Information that must be available on an annual basis. Check back here for updates to STAR (Medicaid) coverage updates.
We are here to help you get the most from your health coverage. Here are some important things to remember:
You have a right to tell us what you think of the rights and responsibilities offered to you. Tell us what you think at 1.888.760.2600.
We provide for care that is shown to be safe and useful. We review new health care treatments. We review new procedures. The review uses up to date health data. This is called New Technology Assessment. We decide whether to pay for these things. This review means we pay when safety and value is clear. You may ask us to review new technology. The Texas Vendor Drug Program reviews medications.
Utilization Management Decisions
Community follows guidelines to determine what health care services we cover. This is called utilization management. We know how important it is that we make the right decisions for your care. Community follows three principles when we make these decisions:
Our Quality Improvement Department helps Community give you the best clinical care and service possible. If you want more information about our Quality Improvement Program, please contact Member Services toll-free at 1.888.760.2600.
If you need information about sexually-transmitted diseases (STDs) or Human Immunodeficiency Virus (HIV), please call Community’s Member Services at 713.295.2294 or toll-free at 1.888.760.2600.
Moral or Religious Objections
Community Health Choice does not exclude access to any services because of moral or religious objections.
Monday through Friday (excluding State-approved holidays) 8:00 a.m. to 6:00 p.m
Local: 713.295.2294 | Toll-Free: 1.888.760.2600
Monday through Friday (excluding State-approved holidays) 8:00 a.m. to 6:00 p.m.
Provider Services Hotline
Call 713.295.2295, 8:00 a.m. - 5:00 p.m., Monday – Friday
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
Member of Community Health Choice