Community First Care Plan

Quality Coverage with Lower Monthly Costs

Community First Care Plan offers lower monthly payments. In exchange, you may pay more of the cost when you get care through a deductible, copays, and coinsurance.

Why Choose a Care Plan?

A Community First Care Plan may be a good fit if you want a lower monthly payment and are comfortable paying more when you need health care. Care plans are available in Bronze, Silver, and Gold levels.

A Care Plan may be a good choice if you:

  • Prefer to save on monthly costs and pay more only when you need care
  • Don’t expect to use health care services very often
  • Are looking for budget-friendly coverage
  • Understand you may have higher out-of-pocket costs when you get care
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Care Plan Highlights

  • Lower monthly payments
  • Comprehensive, quality coverage with deductibles, copays and coinsurance
  • Access to Community First’s provider network which includes one of the largest primary care and multi-specialty provider groups in South Texas
  • Local support from our award-winning Member Services team

How A Deductible Works

A deductible is the amount you pay for covered health care services before your health plan starts helping pay. Most Community First Care plans have a deductible.

After you meet your deductible, you may pay:

  • A copay (fixed amount) for some covered services
  • Coinsurance (a percentage of the cost of a covered health care service)

Understanding Plan Levels

Bronze

Lower monthly payment, but higher costs when you get care.
On average, Community First pays 60%. You pay 40%.

Silver

An even balance of monthly premiums and out-of-pocket costs.
On average, Community First pays 70%. You pay 30%.

Gold

Higher monthly payment, but lower costs when you need care.
On average, Community First pays 80%. You pay 20%.

Before You Enroll

Every plan is different. Monthly premiums, deductibles, copays, and coinsurance can vary by plan. Be sure to review the plan details before choosing the coverage that is right for you and your family.

More Resources

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Plan Brochure

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Premium Tax Credit

Questions?

Our trusted team can help you learn more about Community First Marketplace plans.

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