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 - $20* |
| Part B Premium Rebate | $1-$125* |
| Out-of-Pocket Max. | $4,000 - $4,900 annually* |
| Inpatient Hospital Day 1-90 |
$0 copay/day (days 1 and beyond) TX | $150 copay/day (days 1-5), $0 copay/day (days 6 and beyond) NM |
| DOCTOR VISITS | |
| Primary Care | $0 copay |
| Specialist Office Visit | $25 copay |
| Preventive Care | $0 copay |
| Emergency Care | $100 - $125 copay* |
| Diagnostic Radiology Service | $125 - $150 copay* |
| Routine Hearing Exam (1 every year) | $0 copay |
| Routine Eye Exam | $0 copay |
| Transportation (48 one-way trips per year) | $0 |
| Over the Counter Benefit | $75 - $205* |
| Combined Preventive and Comprehensive Dental Annual Allowance (Includes Dentures) | $2,000 to $5,000 Benefit Max* |
| Routine Dental Cleaning (three cleanings per year) | $0 copay |
| Comprehensive Dental Benefit | $20 copay |
| Fitness: Silver & Fit | $0 Membership Fee |
| PRESCRIPTION DRUG COVERAGE | |
| Tier 1: Preferred Generic Drugs | Retail: $0 (30-day supply) Mail Order: $0 (90-day supply) |
| Tier 2: Generic Drugs | Retail: $0 - $5* (30-day supply) Mail Order: $0 (90-day supply) |
| Tier 6: Select Care Drugs | Retail: $0 (30-day supply) Mail Order: $0 (90-day supply) |
*depending on plan type
Health Care Services
Dental: 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 $5,000* depending on plan type
Hearing: Amplifon
CHRISTUS Health Advantage plan offers quality hearing care and hearing instruments with Amplifon:
- $395 - $1,595 hearing aid benefit copayper ear per year
- Virtual services for hearing needs
- Risk-free 60-day trial for hearing aids
- Complimentary aftercare including follow-up and hearing aid battery support
Vision: Superior Vision
Maintain your eyesight with:
- Annual eye exams
- Diabetic retinopathy screenings
- Hardware allowance from $100 to $300 for contact lenses, glasses, lenses, or frames.
Prescription: 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 options 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
Over-the-Counter Products: OTC Health Solutions
Receive over-the-counter health and wellness products:
- Get up to $205 depending on plan type
- 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
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
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:
- 48 one-way trips to approved medical 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
H1189_WEB25MM3012_M | Last Updated 2/5/25