TexanPlus® Medicare Advantage Plans

TexanPlus HMO/HMO-POS

TexanPlus Medicare Advantage SNP plans for Southeast Texas TexanPlus SNP
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2017 Plan
Options
Monthly
Premium
Prescription
Drug
Coverage
Member
Rewards
program
OTC
Benefits
Dental
Services
Silver&Fit®
Program1
Transportation
Services2
Star
(HMO-
SNP)
$0 to
$27.30*

= available in the plan
*Depending upon level of Extra Help

Our TexanPlus® Star (HMO SNP) physician network is built and run by local doctors, just for you. The talented doctors covered by our Medicare Advantage plan are hand-picked by a panel of physicians in your area. Find out what our 2017 TexanPlus Star (HMO SNP) plan in Southeast Texas has to offer people with Medicare and Medicaid:

Access to Highly Qualified Doctors and Specialists

  • Our network of highly-qualified and compassionate doctors includes board-certified physicians3

  • Our Primary Care Physicians (PCP) can refer you to specialists in over 60 fields.4

  • Our doctors work together and provide personalized, coordinated care to give you the highest quality care to keep you healthy.

Value and Convenience of an All-In-One Plan

Enjoy the benefits you need to stay healthy: Original Medicare benefits plus Medicare Part D prescription drug coverage and additional benefits you can't get from Original Medicare, such as dental and vision benefits and transportation.2 And, it all comes in the convenience of one easy-to-use Medicare Advantage plan for people with Medicare and Medicaid.

  • Original Medicare Benefits

  • Prescription Drug Coverage

  • Dental and Vision

  • Silver&Fit® Exercise & Healthy Aging Program1

  • Transportation to Doctor Visits2

  • Over-the-Counter Credit of $45 per month (use on approved health products catalog)

  • Plus, all-in-one value and convenience:

  • $0 to $27.30 monthly plan premium depending upon your level of Extra Help

  • $0 Preventive Screenings

Over the Counter (OTC) Benefit

TexanPlus Star (HMO SNP) offers an OTC benefit of up to $45 each month in over-the-counter medications and select health and wellness items – a value of up to $540 dollars per plan year!5 These health and wellness items can be obtained quickly and conveniently and include:

  • Cough, cold and allergies

  • Antacids, laxatives and other digestion support products

  • Vitamins and minerals

  • Eye, ear, and dental care supplies

  • And more!

Quick and Convenient Ways to Order OTC Health & Wellness Items

Members can order their OTC items in one of three easy ways:

Order Supplies Online Online: order supplies online at https://TexanPlusSNP.otchs.com
Mail or Fax Mail or Fax: download and print the OTC Order Form and mail or fax it to us.
By Phone By Phone: we’re here to help, call us at 1-888-628-2770, 8:00 a.m. to 6:00 p.m. Central Standard Time (TTY users call 711) Monday through Friday.

How does an HMO-SNP Plan Work?

A Medicare Advantage HMO-SNP plan is a Health Maintenance Organization- Special Needs Plan (HMO-SNP) that includes all of the benefits of Original Medicare plus the additional benefits of prescription drug coverage. This type of plan provides focused and specialized care for specific groups of people, such as Dual Eligible beneficiaries who are enrolled in Original Medicare (Part A and B) and who receive state Medicaid benefits. Coverage benefits, provider choice and drug formularies are tailored to the needs of the specific groups they serve.

HMO-SNP Resources

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TexanPlus Star (HMO SNP) Medicare Advantage plan is offered in Austin, Chambers, Fort Bend, Galveston, Hardin, Harris, Jefferson, Liberty, Matagorda, Montgomery, Newton, Orange, Polk, San Jacinto, Walker, Waller, and Wharton counties in Texas.


Enrollment disclaimer information:
You must continue to pay your Medicare Part B premium (unless your Part B premium is paid for you by Medicaid or another third party). This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, premium and/or copayments/co-insurance may change on January 1 of each year. The Formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary. Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details. This plan is available to anyone who has both Medical Assistance from the State and Medicare.

1 The Silver&Fit program is provided by American Specialty Health Fitness Inc. (ASH Fitness), a subsidiary of American Specialty Health Incorporated (ASH). Silver&Fit is a registered trademark of ASH and used with permission herein.

2 30 one-way trips per year for routine, non-emergent, transportation to and from approved locations; this must be scheduled at least 3 days in advance of services.

3 June 2015 analysis of Provider Network credentials.

4 June 2015 analysis of Provider Network.

5 The cost of OTC drugs will not count toward the total Part D drug coverage gap. Unused monthly OTC allowance will not roll over to the next month.

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