ENGLISH

• Louisiana American Indian Zero Cost Sharing Plan Brochure (PDF)
• Louisiana American Indian Zero Cost Sharing Plus Plan Brochure (PDF)
• Louisiana American Indian Zero Cost Sharing Plus Fitness Plan Brochure (PDF)
• Louisiana American Indian Zero Cost Sharing Plus Fitness Dental Vision Plan Brochure (PDF)
• Louisiana Bronze Essential Plan Brochure (PDF)
• Louisiana Bronze Essential Limited Plan Brochure (PDF)
• Louisiana Bronze Essential Plus Plan Brochure (PDF)
• Louisiana Bronze Essential Plus Limited Plan Brochure (PDF)
• Louisiana Gold Plan Brochure (PDF)
• Louisiana Gold Essential Plan Brochure (PDF)
• Louisiana Gold Essential Limited Plan Brochure (PDF)
• Louisiana Gold Essential Plus Plan Brochure (PDF)
• Louisiana Gold Essential Plus Limited Plan Brochure (PDF)
• Louisiana Gold Limited Plan Brochure (PDF)
• Louisiana Gold Plus Plan Brochure (PDF)
• Louisiana Gold Plus Limited Plan Brochure (PDF)
• Louisiana Silver Essential Plan Brochure (PDF)
• Louisiana Silver Essential 73 Plan Brochure (PDF)
• Louisiana Silver Essential 87 Plan Brochure (PDF)
• Louisiana Silver Essential 94 Plan Brochure (PDF)
• Louisiana Silver Essential Limited Plan Brochure (PDF)
• Louisiana Silver Essential Plus Plan Brochure (PDF)
• Louisiana Silver Essential Plus 73 Plan Brochure (PDF)
• Louisiana Silver Essential Plus 87 Plan Brochure (PDF)
• Louisiana Silver Essential Plus 94 Plan Brochure (PDF)
• Louisiana Silver Essential Plus Limited Plan Brochure (PDF)
• Louisiana Standard Expanded Bronze Plan Brochure (PDF)
• Louisiana Standard Expanded Bronze Limited Plan Brochure (PDF)
• Louisiana Standard Gold Plan Brochure (PDF)
• Louisiana Standard Gold Limited Plan Brochure (PDF)
• Louisiana Standard Silver Plan Brochure (PDF)
• Louisiana Standard Silver 73 Plan Brochure (PDF)
• Louisiana Standard Silver 87 Plan Brochure (PDF)
• Louisiana Standard Silver 94 Plan Brochure (PDF)
• Louisiana Standard Silver Limited Plan Brochure (PDF)
• Louisiana Value Bronze Plan Brochure (PDF)
• Louisiana Value Bronze Limited Plan Brochure (PDF)
• Louisiana Value Bronze Plus Plan Brochure (PDF)
• Louisiana Value Bronze Plus Limited Plan Brochure (PDF)
• Louisiana Value Silver Plan Brochure (PDF)
• Louisiana Value Silver 73 Plan Brochure (PDF)
• Louisiana Value Silver 87 Plan Brochure (PDF)
• Louisiana Value Silver 94 Plan Brochure (PDF)
• Louisiana Value Silver Limited Plan Brochure (PDF)
• Louisiana Value Silver Plus Plan Brochure (PDF)
• Louisiana Value Silver Plus 73 Plan Brochure (PDF)
• Louisiana Value Silver Plus 87 Plan Brochure (PDF)
• Louisiana Value Silver Plus 94 Plan Brochure (PDF)
• Louisiana Value Silver Plus Limited Plan Brochure (PDF)

English

• Louisiana Off-Exchange Evidence of Coverage (PDF)
• Louisiana On-Exchange Evidence of Coverage (PDF)

Spanish

• Louisiana Off-Exchange Evidence of Coverage en español (PDF)
• Louisiana On-Exchange Evidence of Coverage en español (PDF)

English

• Louisiana American Indian Zero Cost Sharing Summary of Benefits and Coverage (PDF)
• Louisiana American Indian Zero Cost Sharing Plus Summary of Benefits and Coverage (PDF)
• Louisiana American Indian Zero Cost Sharing Plus Fitness Summary of Benefits and Coverage (PDF)
• Louisiana American Indian Zero Cost Sharing Plus Fitness Dental Vision Summary of Benefits and Coverage (PDF)
• Louisiana Bronze Essential Summary of Benefits and Coverage (PDF)
• Louisiana Bronze Essential Limited Summary of Benefits and Coverage (PDF)
• Louisiana Bronze Essential Plus Summary of Benefits and Coverage (PDF)
• Louisiana Bronze Essential Plus Limited Summary of Benefits and Coverage (PDF)
• Louisiana Gold Summary of Benefits and Coverage (PDF)
• Louisiana Gold Essential Summary of Benefits and Coverage (PDF)
• Louisiana Gold Essential Limited Summary of Benefits and Coverage (PDF)
• Louisiana Gold Essential Plus Summary of Benefits and Coverage (PDF)
• Louisiana Gold Essential Plus Limited Summary of Benefits and Coverage (PDF)
• Louisiana Gold Limited Summary of Benefits and Coverage (PDF)
• Louisiana Gold Plus Summary of Benefits and Coverage (PDF)
• Louisiana Gold Plus Limited Summary of Benefits and Coverage (PDF)
• Louisiana Silver Essential Summary of Benefits and Coverage (PDF)
• Louisiana Silver Essential 73 Summary of Benefits and Coverage (PDF)
• Louisiana Silver Essential 87 Summary of Benefits and Coverage (PDF)
• Louisiana Silver Essential 94 Summary of Benefits and Coverage (PDF)
• Louisiana Silver Essential Limited Summary of Benefits and Coverage (PDF)
• Louisiana Silver Essential Plus Summary of Benefits and Coverage (PDF)
• Louisiana Silver Essential Plus 73 Summary of Benefits and Coverage (PDF)
• Louisiana Silver Essential Plus 87 Summary of Benefits and Coverage (PDF)
• Louisiana Silver Essential Plus 94 Summary of Benefits and Coverage (PDF)
• Louisiana Silver Essential Plus Limited Summary of Benefits and Coverage (PDF)
• Louisiana Standard Expanded Bronze Summary of Benefits and Coverage (PDF)
• Louisiana Standard Expanded Bronze Limited Summary of Benefits and Coverage (PDF)
• Louisiana Standard Gold Summary of Benefits and Coverage (PDF)
• Louisiana Standard Gold Limited Summary of Benefits and Coverage (PDF)
• Louisiana Standard Silver Summary of Benefits and Coverage (PDF)
• Louisiana Standard Silver 73 Summary of Benefits and Coverage (PDF)
• Louisiana Standard Silver 87 Summary of Benefits and Coverage (PDF)
• Louisiana Standard Silver 94 Summary of Benefits and Coverage (PDF)
• Louisiana Standard Silver Limited Summary of Benefits and Coverage (PDF)
• Louisiana Value Bronze Summary of Benefits and Coverage (PDF)
• Louisiana Value Bronze Limited Summary of Benefits and Coverage (PDF)
• Louisiana Value Bronze Plus Summary of Benefits and Coverage (PDF)
• Louisiana Value Bronze Plus Limited Summary of Benefits and Coverage (PDF)
• Louisiana Value Silver Summary of Benefits and Coverage (PDF)
• Louisiana Value Silver 73 Summary of Benefits and Coverage (PDF)
• Louisiana Value Silver 87 Summary of Benefits and Coverage (PDF)
• Louisiana Value Silver 94 Summary of Benefits and Coverage (PDF)
• Louisiana Value Silver Limited Summary of Benefits and Coverage (PDF)
• Louisiana Value Silver Plus Summary of Benefits and Coverage (PDF)
• Louisiana Value Silver Plus 73 Summary of Benefits and Coverage (PDF)
• Louisiana Value Silver Plus 87 Summary of Benefits and Coverage (PDF)
• Louisiana Value Silver Plus 94 Summary of Benefits and Coverage (PDF)
• Louisiana Value Silver Plus Limited Summary of Benefits and Coverage (PDF)

Spanish

• Lousiana American Indian Zero Cost Sharing Summary of Benefits and Coverage en español (PDF)
• Lousiana American Indian Zero Cost Sharing Plus Summary of Benefits and Coverage en español (PDF)
• Lousiana American Indian Zero Cost Sharing Plus Fitness Summary of Benefits and Coverage en español (PDF)
• Lousiana American Indian Zero Cost Sharing Plus Fitness Dental Vision Summary of Benefits and Coverage en español (PDF)
• Lousiana Bronze Essential Summary of Benefits and Coverage en español (PDF)
• Lousiana Bronze Essential Limited Summary of Benefits and Coverage en español (PDF)
• Lousiana Bronze Essential Plus Summary of Benefits and Coverage en español (PDF)
• Lousiana Bronze Essential Plus Limited Summary of Benefits and Coverage en español (PDF)
• Lousiana Gold Summary of Benefits and Coverage en español (PDF)
• Lousiana Gold Essential Summary of Benefits and Coverage en español (PDF)
• Lousiana Gold Essential Limited Summary of Benefits and Coverage en español (PDF)
• Lousiana Gold Essential Plus Summary of Benefits and Coverage en español (PDF)
• Lousiana Gold Essential Plus Limited Summary of Benefits and Coverage en español (PDF)
• Lousiana Gold Limited Summary of Benefits and Coverage en español (PDF)
• Lousiana Gold Plus Summary of Benefits and Coverage en español (PDF)
• Lousiana Gold Plus Limited Summary of Benefits and Coverage en español (PDF)
• Lousiana Silver Essential Summary of Benefits and Coverage en español (PDF)
• Lousiana Silver Essential 73 Summary of Benefits and Coverage en español (PDF)
• Lousiana Silver Essential 87 Summary of Benefits and Coverage en español (PDF)
• Lousiana Silver Essential 94 Summary of Benefits and Coverage en español (PDF)
• Lousiana Silver Essential Limited Summary of Benefits and Coverage en español (PDF)
• Lousiana Silver Essential Plus Summary of Benefits and Coverage en español (PDF)
• Lousiana Silver Essential Plus 73 Summary of Benefits and Coverage en español (PDF)
• Lousiana Silver Essential Plus 87 Summary of Benefits and Coverage en español (PDF)
• Lousiana Silver Essential Plus 94 Summary of Benefits and Coverage en español (PDF)
• Lousiana Silver Essential Plus Limited Summary of Benefits and Coverage en español (PDF)
• Lousiana Standard Expanded Bronze Summary of Benefits and Coverage en español (PDF)
• Lousiana Standard Expanded Bronze Limited Summary of Benefits and Coverage en español (PDF)
• Lousiana Standard Gold Summary of Benefits and Coverage en español (PDF)
• Lousiana Standard Gold Limited Summary of Benefits and Coverage en español (PDF)
• Lousiana Standard Silver Summary of Benefits and Coverage en español (PDF)
• Lousiana Standard Silver 73 Summary of Benefits and Coverage en español (PDF)
• Lousiana Standard Silver 87 Summary of Benefits and Coverage en español (PDF)
• Lousiana Standard Silver 94 Summary of Benefits and Coverage en español (PDF)
• Lousiana Standard Silver Limited Summary of Benefits and Coverage en español (PDF)
• Lousiana Value Bronze Summary of Benefits and Coverage en español (PDF)
• Lousiana Value Bronze Limited Summary of Benefits and Coverage en español (PDF)
• Lousiana Value Bronze Plus Summary of Benefits and Coverage en español (PDF)
• Lousiana Value Bronze Plus Limited Summary of Benefits and Coverage en español (PDF)
• Lousiana Value Silver Summary of Benefits and Coverage en español (PDF)
• Lousiana Value Silver 73 Summary of Benefits and Coverage en español (PDF)
• Lousiana Value Silver 87 Summary of Benefits and Coverage en español (PDF)
• Lousiana Value Silver 94 Summary of Benefits and Coverage en español (PDF)
• Lousiana Value Silver Limited Summary of Benefits and Coverage en español (PDF)
• Lousiana Value Silver Plus Summary of Benefits and Coverage en español (PDF)
• Lousiana Value Silver Plus 73 Summary of Benefits and Coverage en español (PDF)
• Lousiana Value Silver Plus 87 Summary of Benefits and Coverage en español (PDF)
• Lousiana Value Silver Plus 94 Summary of Benefits and Coverage en español (PDF)
• Lousiana Value Silver Plus Limited Summary of Benefits and Coverage en español (PDF)

English

• Louisiana American Indian Zero Cost Sharing Schedule of Benefits (PDF)
• Louisiana American Indian Zero Cost Sharing Plus Schedule of Benefits (PDF)
• Louisiana American Indian Zero Cost Sharing Plus Fitness Schedule of Benefits (PDF)
• Louisiana American Indian Zero Cost Sharing Plus Fitness Dental Vision Schedule of Benefits (PDF)
• Louisiana Bronze Essential Schedule of Benefits (PDF)
• Louisiana Bronze Essential Limited Schedule of Benefits (PDF)
• Louisiana Bronze Essential Plus Schedule of Benefits (PDF)
• Louisiana Bronze Essential Plus Limited Schedule of Benefits (PDF)
• Louisiana Gold Schedule of Benefits (PDF)
• Louisiana Gold Essential Schedule of Benefits (PDF)
• Louisiana Gold Essential Limited Schedule of Benefits (PDF)
• Louisiana Gold Essential Plus Schedule of Benefits (PDF)
• Louisiana Gold Essential Plus Limited Schedule of Benefits (PDF)
• Louisiana Gold Limited Schedule of Benefits (PDF)
• Louisiana Gold Plus Schedule of Benefits (PDF)
• Louisiana Gold Plus Limited Schedule of Benefits (PDF)
• Louisiana Silver Essential Schedule of Benefits (PDF)
• Louisiana Silver Essential 73 Schedule of Benefits (PDF)
• Louisiana Silver Essential 87 Schedule of Benefits (PDF)
• Louisiana Silver Essential 94 Schedule of Benefits (PDF)
• Louisiana Silver Essential Limited Schedule of Benefits (PDF)
• Louisiana Silver Essential Plus Schedule of Benefits (PDF)
• Louisiana Silver Essential Plus 73 Schedule of Benefits (PDF)
• Louisiana Silver Essential Plus 87 Schedule of Benefits (PDF)
• Louisiana Silver Essential Plus 94 Schedule of Benefits (PDF)
• Louisiana Silver Essential Plus Limited Schedule of Benefits (PDF)
• Louisiana Standard Expanded Bronze Schedule of Benefits (PDF)
• Louisiana Standard Expanded Bronze Limited Schedule of Benefits (PDF)
• Louisiana Standard Gold Schedule of Benefits (PDF)
• Louisiana Standard Gold Limited Schedule of Benefits (PDF)
• Louisiana Standard Silver Schedule of Benefits (PDF)
• Louisiana Standard Silver 73 Schedule of Benefits (PDF)
• Louisiana Standard Silver 87 Schedule of Benefits (PDF)
• Louisiana Standard Silver 94 Schedule of Benefits (PDF)
• Louisiana Standard Silver Limited Schedule of Benefits (PDF)
• Louisiana Value Bronze Schedule of Benefits (PDF)
• Louisiana Value Bronze Limited Schedule of Benefits (PDF)
• Louisiana Value Bronze Plus Schedule of Benefits (PDF)
• Louisiana Value Bronze Plus Limited Schedule of Benefits (PDF)
• Louisiana Value Silver Schedule of Benefits (PDF)
• Louisiana Value Silver 73 Schedule of Benefits (PDF)
• Louisiana Value Silver 87 Schedule of Benefits (PDF)
• Louisiana Value Silver 94 Schedule of Benefits (PDF)
• Louisiana Value Silver Limited Schedule of Benefits (PDF)
• Louisiana Value Silver Plus Schedule of Benefits (PDF)
• Louisiana Value Silver Plus 73 Schedule of Benefits (PDF)
• Louisiana Value Silver Plus 87 Schedule of Benefits (PDF)
• Louisiana Value Silver Plus 94 Schedule of Benefits (PDF)
• Louisiana Value Silver Plus Limited Schedule of Benefits (PDF)

Spanish

• Lousiana American Indian Zero Cost Sharing Schedule of Benefits en español (PDF)
• Lousiana American Indian Zero Cost Sharing Plus Schedule of Benefits en español (PDF)
• Lousiana American Indian Zero Cost Sharing Plus Fitness Schedule of Benefits en español (PDF)
• Lousiana American Indian Zero Cost Sharing Plus Fitness Dental Vision Schedule of Benefits en español (PDF)
• Lousiana Bronze Essential Schedule of Benefits en español (PDF)
• Lousiana Bronze Essential Limited Schedule of Benefits en español (PDF)
• Lousiana Bronze Essential Plus Schedule of Benefits en español (PDF)
• Lousiana Bronze Essential Plus Limited Schedule of Benefits en español (PDF)
• Lousiana Gold Schedule of Benefits en español (PDF)
• Lousiana Gold Essential Schedule of Benefits en español (PDF)
• Lousiana Gold Essential Limited Schedule of Benefits en español (PDF)
• Lousiana Gold Essential Plus Schedule of Benefits en español (PDF)
• Lousiana Gold Essential Plus Limited Schedule of Benefits en español (PDF)
• Lousiana Gold Limited Schedule of Benefits en español (PDF)
• Lousiana Gold Plus Schedule of Benefits en español (PDF)
• Lousiana Gold Plus Limited Schedule of Benefits en español (PDF)
• Lousiana Silver Essential Schedule of Benefits en español (PDF)
• Lousiana Silver Essential 73 Schedule of Benefits en español (PDF)
• Lousiana Silver Essential 87 Schedule of Benefits en español (PDF)
• Lousiana Silver Essential 94 Schedule of Benefits en español (PDF)
• Lousiana Silver Essential Limited Schedule of Benefits en español (PDF)
• Lousiana Silver Essential Plus Schedule of Benefits en español (PDF)
• Lousiana Silver Essential Plus 73 Schedule of Benefits en español (PDF)
• Lousiana Silver Essential Plus 87 Schedule of Benefits en español (PDF)
• Lousiana Silver Essential Plus 94 Schedule of Benefits en español (PDF)
• Lousiana Silver Essential Plus Limited Schedule of Benefits en español (PDF)
• Lousiana Standard Expanded Bronze Schedule of Benefits en español (PDF)
• Lousiana Standard Expanded Bronze Limited Schedule of Benefits en español (PDF)
• Lousiana Standard Gold Schedule of Benefits en español (PDF)
• Lousiana Standard Gold Limited Schedule of Benefits en español (PDF)
• Lousiana Standard Silver Schedule of Benefits en español (PDF)
• Lousiana Standard Silver 73 Schedule of Benefits en español (PDF)
• Lousiana Standard Silver 87 Schedule of Benefits en español (PDF)
• Lousiana Standard Silver 94 Schedule of Benefits en español (PDF)
• Lousiana Standard Silver Limited Schedule of Benefits en español (PDF)
• Lousiana Value Bronze Schedule of Benefits en español (PDF)
• Lousiana Value Bronze Limited Schedule of Benefits en español (PDF)
• Lousiana Value Bronze Plus Schedule of Benefits en español (PDF)
• Lousiana Value Bronze Plus Limited Schedule of Benefits en español (PDF)
• Lousiana Value Silver Schedule of Benefits en español (PDF)
• Lousiana Value Silver 73 Schedule of Benefits en español (PDF)
• Lousiana Value Silver 87 Schedule of Benefits en español (PDF)
• Lousiana Value Silver 94 Schedule of Benefits en español (PDF)
• Lousiana Value Silver Limited Schedule of Benefits en español (PDF)
• Lousiana Value Silver Plus Schedule of Benefits en español (PDF)
• Lousiana Value Silver Plus 73 Schedule of Benefits en español (PDF)
• Lousiana Value Silver Plus 87 Schedule of Benefits en español (PDF)
• Lousiana Value Silver Plus 94 Schedule of Benefits en español (PDF)
• Lousiana Value Silver Plus Limited Schedule of Benefits en español (PDF)

ENGLISH

• Texas American Indian Zero Cost Sharing Plan Brochure (PDF)
• Texas American Indian Zero Cost Sharing Plus Plan Brochure (PDF)
• Texas American Indian Zero Cost Sharing Plus Dental Vision Fitness Plan Brochure (PDF)
• Texas American Indian Zero Cost Sharing Plus Fitness Plan Brochure (PDF)
• Texas Bronze Plan Brochure (PDF)
• Texas Bronze Essential Plan Brochure (PDF)
• Texas Bronze Essential Limited Plan Brochure (PDF)
• Texas Bronze Essential Plus Plan Brochure (PDF)
• Texas Bronze Essential Plus Limited Plan Brochure (PDF)
• Texas Bronze Limited Plan Brochure (PDF)
• Texas Bronze Plus Plan Brochure (PDF)
• Texas Bronze Plus Limited Plan Brochure (PDF)
• Texas Catastrophic Plan Brochure (PDF)
• Texas Gold Plan Brochure (PDF)
• Texas Gold Essential Plan Brochure (PDF)
• Texas Gold Essential Limited Plan Brochure (PDF)
• Texas Gold Essential Plus Plan Brochure (PDF)
• Texas Gold Essential Plus Limited Plan Brochure (PDF)
• Texas Gold Limited Plan Brochure (PDF)
• Texas Gold Plus Plan Brochure (PDF)
• Texas Gold Plus Limited Plan Brochure (PDF)
• Texas Off Exchange Silver Essential Plan Brochure (PDF)
• Texas Off Exchange Silver Essential Plus Plan Brochure (PDF)
• Texas Off Exchange Standard Silver Plan Brochure (PDF)
• Texas Off Exchange Value Silver Plan Brochure (PDF)
• Texas Off Exchange Value Silver Plus Plan Brochure (PDF)
• Texas Silver Essential Plan Brochure (PDF)
• Texas Silver Essential 73 Plan Brochure (PDF)
• Texas Silver Essential 87 Plan Brochure (PDF)
• Texas Silver Essential 94 Plan Brochure (PDF)
• Texas Silver Essential Limited Plan Brochure (PDF)
• Texas Silver Essential Plus Plan Brochure (PDF)
• Texas Silver Essential Plus 73 Plan Brochure (PDF)
• Texas Silver Essential Plus 87 Plan Brochure (PDF)
• Texas Silver Essential Plus 94 Plan Brochure (PDF)
• Texas Silver Essential Plus Limited Plan Brochure (PDF)
• Texas Standard Expanded Bronze Plan Brochure (PDF)
• Texas Standard Expanded Bronze Limited Plan Brochure (PDF)
• Texas Standard Gold Plan Brochure (PDF)
• Texas Standard Gold Limited Plan Brochure (PDF)
• Texas Standard Silver Plan Brochure (PDF)
• Texas Standard Silver 73 Plan Brochure (PDF)
• Texas Standard Silver 87 Plan Brochure (PDF)
• Texas Standard Silver 94 Plan Brochure (PDF)
• Texas Standard Silver Limited Plan Brochure (PDF)
• Texas Value Bronze Plan Brochure (PDF)
• Texas Value Bronze Limited Plan Brochure (PDF)
• Texas Value Bronze Plus Plan Brochure (PDF)
• Texas Value Bronze Plus Limited Plan Brochure (PDF)
• Texas Value Silver Plan Brochure (PDF)
• Texas Value Silver 73 Plan Brochure (PDF)
• Texas Value Silver 87 Plan Brochure (PDF)
• Texas Value Silver 94 Plan Brochure (PDF)
• Texas Value Silver Limited Plan Brochure (PDF)
• Texas Value Silver Plus Plan Brochure (PDF)
• Texas Value Silver Plus 73 Plan Brochure (PDF)
• Texas Value Silver Plus 87 Plan Brochure (PDF)
• Texas Value Silver Plus 94 Plan Brochure (PDF)
• Texas Value Silver Plus Limited Plan Brochure (PDF)

English

• Texas Gold Complete Evidence of Coverage (PDF)
• Texas Off-Exchange Evidence of Coverage (PDF)
• Texas On-Exchange Evidence of Coverage (PDF)

Spanish

• Texas Gold Complete Off-Exchange Evidence of Coverage en español (PDF)
• Texas Off-Exchange Evidence of Coverage en español (PDF)
• Texas On-Exchange Evidence of Coverage en español (PDF)

English

• Texas American Indian Zero Cost Sharing Summary of Benefits and Coverage (PDF)
• Texas American Indian Zero Cost Sharing Plus Summary of Benefits and Coverage (PDF)
• Texas American Indian Zero Cost Sharing Plus Dental Vision Fitness Summary of Benefits and Coverage (PDF)
• Texas American Indian Zero Cost Sharing Plus Fitness Summary of Benefits and Coverage (PDF)
• Texas Bronze Summary of Benefits and Coverage (PDF)
• Texas Bronze Essential Summary of Benefits and Coverage (PDF)
• Texas Bronze Essential Limited Summary of Benefits and Coverage (PDF)
• Texas Bronze Essential Plus Summary of Benefits and Coverage (PDF)
• Texas Bronze Essential Plus Limited Summary of Benefits and Coverage (PDF)
• Texas Bronze Limited Summary of Benefits and Coverage (PDF)
• Texas Bronze Plus Summary of Benefits and Coverage (PDF)
• Texas Bronze Plus Limited Summary of Benefits and Coverage (PDF)
• Texas Catastrophic Summary of Benefits and Coverage (PDF)
• Texas Gold Summary of Benefits and Coverage (PDF)
• Texas Gold Essential Summary of Benefits and Coverage (PDF)
• Texas Gold Essential Limited Summary of Benefits and Coverage (PDF)
• Texas Gold Essential Plus Summary of Benefits and Coverage (PDF)
• Texas Gold Essential Plus Limited Summary of Benefits and Coverage (PDF)
• Texas Gold Limited Summary of Benefits and Coverage (PDF)
• Texas Gold Plus Summary of Benefits and Coverage (PDF)
• Texas Gold Plus Limited Summary of Benefits and Coverage (PDF)
• Texas Off Exchange Silver Essential Summary of Benefits and Coverage (PDF)
• Texas Off Exchange Silver Essential Plus Summary of Benefits and Coverage (PDF)
• Texas Off Exchange Standard Silver Summary of Benefits and Coverage (PDF)
• Texas Off Exchange Value Silver Summary of Benefits and Coverage (PDF)
• Texas Off Exchange Value Silver Plus Summary of Benefits and Coverage (PDF)
• Texas Silver Essential Summary of Benefits and Coverage (PDF)
• Texas Silver Essential 73 Summary of Benefits and Coverage (PDF)
• Texas Silver Essential 87 Summary of Benefits and Coverage (PDF)
• Texas Silver Essential 94 Summary of Benefits and Coverage (PDF)
• Texas Silver Essential Limited Summary of Benefits and Coverage (PDF)
• Texas Silver Essential Plus Summary of Benefits and Coverage (PDF)
• Texas Silver Essential Plus 73 Summary of Benefits and Coverage (PDF)
• Texas Silver Essential Plus 87 Summary of Benefits and Coverage (PDF)
• Texas Silver Essential Plus 94 Summary of Benefits and Coverage (PDF)
• Texas Silver Essential Plus Limited Summary of Benefits and Coverage (PDF)
• Texas Standard Expanded Bronze Summary of Benefits and Coverage (PDF)
• Texas Standard Expanded Bronze Limited Summary of Benefits and Coverage (PDF)
• Texas Standard Gold Summary of Benefits and Coverage (PDF)
• Texas Standard Gold Limited Summary of Benefits and Coverage (PDF)
• Texas Standard Silver Summary of Benefits and Coverage (PDF)
• Texas Standard Silver 73 Summary of Benefits and Coverage (PDF)
• Texas Standard Silver 87 Summary of Benefits and Coverage (PDF)
• Texas Standard Silver 94 Summary of Benefits and Coverage (PDF)
• Texas Standard Silver Limited Summary of Benefits and Coverage (PDF)
• Texas Value Bronze Summary of Benefits and Coverage (PDF)
• Texas Value Bronze Limited Summary of Benefits and Coverage (PDF)
• Texas Value Bronze Plus Summary of Benefits and Coverage (PDF)
• Texas Value Bronze Plus Limited Summary of Benefits and Coverage (PDF)
• Texas Value Silver Summary of Benefits and Coverage (PDF)
• Texas Value Silver 73 Summary of Benefits and Coverage (PDF)
• Texas Value Silver 87 Summary of Benefits and Coverage (PDF)
• Texas Value Silver 94 Summary of Benefits and Coverage (PDF)
• Texas Value Silver Limited Summary of Benefits and Coverage (PDF)
• Texas Value Silver Plus Summary of Benefits and Coverage (PDF)
• Texas Value Silver Plus 73 Summary of Benefits and Coverage (PDF)
• Texas Value Silver Plus 87 Summary of Benefits and Coverage (PDF)
• Texas Value Silver Plus 94 Summary of Benefits and Coverage (PDF)
• Texas Value Silver Plus Limited Summary of Benefits and Coverage (PDF)

Spanish

• Texas American Indian Zero Cost Sharing Summary of Benefits and Coverage en español (PDF)
• Texas American Indian Zero Cost Sharing Plus Summary of Benefits and Coverage en español (PDF)
• Texas American Indian Zero Cost Sharing Plus Dental Vision Fitness Summary of Benefits and Coverage en español (PDF)
• Texas American Indian Zero Cost Sharing Plus Fitness Summary of Benefits and Coverage en español (PDF)
• Texas Bronze Summary of Benefits and Coverage en español (PDF)
• Texas Bronze Essential Summary of Benefits and Coverage en español (PDF)
• Texas Bronze Essential Limited Summary of Benefits and Coverage en español (PDF)
• Texas Bronze Essential Plus Summary of Benefits and Coverage en español (PDF)
• Texas Bronze Essential Plus Limited Summary of Benefits and Coverage en español (PDF)
• Texas Bronze Limited Summary of Benefits and Coverage en español (PDF)
• Texas Bronze Plus Summary of Benefits and Coverage en español (PDF)
• Texas Bronze Plus Limited Summary of Benefits and Coverage en español (PDF)
• Texas Catastrophic Summary of Benefits and Coverage en español (PDF)
• Texas Gold Summary of Benefits and Coverage en español (PDF)
• Texas Gold Essential Summary of Benefits and Coverage en español (PDF)
• Texas Gold Essential Limited Summary of Benefits and Coverage en español (PDF)
• Texas Gold Essential Plus Summary of Benefits and Coverage en español (PDF)
• Texas Gold Essential Plus Limited Summary of Benefits and Coverage en español (PDF)
• Texas Gold Limited Summary of Benefits and Coverage en español (PDF)
• Texas Gold Plus Summary of Benefits and Coverage en español (PDF)
• Texas Gold Plus Limited Summary of Benefits and Coverage en español (PDF)
• Texas Off Exchange Silver Essential Summary of Benefits and Coverage en español (PDF)
• Texas Off Exchange Silver Essential Plus Summary of Benefits and Coverage en español (PDF)
• Texas Off Exchange Standard Silver Summary of Benefits and Coverage en español (PDF)
• Texas Off Exchange Value Silver Summary of Benefits and Coverage en español (PDF)
• Texas Off Exchange Value Silver Plus Summary of Benefits and Coverage en español (PDF)
• Texas Silver Essential Summary of Benefits and Coverage en español (PDF)
• Texas Silver Essential 73 Summary of Benefits and Coverage en español (PDF)
• Texas Silver Essential 87 Summary of Benefits and Coverage en español (PDF)
• Texas Silver Essential 94 Summary of Benefits and Coverage en español (PDF)
• Texas Silver Essential Limited Summary of Benefits and Coverage en español (PDF)
• Texas Silver Essential Plus Summary of Benefits and Coverage en español (PDF)
• Texas Silver Essential Plus 73 Summary of Benefits and Coverage en español (PDF)
• Texas Silver Essential Plus 87 Summary of Benefits and Coverage en español (PDF)
• Texas Silver Essential Plus 94 Summary of Benefits and Coverage en español (PDF)
• Texas Silver Essential Plus Limited Summary of Benefits and Coverage en español (PDF)
• Texas Standard Expanded Bronze Summary of Benefits and Coverage en español (PDF)
• Texas Standard Expanded Bronze Limited Summary of Benefits and Coverage en español (PDF)
• Texas Standard Gold Summary of Benefits and Coverage en español (PDF)
• Texas Standard Gold Limited Summary of Benefits and Coverage en español (PDF)
• Texas Standard Silver Summary of Benefits and Coverage en español (PDF)
• Texas Standard Silver 73 Summary of Benefits and Coverage en español (PDF)
• Texas Standard Silver 87 Summary of Benefits and Coverage en español (PDF)
• Texas Standard Silver 94 Summary of Benefits and Coverage en español (PDF)
• Texas Standard Silver Limited Summary of Benefits and Coverage en español (PDF)
• Texas Value Bronze Summary of Benefits and Coverage en español (PDF)
• Texas Value Bronze Limited Summary of Benefits and Coverage en español (PDF)
• Texas Value Bronze Plus Summary of Benefits and Coverage en español (PDF)
• Texas Value Bronze Plus Limited Summary of Benefits and Coverage en español (PDF)
• Texas Value Silver Summary of Benefits and Coverage en español (PDF)
• Texas Value Silver 73 Summary of Benefits and Coverage en español (PDF)
• Texas Value Silver 87 Summary of Benefits and Coverage en español (PDF)
• Texas Value Silver 94 Summary of Benefits and Coverage en español (PDF)
• Texas Value Silver Limited Summary of Benefits and Coverage en español (PDF)
• Texas Value Silver Plus Summary of Benefits and Coverage en español (PDF)
• Texas Value Silver Plus 73 Summary of Benefits and Coverage en español (PDF)
• Texas Value Silver Plus 87 Summary of Benefits and Coverage en español (PDF)
• Texas Value Silver Plus 94 Summary of Benefits and Coverage en español (PDF)
• Texas Value Silver Plus Limited Summary of Benefits and Coverage en español (PDF)

English

• Texas American Indian Zero Cost Sharing Schedule of Benefits (PDF)
• Texas American Indian Zero Cost Sharing Plus Schedule of Benefits (PDF)
• Texas American Indian Zero Cost Sharing Plus Dental Vision Fitness Schedule of Benefits (PDF)
• Texas American Indian Zero Cost Sharing Plus Fitness Schedule of Benefits (PDF)
• Texas Bronze Schedule of Benefits (PDF)
• Texas Bronze Essential Schedule of Benefits (PDF)
• Texas Bronze Essential Limited Schedule of Benefits (PDF)
• Texas Bronze Essential Plus Schedule of Benefits (PDF)
• Texas Bronze Essential Plus Limited Schedule of Benefits (PDF)
• Texas Bronze Limited Schedule of Benefits (PDF)
• Texas Bronze Plus Schedule of Benefits (PDF)
• Texas Bronze Plus Limited Schedule of Benefits (PDF)
• Texas Catastrophic Schedule of Benefits (PDF)
• Texas Gold Schedule of Benefits (PDF)
• Texas Gold Essential Schedule of Benefits (PDF)
• Texas Gold Essential Limited Schedule of Benefits (PDF)
• Texas Gold Essential Plus Schedule of Benefits (PDF)
• Texas Gold Essential Plus Limited Schedule of Benefits (PDF)
• Texas Gold Limited Schedule of Benefits (PDF)
• Texas Gold Plus Schedule of Benefits (PDF)
• Texas Gold Plus Limited Schedule of Benefits (PDF)
• Texas Off Exchange Silver Essential Schedule of Benefits (PDF)
• Texas Off Exchange Silver Essential Plus Schedule of Benefits (PDF)
• Texas Off Exchange Standard Silver Schedule of Benefits (PDF)
• Texas Off Exchange Value Silver Schedule of Benefits (PDF)
• Texas Off Exchange Value Silver Plus Schedule of Benefits (PDF)
• Texas Silver Essential Schedule of Benefits (PDF)
• Texas Silver Essential 73 Schedule of Benefits (PDF)
• Texas Silver Essential 87 Schedule of Benefits (PDF)
• Texas Silver Essential 94 Schedule of Benefits (PDF)
• Texas Silver Essential Limited Schedule of Benefits (PDF)
• Texas Silver Essential Plus Schedule of Benefits (PDF)
• Texas Silver Essential Plus 73 Schedule of Benefits (PDF)
• Texas Silver Essential Plus 87 Schedule of Benefits (PDF)
• Texas Silver Essential Plus 94 Schedule of Benefits (PDF)
• Texas Silver Essential Plus Limited Schedule of Benefits (PDF)
• Texas Standard Expanded Bronze Schedule of Benefits (PDF)
• Texas Standard Expanded Bronze Limited Schedule of Benefits (PDF)
• Texas Standard Gold Schedule of Benefits (PDF)
• Texas Standard Gold Limited Schedule of Benefits (PDF)
• Texas Standard Silver Schedule of Benefits (PDF)
• Texas Standard Silver 73 Schedule of Benefits (PDF)
• Texas Standard Silver 87 Schedule of Benefits (PDF)
• Texas Standard Silver 94 Schedule of Benefits (PDF)
• Texas Standard Silver Limited Schedule of Benefits (PDF)
• Texas Value Bronze Schedule of Benefits (PDF)
• Texas Value Bronze Limited Schedule of Benefits (PDF)
• Texas Value Bronze Plus Schedule of Benefits (PDF)
• Texas Value Bronze Plus Limited Schedule of Benefits (PDF)
• Texas Value Silver Schedule of Benefits (PDF)
• Texas Value Silver 73 Schedule of Benefits (PDF)
• Texas Value Silver 87 Schedule of Benefits (PDF)
• Texas Value Silver 94 Schedule of Benefits (PDF)
• Texas Value Silver Limited Schedule of Benefits (PDF)
• Texas Value Silver Plus Schedule of Benefits (PDF)
• Texas Value Silver Plus 73 Schedule of Benefits (PDF)
• Texas Value Silver Plus 87 Schedule of Benefits (PDF)
• Texas Value Silver Plus 94 Schedule of Benefits (PDF)
• Texas Value Silver Plus Limited Schedule of Benefits (PDF)

Spanish

• Texas American Indian Zero Cost Sharing Schedule of Benefits en español (PDF)
• Texas American Indian Zero Cost Sharing Plus Schedule of Benefits en español (PDF)
• Texas American Indian Zero Cost Sharing Plus Dental Vision Fitness Schedule of Benefits en español (PDF)
• Texas American Indian Zero Cost Sharing Plus Fitness Schedule of Benefits en español (PDF)
• Texas Bronze Schedule of Benefits en español (PDF)
• Texas Bronze Essential Schedule of Benefits en español (PDF)
• Texas Bronze Essential Limited Schedule of Benefits en español (PDF)
• Texas Bronze Essential Plus Schedule of Benefits en español (PDF)
• Texas Bronze Essential Plus Limited Schedule of Benefits en español (PDF)
• Texas Bronze Limited Schedule of Benefits en español (PDF)
• Texas Bronze Plus Schedule of Benefits en español (PDF)
• Texas Bronze Plus Limited Schedule of Benefits en español (PDF)
• Texas Catastrophic Schedule of Benefits en español (PDF)
• Texas Gold Schedule of Benefits en español (PDF)
• Texas Gold Essential Schedule of Benefits en español (PDF)
• Texas Gold Essential Limited Schedule of Benefits en español (PDF)
• Texas Gold Essential Plus Schedule of Benefits en español (PDF)
• Texas Gold Essential Plus Limited Schedule of Benefits en español (PDF)
• Texas Gold Limited Schedule of Benefits en español (PDF)
• Texas Gold Plus Schedule of Benefits en español (PDF)
• Texas Gold Plus Limited Schedule of Benefits en español (PDF)
• Texas Off Exchange Silver Essential Schedule of Benefits en español (PDF)
• Texas Off Exchange Silver Essential Plus Schedule of Benefits en español (PDF)
• Texas Off Exchange Standard Silver Schedule of Benefits en español (PDF)
• Texas Off Exchange Value Silver Schedule of Benefits en español (PDF)
• Texas Off Exchange Value Silver Plus Schedule of Benefits en español (PDF)
• Texas Silver Essential Schedule of Benefits en español (PDF)
• Texas Silver Essential 73 Schedule of Benefits en español (PDF)
• Texas Silver Essential 87 Schedule of Benefits en español (PDF)
• Texas Silver Essential 94 Schedule of Benefits en español (PDF)
• Texas Silver Essential Limited Schedule of Benefits en español (PDF)
• Texas Silver Essential Plus Schedule of Benefits en español (PDF)
• Texas Silver Essential Plus 73 Schedule of Benefits en español (PDF)
• Texas Silver Essential Plus 87 Schedule of Benefits en español (PDF)
• Texas Silver Essential Plus 94 Schedule of Benefits en español (PDF)
• Texas Silver Essential Plus Limited Schedule of Benefits en español (PDF)
• Texas Standard Expanded Bronze Schedule of Benefits en español (PDF)
• Texas Standard Expanded Bronze Limited Schedule of Benefits en español (PDF)
• Texas Standard Gold Schedule of Benefits en español (PDF)
• Texas Standard Gold Limited Schedule of Benefits en español (PDF)
• Texas Standard Silver Schedule of Benefits en español (PDF)
• Texas Standard Silver 73 Schedule of Benefits en español (PDF)
• Texas Standard Silver 87 Schedule of Benefits en español (PDF)
• Texas Standard Silver 94 Schedule of Benefits en español (PDF)
• Texas Standard Silver Limited Schedule of Benefits en español (PDF)
• Texas Value Bronze Schedule of Benefits en español (PDF)
• Texas Value Bronze Limited Schedule of Benefits en español (PDF)
• Texas Value Bronze Plus Schedule of Benefits en español (PDF)
• Texas Value Bronze Plus Limited Schedule of Benefits en español (PDF)
• Texas Value Silver Schedule of Benefits en español (PDF)
• Texas Value Silver 73 Schedule of Benefits en español (PDF)
• Texas Value Silver 87 Schedule of Benefits en español (PDF)
• Texas Value Silver 94 Schedule of Benefits en español (PDF)
• Texas Value Silver Limited Schedule of Benefits en español (PDF)
• Texas Value Silver Plus Schedule of Benefits en español (PDF)
• Texas Value Silver Plus 73 Schedule of Benefits en español (PDF)
• Texas Value Silver Plus 87 Schedule of Benefits en español (PDF)
• Texas Value Silver Plus 94 Schedule of Benefits en español (PDF)
• Texas Value Silver Plus Limited Schedule of Benefits en español (PDF)

ENGLISH

• 2026 Louisiana Provider & Pharmacy Directory (PDF)
• 2026 Texas Provider & Pharmacy Directory (PDF)

SPANISH

• 2026 Louisiana Provider & Pharmacy Directory en español (PDF)
• 2026 Texas Provider & Pharmacy Directory en español (PDF)

2025 Plan Year

ENGLISH

• CHRISTUS American Indian Zero Cost Sharing 2025
• CHRISTUS American Indian Zero Cost Sharing Plus Dental Vision 2025
• CHRISTUS American Indian Zero Cost Sharing Plus Fitness 2025
• CHRISTUS American Indian Zero Cost Sharing Plus Fitness Dental Vision 2025
• CHRISTUS Bronze 2025
• CHRISTUS Bronze Essential 2025
• CHRISTUS Bronze Essential Limited 2025
• CHRISTUS Bronze Essential Plus 2025
• CHRISTUS Bronze Essential Plus Limited 2025
• CHRISTUS Bronze Limited 2025
• CHRISTUS Bronze Plus 2025
• CHRISTUS Bronze Plus Limited 2025
• CHRISTUS Gold 2025
• CHRISTUS Gold Essential 2025
• CHRISTUS Gold Essential Limited 2025
• CHRISTUS Gold Essential Plus 2025
• CHRISTUS Gold Essential Plus Limited 2025
• CHRISTUS Gold Limited 2025
• CHRISTUS Gold Plus 2025
• CHRISTUS Gold Plus Limited 2025
• CHRISTUS Silver 2025
• CHRISTUS Silver 73 2025
• CHRISTUS Silver 87 2025
• CHRISTUS Silver 94 2025
• CHRISTUS Silver Essential 2025
• CHRISTUS Silver Essential 73 2025
• CHRISTUS Silver Essential 87 2025
• CHRISTUS Silver Essential 94 2025
• CHRISTUS Silver Essential Limited 2025
• CHRISTUS Silver Essential Plus 2025
• CHRISTUS Silver Essential Plus 73 2025
• CHRISTUS Silver Essential Plus 87 2025
• CHRISTUS Silver Essential Plus 94 2025
• CHRISTUS Silver Essential Plus Limited 2025
• CHRISTUS Silver Limited 2025
• CHRISTUS Silver Plus 2025
• CHRISTUS Silver Plus 73 2025
• CHRISTUS Silver Plus 87 2025
• CHRISTUS Silver Plus 94 2025
• CHRISTUS Silver Plus Limited 2025
• CHRISTUS Standard Expanded Bronze 2025
• CHRISTUS Standard Expanded Bronze Limited 2025
• CHRISTUS Standard Gold 2025
• CHRISTUS Standard Gold Limited 2025
• CHRISTUS Standard Silver 2025
• CHRISTUS Standard Silver 73 2025
• CHRISTUS Standard Silver 87 2025
• CHRISTUS Standard Silver 94 2025
• CHRISTUS Standard Silver Limited 2025

English

• Louisiana Off-Exchange Evidence of Coverage (PDF)
• Louisiana On-Exchange Evidence of Coverage (PDF)

Spanish

• Louisiana Off-Exchange Evidence of Coverage en español (PDF)
• Louisiana On-Exchange Evidence of Coverage en español (PDF)

English

• Louisiana American Indian Zero Cost Sharing Schedule of Benefits (PDF)
• Louisiana American Indian Zero Cost Sharing Plus Schedule of Benefits (PDF)
• Louisiana American Indian Zero Cost Sharing Plus Fitness Schedule of Benefits (PDF)
• Louisiana American Indian Zero Cost Sharing Plus Fitness Dental Vision Schedule of Benefits (PDF)
• Louisiana Bronze Schedule of Benefits (PDF)
• Louisiana Bronze Essential Schedule of Benefits (PDF)
• Louisiana Bronze Essential Limited Schedule of Benefits (PDF)
• Louisiana Bronze Essential Plus Schedule of Benefits (PDF)
• Louisiana Bronze Essential Plus Limited Schedule of Benefits (PDF)
• Louisiana Bronze Limited Schedule of Benefits (PDF)
• Louisiana Bronze Plus Schedule of Benefits (PDF)
• Louisiana Bronze Plus Limited Schedule of Benefits (PDF)
• Louisiana Gold Schedule of Benefits (PDF)
• Louisiana Gold Essential Schedule of Benefits (PDF)
• Louisiana Gold Essential Limited Schedule of Benefits (PDF)
• Louisiana Gold Essential Plus Schedule of Benefits (PDF)
• Louisiana Gold Essential Plus Limited Schedule of Benefits (PDF)
• Louisiana Gold Limited Schedule of Benefits (PDF)
• Louisiana Gold Plus Schedule of Benefits (PDF)
• Louisiana Gold Plus Limited Schedule of Benefits (PDF)
• Louisiana Silver 73 Schedule of Benefits (PDF)
• Louisiana Silver 87 Schedule of Benefits (PDF)
• Louisiana Silver 94 Schedule of Benefits (PDF)
• Louisiana Silver Schedule of Benefits (PDF)
• Louisiana Silver Essential 73 Schedule of Benefits (PDF)
• Louisiana Silver Essential 87 Schedule of Benefits (PDF)
• Louisiana Silver Essential 94 Schedule of Benefits (PDF)
• Louisiana Silver Essential Schedule of Benefits (PDF)
• Louisiana Silver Essential Limited Schedule of Benefits (PDF)
• Louisiana Silver Essential Plus 73 Schedule of Benefits (PDF)
• Louisiana Silver Essential Plus 87 Schedule of Benefits (PDF)
• Louisiana Silver Essential Plus 94 Schedule of Benefits (PDF)
• Louisiana Silver Essential Plus Schedule of Benefits (PDF)
• Louisiana Silver Essential Plus Limited Schedule of Benefits (PDF)
• Louisiana Silver Limited Schedule of Benefits (PDF)
• Louisiana Silver Plus 73 Schedule of Benefits (PDF)
• Louisiana Silver Plus 87 Schedule of Benefits (PDF)
• Louisiana Silver Plus 94 Schedule of Benefits (PDF)
• Louisiana Silver Plus Schedule of Benefits (PDF)
• Louisiana Silver Plus Limited Schedule of Benefits (PDF)
• Louisiana Standard Expanded Bronze Schedule of Benefits (PDF)
• Louisiana Standard Expanded Bronze Limited Schedule of Benefits (PDF)
• Louisiana Standard Gold Schedule of Benefits (PDF)
• Louisiana Standard Gold Limited Schedule of Benefits (PDF)
• Louisiana Standard Silver 73 Schedule of Benefits (PDF)
• Louisiana Standard Silver 87 Schedule of Benefits (PDF)
• Louisiana Standard Silver 94 Schedule of Benefits (PDF)
• Louisiana Standard Silver Schedule of Benefits (PDF)
• Louisiana Standard Silver Limited Schedule of Benefits (PDF)

Spanish

• Louisiana American Indian Zero Cost Sharing Schedule of Benefits SPA
• Louisiana American Indian Zero Cost Sharing Plus Dental Vision Schedule of Benefits SPA
• Louisiana American Indian Zero Cost Sharing Plus Fitness Schedule of Benefits SPA
• Louisiana American Indian Zero Cost Sharing Plus Fitness Dental Vision Schedule of Benefits SPA
• Louisiana Bronze Schedule of Benefits SPA
• Louisiana Bronze Essential Schedule of Benefits SPA
• Louisiana Bronze Essential Limited Schedule of Benefits SPA
• Louisiana Bronze Essential Plus Schedule of Benefits SPA
• Louisiana Bronze Essential Plus Limited Schedule of Benefits SPA
• Louisiana Bronze Limited Schedule of Benefits SPA
• Louisiana Bronze Plus Schedule of Benefits SPA
• Louisiana Bronze Plus Limited Schedule of Benefits SPA
• Louisiana Gold Schedule of Benefits SPA
• Louisiana Gold Essential Schedule of Benefits SPA
• Louisiana Gold Essential Limited Schedule of Benefits SPA
• Louisiana Gold Essential Plus Schedule of Benefits SPA
• Louisiana Gold Essential Plus Limited Schedule of Benefits SPA
• Louisiana Gold Limited Schedule of Benefits SPA
• Louisiana Gold Plus Schedule of Benefits SPA
• Louisiana Gold Plus Limited Schedule of Benefits SPA
• Louisiana Silver Schedule of Benefits SPA
• Louisiana Silver 73 Schedule of Benefits SPA
• Louisiana Silver 87 Schedule of Benefits SPA
• Louisiana Silver 94 Schedule of Benefits SPA
• Louisiana Silver Essential Schedule of Benefits SPA
• Louisiana Silver Essential 73 Schedule of Benefits SPA
• Louisiana Silver Essential 87 Schedule of Benefits SPA
• Louisiana Silver Essential 94 Schedule of Benefits SPA
• Louisiana Silver Essential Limited Schedule of Benefits SPA
• Louisiana Silver Essential Plus Schedule of Benefits SPA
• Louisiana Silver Essential Plus 73 Schedule of Benefits SPA
• Louisiana Silver Essential Plus 87 Schedule of Benefits SPA
• Louisiana Silver Essential Plus 94 Schedule of Benefits SPA
• Louisiana Silver Essential Plus Limited Schedule of Benefits SPA
• Louisiana Silver Limited Schedule of Benefits SPA
• Louisiana Silver Plus Schedule of Benefits SPA
• Louisiana Silver Plus 73 Schedule of Benefits SPA
• Louisiana Silver Plus 87 Schedule of Benefits SPA
• Louisiana Silver Plus 94 Schedule of Benefits SPA
• Louisiana Silver Plus Limited Schedule of Benefits SPA
• Louisiana Standard Expanded Bronze Schedule of Benefits SPA
• Louisiana Standard Expanded Bronze Limited Schedule of Benefits SPA
• Louisiana Standard Gold Schedule of Benefits SPA
• Louisiana Standard Gold Limited Schedule of Benefits SPA
• Louisiana Standard Silver Schedule of Benefits SPA
• Louisiana Standard Silver 73 Schedule of Benefits SPA
• Louisiana Standard Silver 87 Schedule of Benefits SPA
• Louisiana Standard Silver 94 Schedule of Benefits SPA
• Louisiana Standard Silver Limited Schedule of Benefits SPA

English

• Louisiana American Indian Zero Cost Sharing Summary of Benefits (PDF)
• Louisiana American Indian Zero Cost Sharing Plus Summary of Benefits (PDF)
• Louisiana American Indian Zero Cost Sharing Plus Fitness Summary of Benefits (PDF)
• Louisiana American Indian Zero Cost Sharing Plus Fitness Dental Vision Summary of Benefits (PDF)
• Louisiana Bronze Summary of Benefits (PDF)
• Louisiana Bronze Essential Summary of Benefits (PDF)
• Louisiana Bronze Essential Limited Summary of Benefits (PDF)
• Louisiana Bronze Essential Plus Summary of Benefits (PDF)
• Louisiana Bronze Essential Plus Limited Summary of Benefits (PDF)
• Louisiana Bronze Limited Summary of Benefits (PDF)
• Louisiana Bronze Plus Summary of Benefits (PDF)
• Louisiana Bronze Plus Limited Summary of Benefits (PDF)
• Louisiana Gold Summary of Benefits (PDF)
• Louisiana Gold Essential Summary of Benefits (PDF)
• Louisiana Gold Essential Limited Summary of Benefits (PDF)
• Louisiana Gold Essential Plus Summary of Benefits (PDF)
• Louisiana Gold Essential Plus Limited Summary of Benefits (PDF)
• Louisiana Gold Limited Summary of Benefits (PDF)
• Louisiana Gold Plus Summary of Benefits (PDF)
• Louisiana Gold Plus Limited Summary of Benefits (PDF)
• Louisiana Silver 73 Summary of Benefits (PDF)
• Louisiana Silver 87 Summary of Benefits (PDF)
• Louisiana Silver 94 Summary of Benefits (PDF)
• Louisiana Silver Summary of Benefits (PDF)
• Louisiana Silver Essential 73 Summary of Benefits (PDF)
• Louisiana Silver Essential 87 Summary of Benefits (PDF)
• Louisiana Silver Essential 94 Summary of Benefits (PDF)
• Louisiana Silver Essential Summary of Benefits (PDF)
• Louisiana Silver Essential Limited Summary of Benefits (PDF)
• Louisiana Silver Essential Plus 73 Summary of Benefits (PDF)
• Louisiana Silver Essential Plus 87 Summary of Benefits (PDF)
• Louisiana Silver Essential Plus 94 Summary of Benefits (PDF)
• Louisiana Silver Essential Plus Summary of Benefits (PDF)
• Louisiana Silver Essential Plus Limited Summary of Benefits (PDF)
• Louisiana Silver Limited Summary of Benefits (PDF)
• Louisiana Silver Plus 73 Summary of Benefits (PDF)
• Louisiana Silver Plus 87 Summary of Benefits (PDF)
• Louisiana Silver Plus 94 Summary of Benefits (PDF)
• Louisiana Silver Plus Summary of Benefits (PDF)
• Louisiana Silver Plus Limited Summary of Benefits (PDF)
• Louisiana Standard Expanded Bronze Summary of Benefits (PDF)
• Louisiana Standard Expanded Bronze Limited Summary of Benefits (PDF)
• Louisiana Standard Gold Summary of Benefits (PDF)
• Louisiana Standard Gold Limited Summary of Benefits (PDF)
• Louisiana Standard Silver 73 Summary of Benefits (PDF)
• Louisiana Standard Silver 87 Summary of Benefits (PDF)
• Louisiana Standard Silver 94 Summary of Benefits (PDF)
• Louisiana Standard Silver Summary of Benefits (PDF)
• Louisiana Standard Silver Limited Summary of Benefits (PDF)

Spanish

• Louisiana American Indian Zero Cost Sharing Summary of Benefits SPA
• Louisiana American Indian Zero Cost Sharing Plus Dental Vision Summary of Benefits SPA
• Louisiana American Indian Zero Cost Sharing Plus Fitness Summary of Benefits SPA
• Louisiana American Indian Zero Cost Sharing Plus Fitness Dental Vision Summary of Benefits SPA
• Louisiana Bronze Summary of Benefits SPA
• Louisiana Bronze Essential Summary of Benefits SPA
• Louisiana Bronze Essential Limited Summary of Benefits SPA
• Louisiana Bronze Essential Plus Summary of Benefits SPA
• Louisiana Bronze Essential Plus Limited Summary of Benefits SPA
• Louisiana Bronze Limited Summary of Benefits SPA
• Louisiana Bronze Plus Summary of Benefits SPA
• Louisiana Bronze Plus Limited Summary of Benefits SPA
• Louisiana Gold Summary of Benefits SPA
• Louisiana Gold Essential Summary of Benefits SPA
• Louisiana Gold Essential Limited Summary of Benefits SPA
• Louisiana Gold Essential Plus Summary of Benefits SPA
• Louisiana Gold Essential Plus Limited Summary of Benefits SPA
• Louisiana Gold Limited Summary of Benefits SPA
• Louisiana Gold Plus Summary of Benefits SPA
• Louisiana Gold Plus Limited Summary of Benefits SPA
• Louisiana Silver Summary of Benefits SPA
• Louisiana Silver 73 Summary of Benefits SPA
• Louisiana Silver 87 Summary of Benefits SPA
• Louisiana Silver 94 Summary of Benefits SPA
• Louisiana Silver Essential Summary of Benefits SPA
• Louisiana Silver Essential 73 Summary of Benefits SPA
• Louisiana Silver Essential 87 Summary of Benefits SPA
• Louisiana Silver Essential 94 Summary of Benefits SPA
• Louisiana Silver Essential Limited Summary of Benefits SPA
• Louisiana Silver Essential Plus Summary of Benefits SPA
• Louisiana Silver Essential Plus 73 Summary of Benefits SPA
• Louisiana Silver Essential Plus 87 Summary of Benefits SPA
• Louisiana Silver Essential Plus 94 Summary of Benefits SPA
• Louisiana Silver Essential Plus Limited Summary of Benefits SPA
• Louisiana Silver Limited Summary of Benefits SPA
• Louisiana Silver Plus Summary of Benefits SPA
• Louisiana Silver Plus 73 Summary of Benefits SPA
• Louisiana Silver Plus 87 Summary of Benefits SPA
• Louisiana Silver Plus 94 Summary of Benefits SPA
• Louisiana Silver Plus Limited Summary of Benefits SPA
• Louisiana Standard Expanded Bronze Summary of Benefits SPA
• Louisiana Standard Expanded Bronze Limited Summary of Benefits SPA
• Louisiana Standard Gold Summary of Benefits SPA
• Louisiana Standard Gold Limited Summary of Benefits SPA
• Louisiana Standard Silver Summary of Benefits SPA
• Louisiana Standard Silver 73 Summary of Benefits SPA
• Louisiana Standard Silver 87 Summary of Benefits SPA
• Louisiana Standard Silver 94 Summary of Benefits SPA
• Louisiana Standard Silver Limited Summary of Benefits SPA

2025 Plan Year

ENGLISH

• CHRISTUS American Indian Zero Cost Sharing 2025
• CHRISTUS American Indian Zero Cost Sharing Plus Dental Vision 2025
• CHRISTUS American Indian Zero Cost Sharing Plus Dental Vision Fitness 2025
• CHRISTUS American Indian Zero Cost Sharing Plus Fitness 2025
• CHRISTUS Bronze 2025
• CHRISTUS Bronze Essential 2025
• CHRISTUS Bronze Essential Limited 2025
• CHRISTUS Bronze Essential Plus 2025
• CHRISTUS Bronze Essential Plus Limited 2025
• CHRISTUS Bronze Limited 2025
• CHRISTUS Bronze Plus 2025
• CHRISTUS Bronze Plus Limited 2025
• CHRISTUS Catastrophic 2025
• CHRISTUS Gold 2025
• CHRISTUS Gold Essential 2025
• CHRISTUS Gold Essential Limited 2025
• CHRISTUS Gold Essential Plus 2025
• CHRISTUS Gold Essential Plus Limited 2025
• CHRISTUS Gold Limited 2025
• CHRISTUS Gold Plus 2025
• CHRISTUS Gold Plus Limited 2025
• CHRISTUS Silver 2025
• CHRISTUS Silver 73 2025
• CHRISTUS Silver 87 2025
• CHRISTUS Silver 94 2025
• CHRISTUS Silver Essential 2025
• CHRISTUS Silver Essential 73 2025
• CHRISTUS Silver Essential 87 2025
• CHRISTUS Silver Essential 94 2025
• CHRISTUS Silver Essential Limited 2025
• CHRISTUS Silver Essential Plus 2025
• CHRISTUS Silver Essential Plus 73 2025
• CHRISTUS Silver Essential Plus 87 2025
• CHRISTUS Silver Essential Plus 94 2025
• CHRISTUS Silver Essential Plus Limited 2025
• CHRISTUS Silver Limited 2025
• CHRISTUS Silver Plus 2025
• CHRISTUS Silver Plus 73 2025
• CHRISTUS Silver Plus 87 2025
• CHRISTUS Silver Plus 94 2025
• CHRISTUS Silver Plus Limited 2025
• CHRISTUS Standard Expanded Bronze 2025
• CHRISTUS Standard Expanded Bronze Limited 2025
• CHRISTUS Standard Gold 2025
• CHRISTUS Standard Gold Limited 2025
• CHRISTUS Standard Silver 2025
• CHRISTUS Standard Silver 73 2025
• CHRISTUS Standard Silver 87 2025
• CHRISTUS Standard Silver 94 2025
• CHRISTUS Standard Silver Limited 2025

English

• Texas Gold Complete Off-Exchange Evidence of Coverage (PDF)
• Texas Off-Exchange Evidence of Coverage (PDF)
• Texas On-Exchange Evidence of Coverage (PDF)

Spanish

• Texas Gold Complete Off-Exchange Evidence of Coverage en español (PDF)
• Texas Off-Exchange Evidence of Coverage en español (PDF)
• Texas On-Exchange Evidence of Coverage en español (PDF)

English

• Texas American Indian Zero Cost Sharing Schedule of Benefits (PDF)
• Texas American Indian Zero Cost Sharing Plus Dental Vision Schedule of Benefits (PDF)
• Texas American Indian Zero Cost Sharing Plus Dental Vision Fitness Schedule of Benefits (PDF)
• Texas American Indian Zero Cost Sharing Plus Fitness Schedule of Benefits (PDF)
• Texas Bronze Schedule of Benefits (PDF)
• Texas Bronze Essential Schedule of Benefits (PDF)
• Texas Bronze Essential Limited Schedule of Benefits (PDF)
• Texas Bronze Essential Plus Schedule of Benefits (PDF)
• Texas Bronze Essential Plus Limited Schedule of Benefits (PDF)
• Texas Bronze Limited Schedule of Benefits (PDF)
• Texas Bronze Plus Schedule of Benefits (PDF)
• Texas Bronze Plus Limited Schedule of Benefits (PDF)
• Texas Catastrophic Schedule of Benefits (PDF)
• Texas Gold Schedule of Benefits (PDF)
• Texas Gold Essential Schedule of Benefits (PDF)
• Texas Gold Essential Limited Schedule of Benefits (PDF)
• Texas Gold Essential Plus Schedule of Benefits (PDF)
• Texas Gold Essential Plus Limited Schedule of Benefits (PDF)
• Texas Gold Limited Schedule of Benefits (PDF)
• Texas Gold Plus Schedule of Benefits (PDF)
• Texas Gold Plus Limited Schedule of Benefits (PDF)
• Texas Silver 73 Schedule of Benefits (PDF)
• Texas Silver 87 Schedule of Benefits (PDF)
• Texas Silver 94 Schedule of Benefits (PDF)
• Texas Silver Schedule of Benefits (PDF)
• Texas Silver Essential 73 Schedule of Benefits (PDF)
• Texas Silver Essential 87 Schedule of Benefits (PDF)
• Texas Silver Essential 94 Schedule of Benefits (PDF)
• Texas Silver Essential Schedule of Benefits (PDF)
• Texas Silver Essential Limited Schedule of Benefits (PDF)
• Texas Silver Essential Plus 73 Schedule of Benefits (PDF)
• Texas Silver Essential Plus 87 Schedule of Benefits (PDF)
• Texas Silver Essential Plus 94 Schedule of Benefits (PDF)
• Texas Silver Essential Plus Schedule of Benefits (PDF)
• Texas Silver Essential Plus Limited Schedule of Benefits (PDF)
• Texas Silver Limited Schedule of Benefits (PDF)
• Texas Silver Plus 73 Schedule of Benefits (PDF)
• Texas Silver Plus 87 Schedule of Benefits (PDF)
• Texas Silver Plus 94 Schedule of Benefits (PDF)
• Texas Silver Plus Schedule of Benefits (PDF)
• Texas Silver Plus Limited Schedule of Benefits (PDF)
• Texas Standard Expanded Bronze Schedule of Benefits (PDF)
• Texas Standard Expanded Bronze Limited Schedule of Benefits (PDF)
• Texas Standard Gold Schedule of Benefits (PDF)
• Texas Standard Gold Limited Schedule of Benefits (PDF)
• Texas Standard Silver 73 Schedule of Benefits (PDF)
• Texas Standard Silver 87 Schedule of Benefits (PDF)
• Texas Standard Silver 94 Schedule of Benefits (PDF)
• Texas Standard Silver Schedule of Benefits (PDF)
• Texas Standard Silver Limited Schedule of Benefits (PDF)

Spanish

• Texas American Indian Zero Cost Sharing Schedule of Benefits SPA
• Texas American Indian Zero Cost Sharing Plus Dental Vision Schedule of Benefits SPA
• Texas American Indian Zero Cost Sharing Plus Dental Vision Fitness Schedule of Benefits SPA
• Texas American Indian Zero Cost Sharing Plus Fitness Schedule of Benefits SPA
• Texas Bronze Schedule of Benefits SPA
• Texas Bronze Essential Schedule of Benefits SPA
• Texas Bronze Essential Limited Schedule of Benefits SPA
• Texas Bronze Essential Plus Schedule of Benefits SPA
• Texas Bronze Essential Plus Limited Schedule of Benefits SPA
• Texas Bronze Limited Schedule of Benefits SPA
• Texas Bronze Plus Schedule of Benefits SPA
• Texas Bronze Plus Limited Schedule of Benefits SPA
• Texas Catastrophic Schedule of Benefits SPA
• Texas Gold Schedule of Benefits SPA
• Texas Gold Essential Schedule of Benefits SPA
• Texas Gold Essential Limited Schedule of Benefits SPA
• Texas Gold Essential Plus Schedule of Benefits SPA
• Texas Gold Essential Plus Limited Schedule of Benefits SPA
• Texas Gold Limited Schedule of Benefits SPA
• Texas Gold Plus Schedule of Benefits SPA
• Texas Gold Plus Limited Schedule of Benefits SPA
• Texas Silver Schedule of Benefits SPA
• Texas Silver 73 Schedule of Benefits SPA
• Texas Silver 87 Schedule of Benefits SPA
• Texas Silver 94 Schedule of Benefits SPA
• Texas Silver Essential Schedule of Benefits SPA
• Texas Silver Essential 73 Schedule of Benefits SPA
• Texas Silver Essential 87 Schedule of Benefits SPA
• Texas Silver Essential 94 Schedule of Benefits SPA
• Texas Silver Essential Limited Schedule of Benefits SPA
• Texas Silver Limited Schedule of Benefits SPA
• Texas Silver Plus Schedule of Benefits SPA
• Texas Silver Plus 73 Schedule of Benefits SPA
• Texas Silver Plus 87 Schedule of Benefits SPA
• Texas Silver Plus 94 Schedule of Benefits SPA
• Texas Silver Plus Limited Schedule of Benefits SPA
• Texas Standard Expanded Bronze Schedule of Benefits SPA
• Texas Standard Expanded Bronze Limited Schedule of Benefits SPA
• Texas Standard Gold Schedule of Benefits SPA
• Texas Standard Gold Limited Schedule of Benefits SPA
• Texas Standard Silver Schedule of Benefits SPA
• Texas Standard Silver 73 Schedule of Benefits SPA
• Texas Standard Silver 87 Schedule of Benefits SPA
• Texas Standard Silver 94 Schedule of Benefits SPA
• Texas Standard Silver Limited Schedule of Benefits SPA

English

• Texas American Indian Zero Cost Sharing Summary of Benefits (PDF)
• Texas American Indian Zero Cost Sharing Plus Dental Vision Summary of Benefits (PDF)
• Texas American Indian Zero Cost Sharing Plus Dental Vision Fitness Summary of Benefits (PDF)
• Texas American Indian Zero Cost Sharing Plus Fitness Summary of Benefits (PDF)
• Texas Bronze Summary of Benefits (PDF)
• Texas Bronze Essential Summary of Benefits (PDF)
• Texas Bronze Essential Limited Summary of Benefits (PDF)
• Texas Bronze Essential Plus Summary of Benefits (PDF)
• Texas Bronze Essential Plus Limited Summary of Benefits (PDF)
• Texas Bronze Limited Summary of Benefits (PDF)
• Texas Bronze Plus Summary of Benefits (PDF)
• Texas Bronze Plus Limited Summary of Benefits (PDF)
• Texas Catastrophic Summary of Benefits (PDF)
• Texas Gold Summary of Benefits (PDF)
• Texas Gold Essential Summary of Benefits (PDF)
• Texas Gold Essential Limited Summary of Benefits (PDF)
• Texas Gold Essential Plus Summary of Benefits (PDF)
• Texas Gold Essential Plus Limited Summary of Benefits (PDF)
• Texas Gold Limited Summary of Benefits (PDF)
• Texas Gold Plus Summary of Benefits (PDF)
• Texas Gold Plus Limited Summary of Benefits (PDF)
• Texas Silver 73 Summary of Benefits (PDF)
• Texas Silver 87 Summary of Benefits (PDF)
• Texas Silver 94 Summary of Benefits (PDF)
• Texas Silver Summary of Benefits (PDF)
• Texas Silver Essential 73 Summary of Benefits (PDF)
• Texas Silver Essential 87 Summary of Benefits (PDF)
• Texas Silver Essential 94 Summary of Benefits (PDF)
• Texas Silver Essential Summary of Benefits (PDF)
• Texas Silver Essential Limited Summary of Benefits (PDF)
• Texas Silver Essential Plus 73 Summary of Benefits (PDF)
• Texas Silver Essential Plus 87 Summary of Benefits (PDF)
• Texas Silver Essential Plus 94 Summary of Benefits (PDF)
• Texas Silver Essential Plus Summary of Benefits (PDF)
• Texas Silver Essential Plus Limited Summary of Benefits (PDF)
• Texas Silver Limited Summary of Benefits (PDF)
• Texas Silver Plus 73 Summary of Benefits (PDF)
• Texas Silver Plus 87 Summary of Benefits (PDF)
• Texas Silver Plus 94 Summary of Benefits (PDF)
• Texas Silver Plus Summary of Benefits (PDF)
• Texas Silver Plus Limited Summary of Benefits (PDF)
• Texas Standard Expanded Bronze Summary of Benefits (PDF)
• Texas Standard Expanded Bronze Limited Summary of Benefits (PDF)
• Texas Standard Gold Summary of Benefits (PDF)
• Texas Standard Gold Limited Summary of Benefits (PDF)
• Texas Standard Silver 73 Summary of Benefits (PDF)
• Texas Standard Silver 87 Summary of Benefits (PDF)
• Texas Standard Silver 94 Summary of Benefits (PDF)
• Texas Standard Silver Summary of Benefits (PDF)
• Texas Standard Silver Limited Summary of Benefits (PDF)

Spanish

• Texas American Indian Zero Cost Sharing Summary of Benefits SPA
• Texas American Indian Zero Cost Sharing Plus Dental Vision Summary of Benefits SPA
• Texas American Indian Zero Cost Sharing Plus Dental Vision Fitness Summary of Benefits SPA
• Texas American Indian Zero Cost Sharing Plus Fitness Summary of Benefits SPA
• Texas Bronze Summary of Benefits SPA
• Texas Bronze Essential Summary of Benefits SPA
• Texas Bronze Essential Limited Summary of Benefits SPA
• Texas Bronze Essential Plus Summary of Benefits SPA
• Texas Bronze Essential Plus Limited Summary of Benefits SPA
• Texas Bronze Limited Summary of Benefits SPA
• Texas Bronze Plus Summary of Benefits SPA
• Texas Bronze Plus Limited Summary of Benefits SPA
• Texas Catastrophic Summary of Benefits SPA
• Texas Gold Summary of Benefits SPA
• Texas Gold Essential Summary of Benefits SPA
• Texas Gold Essential Limited Summary of Benefits SPA
• Texas Gold Essential Plus Summary of Benefits SPA
• Texas Gold Essential Plus Limited Summary of Benefits SPA
• Texas Gold Limited Summary of Benefits SPA
• Texas Gold Plus Summary of Benefits SPA
• Texas Gold Plus Limited Summary of Benefits SPA
• Texas Silver Summary of Benefits SPA
• Texas Silver 73 Summary of Benefits SPA
• Texas Silver 87 Summary of Benefits SPA
• Texas Silver 94 Summary of Benefits SPA
• Texas Silver Essential Summary of Benefits SPA
• Texas Silver Essential 73 Summary of Benefits SPA
• Texas Silver Essential 87 Summary of Benefits SPA
• Texas Silver Essential 94 Summary of Benefits SPA
• Texas Silver Essential Limited Summary of Benefits SPA
• Texas Silver Essential Plus Summary of Benefits SPA
• Texas Silver Essential Plus 73 Summary of Benefits SPA
• Texas Silver Essential Plus 87 Summary of Benefits SPA
• Texas Silver Essential Plus 94 Summary of Benefits SPA
• Texas Silver Essential Plus Limited Summary of Benefits SPA
• Texas Silver Limited Summary of Benefits SPA
• Texas Silver Plus Summary of Benefits SPA
• Texas Silver Plus 73 Summary of Benefits SPA
• Texas Silver Plus 87 Summary of Benefits SPA
• Texas Silver Plus 94 Summary of Benefits SPA
• Texas Silver Plus Limited Summary of Benefits SPA
• Texas Standard Expanded Bronze Summary of Benefits SPA
• Texas Standard Expanded Bronze Limited Summary of Benefits SPA
• Texas Standard Gold Summary of Benefits SPA
• Texas Standard Gold Limited Summary of Benefits SPA
• Texas Standard Silver Summary of Benefits SPA
• Texas Standard Silver 73 Summary of Benefits SPA
• Texas Standard Silver 87 Summary of Benefits SPA
• Texas Standard Silver 94 Summary of Benefits SPA
• Texas Standard Silver Limited Summary of Benefits SPA

Provider & Pharmacy Directory

ENGLISH

• 2025 Louisiana Provider & Pharmacy Directory (PDF)
• 2025 Texas Provider & Pharmacy Directory (PDF)

SPANISH

• 2025 Louisiana Provider & Pharmacy Directory (PDF)
• 2025 Texas Provider & Pharmacy Directory (PDF)

Provider Search Tool

• Online Searchable Provider Directories

CHRISTUS Health, Texas & Louisiana Individual and Family Plan members have access to a toll-free 24-hour nurse line. Call the number 844-581-3175 to speak with a registered nurse at any time, day or night. If you are experiencing a medical emergency, please dial 911.

Consent Form (PDF)

 

If you choose to go out-of-network for your dental care, you may be reimbursed for your treatment. Complete the patient and subscriber information on the Delta Dental Claims Form.

Mail the completed form and a copy of the dentist’s Statement of Treatment (or detailed receipt) to:
Delta Dental Insurance Company
PO Box 1809
Alpharetta, GA 30023

The Statement of Treatment or detailed receipt must include:

• Name, address, and complete phone number of dentist
• Date each service was performed
• Description, procedure code, and fee of each service performed
• List of affected teeth
• Total cost of services performed
• Dentist’s National Provider Identifier (NPI)
• Dentist’s Tax Identification Number (TIN)
• State license number
• Specialty code

Important note: If the Statement of Treatment or similar document you receive from your dentist is missing any of the information listed above, please enter it on the claim form. A dental office staff member can provide you with the dentist and treatment information.

Be sure to make a copy of the completed claim form and the dentist’s Statement of Treatment or detailed receipt for your records.

 

2025 - Plus Members

Your fitness benefit for 2025 is offered through the Active&Fit Enterprise™ program and does not require reimbursement.

Please visit ActiveandFit.com to register for your account and to find one of the thousands of fitness centers near you.

Bronze Plus, Silver Plus, and Gold Plus Members only.

• Glossary of Terms (PDF)
  
  
• Online Glossary of Terms

• Payment Authorization Form (PDF)

• Medical Reimbursement Form

• RX Claim Form (PDF)

• Transplant Travel Claim Form