical Deductible
Generic
$10*
Preferred Brand
$25
Non-Preferred Brand
$60
Specialty High-Cost Drugs
50%

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

For deductible plans: All coinsurance/copays apply after annual deductible has been met unless otherwise indicated.

View 2025 Ultra Select Silver 19 CSR 94 Plan Details

Medical Deductible (Individual):
N/A
Maximum Out-of-Pocket (Individual)
$1,600
Primary Care Physician Office Visit
$5
Specialist Office Visit
$25
Urgent Care Services
$25
Emergency Room Services
10%

Inpatient Hospital Care
10%
Prescription Drug Deductible
N/A
Generic
$5
Preferred Brand
$15
Non-Preferred Brand
$40
Specialty High-Cost Drugs
30%

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

For deductible plans: All coinsurance/copays apply after annual deductible has been met unless otherwise indicated.

ULTRA SELECT SILVER PLAN 020

HIGHER PREMIUMS
LOW TO MODERATE COST-SHARING

Plan Overview

Important Features of 2025 Ultra Select Silver 20 Plan:

Things to Keep in Mind:

Out-of-network services are not covered under this plan
Prior Authorization/Step Therapy requirements apply to some medical and pharmacy benefits
Only available to Harris County residents
Members receive all their care from one or more of the following high-quality Providers: – Harris County Hospital District, HCA Hospitals, AD Hospital East, Oakbend Hospital, Professional network Baylor AMS, UT Physicians, Privia (provider group associated with HCA) and other providers that admit to these facilities.

The Advanced Premium Tax Credit can lower your monthly payment. If you’re eligible, you can apply it to any Silver plan.

View Quick Reference Guide

Summary of Benefits
and Coverage

Off-Exchange

Download PDF

On-Exchange

Download PDF

Zero Cost Variation

Download PDF

AI/AN Limited Cost

Download PDF

73% AV Level

Download PDF

87% AV Level

Download PDF

94% AV Level

Download PDF

View 2025 Ultra Select Silver 20 Plan Details

Medical Deductible (Individual)
$5,000
Maximum Out-of-Pocket (Individual)
$8,000
Primary Care Physician Office Visit
$40*
Specialist Office Visit
$80*
Urgent Care Services
$60*
Emergency Room Services
40%

Inpatient Hospital Care
40%
Prescription Drug Deductible
Combined with Medical Deductible
Generic
$20*
Preferred Brand
$40*
Non-Preferred Brand
$80
Specialty High-Cost Drugs
$350

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

For deductible plans: All coinsurance/copays apply after annual deductible has been met unless otherwise indicated.

View 2025 Ultra Select Silver 20 CSR 73 Plan Details

Medical Deductible (Individual):
$3,000
Maximum Out-of-Pocket (Individual)
$6,400
Primary Care Physician Office Visit
$40*
Specialist Office Visit
$80*
Urgent Care Services
$60*
Emergency Room Services
40%

Inpatient Hospital Care
40%
Prescription Drug Deductible
Combined with Medical Deductible
Generic
$20*
Preferred Brand
$40*
Non-Preferred Brand
$80
Specialty High-Cost Drugs
$350

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

For deductible plans: All coinsurance/copays apply after annual deductible has been met unless otherwise indicated.

View 2025 Ultra Select Silver 20 CSR 87 Plan Details

Medical Deductible (Individual):
$500
Maximum Out-of-Pocket (Individual)
$3,000
Primary Care Physician Office Visit
$20*
Specialist Office Visit
$40*
Urgent Care Services
$30*
Emergency Room Services
30%

Inpatient Hospital Care
30%
Prescription Drug Deductible
Combined with Medical Deductible
Generic
$10*
Preferred Brand
$20*
Non-Preferred Brand
$60
Specialty High-Cost Drugs
$250

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

For deductible plans: All coinsurance/copays apply after annual deductible has been met unless otherwise indicated.

View 2025 Ultra Select Silver 20 CSR 94 Plan Details

Medical Deductible (Individual): N/A
Maximum Out-of-Pocket (Individual) $2,000
Primary Care Physician Office Visit $0
Specialist Office Visit $10
Urgent Care Services $5
Emergency Room Services 25%

Inpatient Hospital Care 25%
Prescription Drug Deductible N/A
Generic $0
Preferred Brand $15
Non-Preferred Brand $50
Specialty High-Cost Drugs $150

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

2025 Silver Plans

2025 Silver Plans

Silver Plans Overview

All Community plans come with:

Questions?

Preventive 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

Which Silver plan is right for you?

PREMIER SILVER PLAN 012

Plan Overview

Summary of Benefits and Coverage

Off-Exchange

On-Exchange

Zero Cost

Limited Cost

73% AV Level

87% AV Level

94% AV Level

SELECT SILVER PLAN 019

Plan Overview

Summary of Benefits and Coverage

Off-Exchange

Zero Cost Variation

AI/AN Limited Cost

73% AV Level

87% AV Level

On-Exchange

94% AV Level

PREMIER SILVER PLAN 020

Plan Overview

Summary of Benefits and Coverage

Off-Exchange

On-Exchange

Zero Cost Variation

AI/AN Limited Cost

73% AV Level

87% AV Level

94% AV Level

ULTRA SELECT SILVER PLAN 019

Plan Overview

Summary of Benefits and Coverage

Off-Exchange

Zero Cost Variation

AI/AN Limited Cost

73% AV Level

87% AV Level

On-Exchange

94% AV Level

ULTRA SELECT SILVER PLAN 020

Plan Overview

Summary of Benefits and Coverage

Off-Exchange

On-Exchange

Zero Cost Variation

AI/AN Limited Cost

73% AV Level

87% AV Level

94% AV Level

Local and Neighborly

Why Choose Community?

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

Summary of Benefits
and Coverage

Summary of Benefits
and Coverage