Am I Eligible

Open enrollment begins October 15, 2023, and ends December 7, 2023. Stay up to date on how to enroll, eligibility requirements, and the Special Enrollment Period when you turn 65. Effective 2019, the Medicare Advantage Open Enrollment Period (OEP) returned which allowed beneficiaries to make a change January 1st to March 31st.

Medicare D-SNP Eligibility Requirements

You can enroll in this plan if you qualify for Texas Medicaid based on standards established by the State of Texas and Federal requirements. Texas Medicaid will provide assistance with Medicare cost-sharing. Texas Medicaid also provides full Medicaid benefits. Your cost share is $0 when the service is covered by both Medicare and Texas Medicaid.

You are eligible to join the Community Health Choice (HMO D-SNP) plan if you answer “yes” to the questions below:

Questions?

Call 1.833.276.8306
(TTY users should call 711)

October 1 to March 31, 8:00 am to 8:00 pm, 7 days a week and April 1 through September 30, Monday through Friday, 8:00 am to 8:00 pm.

On certain holidays your call will be handled by our automated phone system.

Do you have Medicare Parts A and B?

You’re at least 65 years old, or you’re age 21 or older and qualify on the basis of disability or another special situation.

Do you qualify for Texas Medicaid?

21 years of age or older and qualify on the basis of disability or another special situation
65 years of age or older and receive Extra Help or assistance from the state
Eligible for Texas Medicaid (SLMB, QMB and QMB+)

Do you reside within the Community Health Choice service area?

20 counties in Southeast Texas (see service area map)
Only individuals living in our plan’s service area are eligible to enroll in Community Health Choice’s (HMO D-SNP) plan.

Community Health Choice (HMO D-SNP)

Am I Eligible

Community Health Choice (HMO D-SNP)

Community Spotlight Blog

Frequently Asked Questions

Low Income Subsidy (LIS)

Ready to Enroll

Service Area

FInd a doctor or pharmacy

Find a Doctor or Pharmacy

Nations Hearing Benefit

Drug and Pharmacy Information

Drug List (Formulary)

Medication Therapy Management

Medicare Prescription Payment Plan (MPPP)

Over the Counter (OTC)

Prescription Drug Transition Policy

Real-Time Benefit Tool

Plan Material and Forms

Evidence of Coverage

How to Cancel or Leave the Plan

How to Appoint a Representative

Papa Pals

Pharmacy Directory

Pre-enrollment checklist

Provider Directory

Pyx Health

Summary of Benefits

Member Rights & Forms

Appeals and Grievance

CMS Appointment of Representative Form

Determination/Redetermination Forms

Direct Member Reimbursement (DMR) Form

Legal Disclaimer

Member Rights and Responsibilities

Prior Authorization Forms

Quality Assurance Policy

For Medicare Members

If your category of Medicaid eligibility changes, your eligibility for this plan will change. You will have a 6-month grace period to achieve Medicaid redetermination and will continue to be covered under this plan. During this grace period, you will be responsible for the costs of your Medicare benefits, which will be the same as if you were on Original Medicare.

Not sure if you qualify? One of our representatives can help you! Call us at toll-free at 833.276.8306 or 713.295.5007.

H9826_IT_10045_092919_M Last updated October 13, 2023.

Why Choose Community?

As a local nonprofit health plan, Community Health Choice gives you plenty of reasons to join our Community. From the benefits and special programs we offer to the way our Member Services team helps you make the most of them, Community is always working life forward for you and your family.

“Community Health Choice is always there to answer my questions and help me and my family with our medical needs. I truly appreciate and value their customer support and service.”
– Cecily
Member of Community Health Choice