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inurance organization provider

CHRISTUS Health

Plan ID: H1189-8-0

CHRISTUS Health Medicare Guardian (HMO)

2025 CHRISTUS Health Medicare Guardian (HMO) H1189008 0 is a Medicare Advantage plan . It has received a 3.5-out-of-5 star rating from CMS for 2025.

Learn more about CHRISTUS Health Medicare Guardian (HMO) H1189 - 008 - 0, including the health and drug services it covers, by reading our easy-to-use guide. Or contact a licensed insurance agent for help now.

3.5 / 5 stars for 2025

$0.00 /mo

Monthly premium

$4400.00

Out-of-pocket maximum

Enroll online

Call to enroll

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1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week!

Overview Icon

Plan Overview

2025 CHRISTUS Health Medicare Guardian (HMO) H1189008 0 is a HMO offered in Texas by CHRISTUS Health. It has a monthly premium of $0.00.

Premium Breakdown

Standard Part B Premium

$185.00

Part B premium reduction

- $0

Monthly Plan Premium

$0.00

Total Premium:

$185.00

Note:

The standard Medicare Part B premium for 2025 is $185.00. Your premium may differ based on factors like late enrollment, income (IRMAA), or disability status. Most people enrolled in Medicare Part B are required to pay this premium.

Special needs plan type

No

Out-of-pocket maximum

$4400.00

Plan Organization:

CHRISTUS Health

Plan Type:

HMO

Location:

Texas

Drugs Covered:

No

Drug Formulary:

Pharmacies:

Doctor Choice:

Doctors Link:

Deductibles

The amount you must pay each year before your plan starts to pay for covered services or drugs.

Sign up for CHRISTUS Health Medicare Guardian (HMO)

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Need help deciding? Talk with one of our licensed insurance specialists 1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week

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Drug Coverage

CHRISTUS Health Medicare Guardian (HMO) does not provide drug coverage. If drug coverage is something you need, you should consider shopping for other plans that do provide cost sharing on drugs.

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Additional Benefits

CHRISTUS Health Medicare Guardian (HMO) also provides the following benefits.

Note:

Limits, Authorizations, and Referrals may apply for the benefits below. Contact the plan for details.

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Comprehensive dental

Adjunctive General Services
In-Network: No Coins - 20.00 Copay
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Endodontics
In-Network: No Coins - 20.00 Copay
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Implant Services
In-Network: No Coins - 20.00 Copay
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Oral and Maxillofacial Surgery
In-Network: No Coins - 20.00 Copay
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Periodontics
In-Network: No Coins - 20.00 Copay
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Prosthodontics, fixed
In-Network: No Coins - 20.00 Copay
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Prosthodontics, removable
In-Network: No Coins - 20.00 Copay
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Restorative Services
In-Network: No Coins - 20.00 Copay
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Preventive dental

Dental X-Rays
In-Network: No Coins - No Copay
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Fluoride Treatment
In-Network: No Coins - No Copay
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Oral Exams
In-Network: No Coins - No Copay
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Other Diagnostic Dental Services
In-Network: No Coins - No Copay
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Other Preventive Dental Services
In-Network: No Coins - No Copay
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Prophylaxis (cleaning)
In-Network: No Coins - No Copay
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Diagnostic procedures/lab services/imaging

Diagnostic radiology services
Diagnostic tests and procedures
$40 copay
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Outpatient x-rays
$10 copay
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Lab services
$0 copay
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Doctor visits

Primary
$0 copay
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Specialist
$25 copay per visit
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Emergency care/Urgent care

Urgent care
$35 copay per visit (always covered)
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Emergency
$125 copay per visit (always covered)
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Foot care (podiatry services)

Routine foot care
$0 copay
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Foot exams and treatment
$25 copay
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Ground ambulance

All service types
$300 copay
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Hearing

Medicare-Covered Hearing Exam
$25 copay
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Hearing aids
$395-1,595 copay
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Hearing aids OTC
$95-295 copay
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Fitting/evaluation
$0 copay
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Inpatient hospital coverage

All service types
$0 copay
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Outpatient hospital coverage

All service types
$0-300 copay per visit
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Optional benefits

All service types
No
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Medical equipment/supplies

Prosthetics
Diabetes supplies
$0 copay
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Durable medical equipment
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Medicare Part B drugs

Chemotherapy
0-20% coinsurance
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Other Part B drugs
0-20% coinsurance
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Mental health services

Outpatient group therapy visit with a psychiatrist
$25 copay
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Outpatient group therapy visit
$25 copay
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Outpatient individual therapy visit
$25 copay
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Inpatient hospital - psychiatric
$318 per day for days 1 through 5 $0 per day for days 6 through 90
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Outpatient individual therapy visit with a psychiatrist
$25 copay
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Preventive care

All service types
$0 copay
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Rehabilitation services

Occupational therapy visit
$20 copay
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Physical therapy and speech and language therapy visit
$25 copay
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Skilled Nursing Facility

All service types
$0 per day for days 1 through 20 $214 per day for days 21 through 100
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Transportation

All service types
$0 copay
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Vision

Eyeglasses (frames and lenses)
$0 copay
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Other
Not covered
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Eyeglass frames
$0 copay
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Routine eye exam
$0 copay
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Contact lenses
$0 copay
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Eyeglass lenses
$0 copay
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Upgrades
Not covered
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Wellness programs (eg, fitness, nursing hotline)

All service types
Covered
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Plan Providers

Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross Blue Shield, Anthem Blue Cross, Aspire Health Plan, Capital Blue Cross, Cigna Healthcare, Dean Health Plan, Devoted Health, Florida Blue Medicare, GlobalHealth, Health Care Service Corporation, Healthy Blue, Humana, Molina Healthcare, Mutual of Omaha, Premera Blue Cross, Medica Central Health Plan, SCAN Health Plan, Baylor Scott & White Health Plan, Simply, UnitedHealthcare(R), Wellcare, WellPoint.

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Get Personalized Help from a licensed insurance agent

1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week

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Every year, Medicare evaluates plans based on a 5-star rating system.

Part B premium reduction is not available with all plans. Availability varies by carrier and location. Actual Part B premium reduction could be lower. Deductibles, copays and coinsurance may apply.

* Benefit(s) mentioned may be part of a special supplemental program for chronically ill members with one of the following conditions: Diabetes mellitus, Cardiovascular disorders, Chronic and disabling mental health conditions, Chronic lung disorders, Chronic heart failure. This is not a complete list of qualifying conditions. Having a qualifying condition alone does not mean you will receive the benefit(s). Other requirements may apply.

Enrollment in Medicare/Medicare Advantage may be limited to certain times of the year unless you qualify for a Special Enrollment Period

We do not offer every plan available in your area. Currently, we represent 18 organizations, which offer 52,101 products in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.

We represent Medicare Advantage HMO, PPO and PFFS organizations and stand-alone PDP prescription drug plans that are contracted with Medicare. Enrollment depends on the plan's contract renewal.

Not all plans offer all of these benefits. Benefits may vary by carrier and location. Limitations and exclusions may apply.

Please contact Medicare.gov ,1-800-MEDICARE , or your local State Health Insurance Program (SHIP) to get information on all of your options.

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