How to Apply

How to Apply

It’s a quick and easy way to:

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, or complete an

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.
    • 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

2020 LIS Chart

The 2020 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 September 30, 2019