Enrollment

How to Enroll in our (HMO D-SNP)

Step 1: Check your eligibility.

To confirm your eligibility for the Community Health Choice (HMO D-SNP) program, please visit the eligibility page.

Step 2: Learn about our plans.

Call Member Services for detailed information about our D-SNP plans.

Call 713.295.5007 (local) or 1.833.276.8306 (toll-free). TTY users should call 711.
October 1 to March 31, 8:00 a.m. to 8:00 p.m., 7 days a week, and April 1 through September 30, 8:00 a.m. to 8:00 p.m., Monday through Friday.
On certain holidays your call will be handled by our automated phone system.

Step 3: Complete an application.

We have three ways for you to apply – by phone, mail or online. Choose the way that works best for you!

Apply online:

Use this button to begin the online individual enrollment request form.

Apply by phone:

Call us to speak with a licensed sales agent at 1.833.276.8306 (toll-free) or 713.295.5007 (local).

Apply by mail:

No questions and ready to apply? You can apply by mail today! Please have your state Medicaid ID available.

Get your application form:

Step 4: If you are applying by mail, send your completed application to:

ATTN: Medicare Enrollment
Community Health Choice
P.O. Box 301413
Houston, TX 77230-9920

Step 5: Confirm your enrollment.

If you are found eligible for the Community Health Choice (HMO D-SNP) program, you will receive your enrollment confirmation in the mail.

*Questions about the application or enrollment process? Call Member Services toll-free at 1.833.276.8306 or local at 713.295.5007.

When You Can Enroll in a D-SNP

Enrolling in a D-SNP is easy, but when you can enroll depends on two things:

If you are enrolling in a D-SNP for the first time: You can enroll at any time of the year with no restrictions.
If you already have both Medicare and Medicaid, or you are already enrolled in a D-SNP: You can switch plans once during a Special Enrollment Period (SEP) or during the Medicare Annual Enrollment Period (AEP).

Special Enrollment Period (SEP)	Dates
Special Enrollment Period 1	January 1 - March 31
Special Enrollment Period 2	April 1 - June 30
Special Enrollment Period 3	July 1 - September 30

If you plan to switch to a D-SNP during the AEP, please keep these important dates in mind:

Medicare Annual Enrollment Period (AEP)	Dates
Medicare Annual Enrollment Period (AEP)	October 15 – December 7
The day to start comparing plans.	October 1
The first day you can switch plans.	October 15
The last day you can switch plans.	December 7
The day your new plan begins.	January 1

Community’s Service Areas

Only individuals living in our plan’s service area are eligible for enrollment.

Community’s HMO D-SNP plan is available to residents in 20 counties in Southeast Texas, including:

Resources

Still have questions?

Speak to a Community Health Choice Medicare plan specialist by calling:

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.

Segment 1	Segment 2	Segment 3
Austin	Harris	Walker
Wharton	Montgomery	San Jacinto
Waller	Liberty	Polk
Matagorda	Jefferson	Tyler
	Chambers	Jasper
	Fort Bend	Newton
	Brazoria	Hardin
	Galveston	Orange

Out-of-Network Coverage Rules

If Covered Services are not available through in-network Participating Physicians or Providers, you or your doctor may request prior authorization for Covered Services by a doctor or other provider outside the contracted network. If Covered Services are approved as described above, then you are only responsible for your share of the cost, if any, that you may have paid if you could obtain services from Community’s network of Participating Providers. If you receive a bill from an out-of-network provider, contact Member Services for assistance.

Footnotes

Community Health Choice Texas, Inc. is a (HMO D-SNP) plan with a Medicare contract. Enrollment in our plans depends on contract renewal.

ATTENTION: If you speak Spanish, language assistance services, free of charge, are available to you. Call 1.833.276.8306 (TTY: 711)

Community Health Choice Texas, Inc.’s pharmacy network includes limited lower-cost, preferred pharmacies in our 20-county service area. The lower costs advertised in our plan materials for these pharmacies may not be available at the pharmacy you use. For up-to-date information about our network pharmacies, including whether there are any lower-cost preferred pharmacies in your area, please call 1.833.276.8306 (TTY: 711) or consult the online pharmacy directory at communityhealthchoice.org/medicare

H9826_MK_10331_100422_M. Last updated October 4, 2022.

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