Our plan makes it easy for you to get the additional help you need for necessary items like groceries, rent and utility assistance.
| Plan | Service Area | Quarterly Allowance |
|---|---|---|
|
Community Health Choice
(HMO DSNP) 001 |
Austin, Matagorda, Waller, and
Wharton counties |
Up to $150 |
|
Community Health
Choice (HMO DSNP) 002 |
Brazoria, Chambers, Fort Bend,
Galveston, Harris, Jefferson, Liberty,
and Montgomery counties |
Up to $250 |
|
Community Health
Choice (HMO DSNP) 003 |
Hardin, Jasper, Newton, Orange,
Polk, San Jacinto, Tyler, and Walker
counties |
Up to $100 |
Allowance varies based on the county in which you reside. Please check the summary of benefits. Quarterly allowance cannot be carried over from one quarter to the next. The benefits mentioned are a part of special supplemental program for the chronically ill. Not all Members qualify.
As part of your plan, you can save on eligible OTC medicines and health-related items by using your OTC benefit.
Save money – Receive up to $220 in OTC drugs and supplies every quarter. That’s a savings of at least $880 over the course of a year!
Save time – The pre-loaded OTC card offers a convenient way to get OTC health and wellness products. No need to wait for your items to be delivered in the mail. You can purchase your needed items in real-time and take them home with you.
The OTC program offers a convenient way to get OTC health and wellness products, up to a certain allowance amount every quarter!
OTC HEALTH AND WELLNESS PRODUCTS AVAILABLE TO PURCHASE INCLUDE:
Note: Please check with your doctor or medical Provider before taking any over-the-counter medication.
Papa connects college students to older adults who need transportation, house help, technology lessons, companionship, and other support services.
Papa Pals are young, fun, energized, and ready to provide unique experiences to older adults. Think of them as “on-demand grandkids” who can make aging fun and support older adults through this part of life’s journey.
They help with all sorts of things, such as running errands, grocery shopping, doing laundry, light cleaning, and meal preparation.
Papa Pals are trusted, friendly, and carefully vetted to ensure the greatest experience and peace of mind for you and your loved ones.
Companionship Services – Papa Pals provide amazing companionship to Members, taking them around town, hanging out, watching movies, playing board games or having great conversations.
Housekeeping – Papa Pals can help you or your loved ones with everyday household tasks, including laundry, light cleaning, meal preparation, and taking care of pets.
Social Transportation – Papa Pals provides older adults with transportation and companionship to and from their destinations, including the doctor’s office, the airport, community centers, jobs, and other locations. Four hours a month are provided at $0 cost to Members. Additional hours may be purchased by the Member.
Grocery Shopping – Papa Pals assist with grocery shopping and delivery by picking Members up at their homes, taking them to the supermarket, carrying their shopping bags, and taking them back home.
Caregiver Support – Community Health Choice understands caring for a loved one is not always easy. This is why our plan provides caregiver support services through:
Technology Lessons – Papa Pals can help Members with technology by teaching them how to use a computer, smartphone or tablet; how to use social media; and how to video chat with grandkids and other loved ones.
1 Community Health Choice offers its HMO D-SNP Members access to the PYX Health mobile app, which provides emotional support to assist with social isolation. Get the care you need now.
Community Health Choice offers its PYX Health to its (HMO DSNP) members. Get the care you need now.
Because everyone could use a little extra support, Pyx Health helps you find the right care when you need it. Our one-of-a-kind combination of compassionate humans and simple mobile app work together to make self-care easier.
With Pyx Health’s science-based tools and resources, Members can:
To ensure our Members know how to use their benefits, our plan provides training on how to use the Pyx Health mobile app.
1 The benefits mentioned are part of a special supplemental program for the chronically ill. Not all Members qualify.
Community Health Choice offers 24/7 virtual care services* to all (HMO DSNP) Members through our provider, Teledoc.
To use Teledoc, set up your account on Teladoc.com or the Teladoc mobile app before your first visit. You can also call 1-800-Teladoc.
WAYS TO USE VIRTUAL CARE:
*Virtual care is for PCP visits only
WHEN TO USE VIRTUAL CARE:
VIRTUAL CARE SERVICES HELP TREAT:
WORRIED ABOUT HEARING LOSS?
Community Health Choice has you covered!
Our hearing changes as we age, which can have a profound impact on our quality of life. It’s important to protect your hearing and even more important to know when it is time to seek help for hearing loss.
With Community Health Choice (HMO D-SNP), diagnostic hearing and balance evaluations to determine if you need medical treatment are covered at a $0 copay as outpatient care when furnished by a physician, audiologist or other qualified Provider.
You receive:
Program features:
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.
The Community Health Choice (HMO D-SNP) provides more vision benefits than Medicare Part B to help our Members have the healthiest vision possible.
Many eye conditions — including ones that cause blindness — don’t have early symptoms. And some serious diseases that affect other systems in the body can first be diagnosed during a yearly complete eye examination.
Our services include:*
*Payment will be made for either frames or contact lenses within a benefit period. Payment will not be made for both. Services and allowances are based on a 12-month enrollment.
Extra options for lenses – such as but not limited to polycarbonate, transitions, non-line progressive bifocals, and trifocals – are not covered.
At Community Health Choice, we recognize that our Members have individual needs that require unique solutions, so we assign a Care Coordinator to act as a central point of contact for your healthcare needs.
Your Care Coordinator will:
Eligible Members who are discharged from a hospital receive 14 meals (2 meals per day for 7 days) as part of their benefit plan at no additional cost. The fully prepared and nutritionally balanced meals are designed to enhance recovery and healing.
Members can choose from the following specialty diet plans that address major health concerns:
With the Community Health Choice (HMO D-SNP), Members have the peace of mind that comes from not having to purchase a separate Medicare drug plan. With our plan, your Part D prescription drug coverage is included, and it does not have a deductible to satisfy before your benefits begin.
You may also qualify for Extra Help to pay for your medications and lower your costs. To learn more about how to qualify, view our (also known as LIS) premium chart or to get more information, please visit our Extra Help page at communityhealthchoice.org/medicare/medicare-extra-help/.
SERVICES SUPPORTING SELF-DIRECTION
Our self-directed care program assists in managing all aspects of personal healthcare delivery.
Services include counseling on how plan benefits work, and provide training and technology assistance for our Pyx Health mobile app companion service.
We also offer counseling services regarding community based programs that assist with home repair, applications for subsidies for utility bills, and other socio-economic needs.
1 The benefits mentioned are a part of special supplemental program for the chronically ill. Not all members qualify.
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
