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Premier Gold Plan 001

Premier Gold Plan 001

Gold Plans Overview

Once you understand the differences, it鈥檚 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鈥檛.

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%.
  • 鈥淕et this plan if your doctor knows you better than your spouse.鈥�

Questions?

Our hours of operation
are 8 a.m. 鈥� 5 p.m.

Call Us:
Local: 713.295.6704
Toll-Free: 1.855.315.5386

Ready to Enroll

All 黑暗爆料官方 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

Gold Plan

PREMIER GOLD PLAN 001

MODERATE MONTHLY PREMIUMS
LOW TO MODERATE COST-SHARING

Plan Overview

Important Features of 2024 Premier Gold 001 Plan:
  • Telehealth services available
  • Referrals not required to see specialists
  • Preventive care available at no cost
  • This plan does not have a medical or pharmacy deductible
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

The Advanced Premium Tax Credit can lower your monthly payment.聽If you鈥檙e eligible, you can apply it to any Bronze plan.

View Quick Reference Guide
Learn More

Summary of Benefits
and Coverage

Off-Exchange

Download PDF

View 2024 Premier Gold Plan 001 Details
  • Medical Deductible (Individual)
    N/A
  • Maximum Out-of-Pocket (Individual)
    $9,450
  • Primary Care Physician Office Visit
    $30
  • Specialist Office Visit
    $65
  • Urgent Care Visit
    $65
  • Emergency Room Visit
    $800
  • Inpatient Hospital Stay
    $800**
  • Prescription Drug Deductible
    N/A
  • Generic
    $25
  • Preferred Brand
    $40
  • Non-Preferred Brand
    $80
  • Specialty High-Cost Drugs
    30%

**Copay applies for first 5 days of admission for all inpatient services

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鈥檚 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.

Service Area Map

Why Choose 黑暗爆料官方?

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

鈥満诎当瞎俜� 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.鈥�

鈥� Cecily
Member of 黑暗爆料官方

Medicaid
Health Plan
04/01/2027

Marketplace
Health Plan
03/01/2027

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