Medicare Dual Special Needs Plan

Community Health Choice | Medicare Dual Special Needs Plan

Community Health Choice (HMO D-SNP)

Community Health Choice (HMO D-SNP) is a Medicare Advantage Dual Special Needs plan for people with both Medicare and Medicaid.

Community Health Choice (HMO D-SNP) combines all the benefits of Original Medicare (Parts A and B) with prescription drug coverage (Part D), providing extra coverage to help you better manage your unique healthcare needs.

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.

Who Is Community Health Choice?

We are a local non-profit health plan, proud to serve the same communities where we live and work. We offer extra benefits and features, friendly service, and a large network of doctors and healthcare facilities.

Your monthly premium is $0 with no deductible under Community Health Choice (HMO D-SNP) plan.

How to Enroll

Interested in becoming a Member of Community Health Choice (HMO D-SNP) plan? You can access the plan materials, or call Member Services to learn more about our plan and speak with a licensed sales agent.

You’re eligble if you qualify for Medicare Part A and B, live in our service area and qualify for Medicaid QMB, or QMB+.

Find a Doctor

Looking for a doctor, or want to see if your provider is in Community Health Choice (HMO D-SNP) network? You can search online in our Provider Search tool, or click the link below for a listing of network providers:

Pharmacy and Prescription Drug Information

Looking for a pharmacy, or want to see if your prescription drug is covered in Community Health Choice (HMO D-SNP) formulary (List of Covered Drugs)? Click on the links below for full listings:

Community Health Choice (HMO D-SNP)

Am I Eligible

How to Enroll

Service Area

Low Income Subsidy (LIS)

Frequently Asked Questions

FInd a doctor or pharmacy

Find a Doctor or Pharmacy

Drug and Pharmacy Information

Over the Counter (OTC)

Drug List (Formulary)

Prescription Drug Transition Policy

Medication Therapy Management

Plan Material and Forms

Pre-enrollment checklist

Summary of Benefits

Evidence of Coverage

Provider Directory

How to Cancel or Leave the Plan

Pharmacy Directory

Member Rights & Forms

Quality Assurance Policy

Member Rights and Responsibilities

Appeals and Grievance

Direct Member Reimbursement (DMR) Form

CMS Appointment of Representative Form

Prior Authorization Information

Prior Authorization Forms

Determination/Redetermination Forms

Legal Disclaimer

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_IT_10045_092919_M Last updated October 27, 2020.

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.

“I always tell people to choose Community Health Choice. I tell them it’s the best health insurance they will ever be with.”
– Chandolyn
Community Health Choice Member