Transparency in Coverage

CHRISTUS Health Plan takes pride in offering all of our plan members complete transparency concerning their healthcare coverage. The following terms below include more detailed explanations for questions you may have about your health plan.

  • Out-of-Network Liability and Balance Billing

  • Member Claims Submissions

  • Nonpayment of Premium & Grace Periods for Premium Tax Credits

  • Retroactive Denials

  • Member Recoupment of Overpayments

  • Medical Necessity & Prior Authorization

  • Prior Authorization Timeframes

  • Drug Exception Timeframes and Enrollee Responsibilities

  • Information on Explanations of Benefits (EOBs)

  • Coordination of Benefits (COBs)