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Golden Rule Copay Select – Texas Health Insurance Plan

A detailed comparison of the Golden Rule Copay Select health insurance plan as offered in Texas is listed below for both Network and Non-Network coverage. This is a review of the coverage for this specific Golden Rule plan. However, GoHealthInsurance offers a large variety of health insurance options to fit your needs. If you wish, get a new Golden Rule health insurance quote for Texas now or view all of our Golden Rule health insurance quotes.

  Network Non-Network
Copay $35 $35
OfficeVisit Office Visit - History & Exam (Primary Care or Specialist): $35 Copay - no deductible Office Visit - History & Exam (Primary Care or Specialist): $35 Copay - no deductible
Deductible false $1,000 (maximum 2 per family, per calendar year)
  • Deductible Credits: Up to a 50% reduction in your network deductible for each covered person (see brochure for details)
 $1,000 (maximum 2 per family, per calendar year)
  • Deductible Credits: Up to a 50% reduction in your network deductible for each covered person (see brochure for details)
Coinsurance 30% 30%
Coinsurance Limit 30% to $16,666 30% to $16,666
Out-of-Pocket Maximum None None
Lifetime Maximum None None
Prescription Drugs Prescription Drugs -
  • Tier 1: $15 copay, no deductible
  • Tier 2-4 - Combined $500 deductible per person, per calendar year, then -
    • Tier 2: $35 copay
    • Tier 3: $65 copay
    • Tier 4: you pay 25% coinsurance
 Prescription Drugs -
  • Tier 1: $15 copay, no deductible
  • Tier 2-4 - Combined $500 deductible per person, per calendar year, then -
    • Tier 2: $35 copay
    • Tier 3: $65 copay
    • Tier 4: you pay 25% coinsurance
Emergency Room
  • Emergency Room Fees - Illness: You pay $100 deductible if not admitted, then 30% after deductible
  • Emergency Room Fees - Injury: You pay 30% after deductible
    		•
  • Emergency Room Fees - Illness: You pay $100 deductible if not admitted, then 30% after deductible
  • Emergency Room Fees - Injury: You pay 30% after deductible
    		•
    Adult Preventative Care
  • Doctor Office Visit (adult, in-network): You pay $0
  • X-ray & lab (in conjunction with the preventive office visit): You pay $0
  • Preventive Mammogram, Pap Smear, PSA Screening (in-network): You pay $0
    		•
  • Doctor Office Visit (adult, in-network): You pay $0
  • X-ray & lab (in conjunction with the preventive office visit): You pay $0
  • Preventive Mammogram, Pap Smear, PSA Screening (in-network): You pay $0
    		•
    Child Preventative Care
  • Doctor Office Visit (child, in-network): You pay $0
  • X-ray & lab (in conjunction with the preventive office visit): You pay $0
  • Child Immunizations (ages 0-18, in-network): You pay $0
    		•
  • Doctor Office Visit (child, in-network): You pay $0
  • X-ray & lab (in conjunction with the preventive office visit): You pay $0
  • Child Immunizations (ages 0-18, in-network): You pay $0
    		•
    Lab / X-Ray X-ray & lab (performed in the doctor office or a network facility): You pay 30% after deductible X-ray & lab (performed in the doctor office or a network facility): You pay 30% after deductible
    Maternity Not covered Not covered
    Physical Therapy You pay 30% after deductible You pay 30% after deductible
    Home Health Care To qualify for benefits, home health care must be provided through a licensed home health care agency. Subject to deductible and coinsurance, covered expenses for home health aide services are limited to seven visits per week and lifetime max of 365 visi To qualify for benefits, home health care must be provided through a licensed home health care agency. Subject to deductible and coinsurance, covered expenses for home health aide services are limited to seven visits per week and lifetime max of 365 visi
    Mental Health Not covered Not covered
    Hospital Care Inpatient Expense Benefits -
    • Room & Board, Intensive Care Unit, Operating Room, Recovery Room, Prescription Drugs, Physician Visit & Professional Fees of Doctors, Surgeons, Nurses: You pay 30% after deductible
    • Other Inpatient Services: You
    		 Inpatient Expense Benefits -
    • Room & Board, Intensive Care Unit, Operating Room, Recovery Room, Prescription Drugs, Physician Visit & Professional Fees of Doctors, Surgeons, Nurses: You pay 30% after deductible
    • Other Inpatient Services: You
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