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TexanPlus Healthcare HMO Logo
Need help? Call 1-800-958-2707
(TTY for hearing impaired 711)
8:00 a.m. to 8:00 p.m. in your local time zone, 7 days a week
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2013 TexanPlus® HMO – Dallas Metroplex Area

  • Collpase Menu
    • 2013 plan overview
    • Plan benefits
    • Plan information and forms
      • Member FAQ
      • Low income subsidy (Extra Help)
      • Understanding your coverage
      • Selecting a primary care physician
      • Plan documents
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    • Enrollment information
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      • Do I qualify?
    • Learn about formulary and prior authorizations
      • Formulary information
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      • Out-of-network coverage
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    • Member email sign up
    • For providers and pharmacies
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Find a doctor
covered by this plan

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Find a drug
covered by this plan

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Find a hospital
covered by this plan

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Find a pharmacy
covered by this plan

View all the plans available in your area:
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TexanPlus Plan Documents

Click on the links below to find the correct document you need.

  • Summary of Benefits
  • Evidence of Coverage
  • Provider Directories
  • Provider Directory Addenda

Summary of Benefits

The Summary of Benefits tells you the features of our plans and allows you to compare our plans.

  • TexanPlus HMO Summary of Benefits - Dallas Metroplex Area (PDF)

Evidence of Coverage

The Evidence of Coverage documents describe the details about your coverage and benefits through TexanPlus.

  • TexanPlus Classic (HMO) - EOC (PDF) (refer to this document if your plan has a $0 monthly premium)
  • TexanPlus Value (HMO) - EOC (PDF) (refer to this document if your plan has a $0 monthly premium)

Provider Directories

Below are directories of physicians and healthcare providers in the service area who participate in TexanPlus plans. Your Primary Care Physician (PCP) will determine the specialists that may be available to you. For example, there are defined physician networks listed in which the PCP in that network only refers to specific specialists.

  • TexanPlus HMO Provider Directory - Dallas Metroplex Area (PDF)

Provider Directory Addenda

These Provider Directory Addenda contain listings of providers, by specialty, who participate in TexanPlus plans for member access to medical care. These providers are further grouped together by both geographical location and practice referral patterns.

  • Behavioral Health Provider Directory – Dallas Metroplex Area (PDF)
Disclaimer Information:

Medicare Complaint Form. For more information, visit Medicare.gov or Medicare's Ombudsman. (By clicking on these links you will be leaving our website).

TexanPlus® HMO is a Health plan with a Medicare contract.

You must continue to pay your Medicare Part B premium.

The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan.
Limitations, copayments, and restrictions may apply.
Benefits, formulary, pharmacy network, premium and/or copayment/co-insurance may change on January 1 of each year.

Plan performance Star Ratings are assessed each year and may change from one year to the next.

Medicare beneficiaries may also enroll in TexanPlus® HMO through the Centers for Medicare & Medicaid Services Online Enrollment Center, located at www.Medicare.gov (by clicking on this link you will be leaving our website).

We also list pharmacies that are in our network but are outside Collin, Dallas, Rockwall, and Tarrant counties in Texas. Please contact TexanPlus® HMO at 1-800-958-2707, 8:00 a.m. to 8:00 p.m. in your local time zone, 7 days a week, for additional information.

This information is available for free in other languages. Please contact our customer service number at 1-800-958-2707, 8:00 a.m. to 8:00 p.m. in your local time zone (TTY users call 711) 7 days a week. This document may be available in other formats such as Braille, large print or other alternate formats. This document may be available in a non-English language. For additional information, call customer service at the phone number listed above.

Esta información está disponible sin cargo en otros idiomas. Para obtener más información, comuníquese con el Servicio de Atención al Cliente al número 1-800-958-2707, de 8:00 a.m. a 8:00 p.m. en su zona horaria local (los usuarios de TTY deben llamar al 711) los 7 días de la semana.

Este documento puede estar disponible en otros formatos, como Braille, letra grande o otros formatos alternativos. Este documento puede ser disponible en un idioma no inglés. Para obtener más información, llame al servicio al cliente en el número de teléfono que aparece arriba.

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