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How to Apply

African American grandmother and grand-daughter

How to Apply

How to Apply

Check your eligibility to enroll in Community Health Choice (HMO D-SNP) plan by calling Member Services, or go to Eligibility page.

Ready to apply? You can call us to speak with a licensed sales agent at 1.833.276.8306 , or complete an application:

Segment 001
(Austin, Matagorda, Waller and Wharton Counties)

Segment 002
(Brazoria, Chambers, Fort Bend, Galveston, Harris, Jefferson, Liberty and Montgomery Counties)

Segment 003
(Hardin, Jasper, Newton, Orange, Polk, San Jacinto, Tyler and Walker Counties)

Versiones en Español 

Mail to us at:
P.O. Box 301413
Houston, TX 77230

Low Income Subsidy (LIS)

  • If you get extra help from Medicare to help pay for your Medicare prescription drug plan costs, your monthly plan premium will be lower than what it would be if you did not get extra help from Medicare. The amount of extra help you get will determine your total monthly plan premium as a member of our plan.
  • Extra Help: A Medicare program to help people with limited income and resources pay Medicare prescription drug program costs such as premiums, deductibles, and coinsurance. Learn more about Extra Help.
  • Questions about getting Extra Help? You can call the Social Security administration toll-free at 1.800.772.1213 or visit your local Social Security office.
  • Best Available Evidence (BAE)*
    Mail or Fax
    • Mail:
      Eligibility
      P.O. Box 301413
      Houston, TX 77230
    • Fax:
      713.295.7041
      *This link will take you  to the CMS.gov website.

2022 LIS Chart

The 2022 LIS Chart shows you what your monthly plan premium will be if you get extra help.

Your level of extra help Monthly Premium for Community Health Choice (HMO D-SNP)
100%
$0.00
75%
$0.00
50%
$0.00
25%
$0.00

H9826_IT_10045_092919_M Last updated October 4, 2023.

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.

“Community Health Choice 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.”

– Cecily
Member of Community Health Choice