You can enroll in this plan if you qualify for STAR or STAR+PLUS (Medicaid), based on Federal requirements and standards established by the State of Texas. STAR or STAR+PLUS will provide assistance with Medicare cost-sharing. Your STAR or STAR+PLUS plan also provides full Medicaid benefits. Your cost-share is $0 when the service is covered by both Medicare and Texas Medicaid.
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 re-determination 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.
To enroll in a D-SNP, you must be eligible for both STAR or STAR+PLUS (Medicaid) and Medicare.
You qualify for STAR or STAR+PLUS (Medicaid) if you meet the low-income requirements established by the State of Texas.
You qualify for Medicare based on age (being 65 or older) or disability.
People who qualify for both Medicaid and Medicare are called “dual-eligible.” That also makes them eligible for a dual eligible special needs plan (D-SNP).
If you enroll in the Community Health Choice HMO D-SNP, you keep the same STAR or STAR+PLUS plan and all the same Medicaid benefits you get now. Enrolling in Community’s HMO-DSNP won’t change your STAR or STAR+PLUS plan benefits in any way. Plus, you could get more Medicare benefits!
One of our representatives can help! Call us at 833.276.8306 (toll-free) or 713.295.5007 (local). 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, 8:00 am to 8:00 pm, Monday through Friday. On certain holidays your call will be handled by our automated phone system.
Footnotes
Call to learn more about our Medicare plan
Current Members Call 1.855.940-3767 TTY: 711
New members Call 1.855.940-3767 TTY: 711
