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Help Me Apply

³Ô¹ÏºÚÁÏÍø offers several types of health plans – but the steps for enrolling in each one are different.

Family having breakfast

Help Me Apply

³Ô¹ÏºÚÁÏÍø offers several types of health plans – but the steps for enrolling in each one are different.

³Ô¹ÏºÚÁÏÍø Health Plans

³Ô¹ÏºÚÁÏÍø currently offers four types of health plans. Read the descriptions below to make sure you apply for the plan that is right for you. 

Marketplace Plans

³Ô¹ÏºÚÁÏÍø proudly offers individual health insurance in the new Health Insurance Marketplace.

With a range of plan options to fit any budget, and a network of doctors you can trust like Memorial Hermann, ³Ô¹ÏºÚÁÏÍø makes it easy to get the care you need and deserve.

Medicare D-SNP

³Ô¹ÏºÚÁÏÍø’s (HMO D-SNP) plan offers additional benefits and services not covered under Original Medicare, such as dental, hearing aids, and vision. You keep all your Medicaid benefits. You get all of Original Medicare’s covered services.

You may be eligible if you have Medicare Parts A and B, qualify for Texas Medicaid QMB or QMB+ and live in our service area.


Texas CHIP Plan

³Ô¹ÏºÚÁÏÍø participates in the Children’s Health Insurance Program (CHIP), including CHIP Perinatal (CHIP-P).

CHIP is a health insurance plan for children under the age of 19 and is designed for families who earn too much money to qualify for Texas Medicaid programs yet cannot afford to buy private insurance. CHIP-P provides prenatal care for the unborn children of low-income women who do not qualify for Medicaid.

Texas STAR (Medicaid) Plan

³Ô¹ÏºÚÁÏÍø participates in the State of Texas Access Reform (STAR) Managed Care Program (Medicaid).

As a part of Medicaid, ³Ô¹ÏºÚÁÏÍø provides both Children’s Medicaid and Medicaid for pregnant women. These programs are at no cost to U.S. residents who cannot afford health insurance.

Texas STAR+PLUS Plan

³Ô¹ÏºÚÁÏÍø offers STAR +Plus Medicaid in Texas in the Harris service area. We are here to help our members navigate their healthcare journey and coordinate care the way they need it.

Information is available in English and Spanish. Call us to get an interpreter. Information can also be made available in audio, large print, Braille or other languages if needed.

The Member Handbook is available in paper form without charge upon the Member’s request and will be provided within five business days of the Member’s request.

For assistance scheduling an appointment Call Member Services 1.888.495.2850

Texas CHIP Plan

³Ô¹ÏºÚÁÏÍø participates in the Children’s Health Insurance Program (CHIP), including CHIP Perinatal (CHIP-P).

CHIP is a health insurance plan for children under the age of 19 and is designed for families who earn too much money to qualify for Texas Medicaid programs yet cannot afford to buy private insurance. CHIP-P provides prenatal care for the unborn children of low-income women who do not qualify for Medicaid.

Texas STAR (Medicaid) Plan

³Ô¹ÏºÚÁÏÍø participates in the State of Texas Access Reform (STAR) Managed Care Program (Medicaid).

As a part of Medicaid, ³Ô¹ÏºÚÁÏÍø provides both Children’s Medicaid and Medicaid for pregnant women. These programs are at no cost to U.S. residents who cannot afford health insurance.

Marketplace

³Ô¹ÏºÚÁÏÍø proudly offers individual health insurance in the new Health Insurance Marketplace.

With a range of plan options to fit any budget, and a network of doctors you can trust like Memorial Hermann, ³Ô¹ÏºÚÁÏÍø makes it easy to get the care you need and deserve.

Medicare D-SNP

³Ô¹ÏºÚÁÏÍø’s (HMO D-SNP) plan offers additional benefits and services not covered under Original Medicare, such as dental, hearing aids, and vision. You keep all your Medicaid benefits. You get all of Original Medicare’s covered services.

You may be eligible if you have Medicare Parts A and B, qualify for Texas Medicaid QMB or QMB+ and live in our service area.

Member Handbook

Why Choose ³Ô¹ÏºÚÁÏÍø?

As a local nonprofit health plan, ³Ô¹ÏºÚÁÏÍø gives you plenty of reasons to join our ³Ô¹ÏºÚÁÏÍø. From the benefits and special programs we offer to the way our Member Services team helps you make the most of them, ³Ô¹ÏºÚÁÏÍø is always working life forward for you and your family.

“³Ô¹ÏºÚÁÏÍø 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.â€

– Cecily
Member of ³Ô¹ÏºÚÁÏÍø

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