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COMMUNITY HOMEPAGE
Community participates in the Children's Health Insurance Program (CHIP), including CHIP Perinatal (CHIP-P). CHIP is a health insurance plan for children under the age of 19 and is designed for families who earn too much money to qualify for Texas Medicaid programs yet cannotafford to
MY MEMBER ACCOUNT
Our hours of operation are 8 a.m. – 5 p.m. Call Us: Local: 713.295.6704 Toll-Free 1.855.315.5386 COMMUNITY HEALTH CHOICE Create an online account so you can: Print a temporary ID card. Find a doctor or pharmacy. Check your Member handbook. Send secure messages. Make a quick payment. Manage automatic payments. Sign up for paperless billing. Update your address. COMMUNITY HEALTH CHOICE About Community Community Health Choice, Inc. (Community) is a LOCAL, non-profit health plan that genuinely CARES for and SERVES ourcommunity.
2021 SILVER PLANS
Silver plans have mid-range premiums. Silver plans have mid-range out-of-pocket costs. On average, the insurance company pays 70%. You pay 30%. “The comprehensive plan balanced with affordability.”. All Community plans come with: Free preventative care. 24/7/365 Nurse Advice Line. Huge doctor &PROVIDER HOME
COMMUNITY CARES Providing superior care to our Members together. Become a Community Provider Community Cares Connecting you to the best health insurance for every stage of life. Become a Community Provider COVID-19 Updates Resources and information about COVID-19 for Community Providers. Read More Provider Newsletter Get the latest on Community in our 2021COMMUNITY HOMEPAGE
Community participates in the Children's Health Insurance Program (CHIP), including CHIP Perinatal (CHIP-P). CHIP is a health insurance plan for children under the age of 19 and is designed for families who earn too much money to qualify for Texas Medicaid programs yet cannotafford to
MY MEMBER ACCOUNT
Our hours of operation are 8 a.m. – 5 p.m. Call Us: Local: 713.295.6704 Toll-Free 1.855.315.5386 COMMUNITY HEALTH CHOICE Create an online account so you can: Print a temporary ID card. Find a doctor or pharmacy. Check your Member handbook. Send secure messages. Make a quick payment. Manage automatic payments. Sign up for paperless billing. Update your address. COMMUNITY HEALTH CHOICE About Community Community Health Choice, Inc. (Community) is a LOCAL, non-profit health plan that genuinely CARES for and SERVES ourcommunity.
2021 SILVER PLANS
Silver plans have mid-range premiums. Silver plans have mid-range out-of-pocket costs. On average, the insurance company pays 70%. You pay 30%. “The comprehensive plan balanced with affordability.”. All Community plans come with: Free preventative care. 24/7/365 Nurse Advice Line. Huge doctor &PROVIDER HOME
COMMUNITY CARES Providing superior care to our Members together. Become a Community Provider Community Cares Connecting you to the best health insurance for every stage of life. Become a Community Provider COVID-19 Updates Resources and information about COVID-19 for Community Providers. Read More Provider Newsletter Get the latest on Community in our 2021 HEALTH INSURANCE MARKETPLACE 8 a.m. – 5 p.m. Call Us: Local: 713.295.6704. Toll-Free 1.855.315.5386. Contact Us. We’re Here to Help. If you are already a Community Member, please contact us using the “Live Chat” or “Email” feature of your My Member Account. With your permission, we will reach out to2021 BRONZE PLANS
Our hours of operation are 8 a.m. – 5 p.m. Call Us: Local: 713.295.6704 Toll-Free 1.855.315.5386 MEDICARE | COMMUNITY HEALTH CHOICE Community Health Choice Texas, Inc. is a (HMO D-SNP) plan with a Medicare contract. Enrollment in our plans depends on contract renewal. ATTENTION: If you speak Spanish, language assistance services, free of charge, are available to you. Call 1.833.276.8306 (TTY: 711) Community Health Choice Texas, Inc.’s pharmacy network includes limited lower-cost, preferred pharmacies in our CONTACT US MARKETPLACE Marketplace Contact Us Marketplace Contact Us For Marketplace Members Community cares about you! We want you and your family to be happy and healthy. If you have questions, we’re here to help. We speak English, Spanish, and other languages, too. Call us to get anGO FOR THE GOLD
GO FOR THE GOLD. The Community Gold standard for 2021: All our best benefits and our best value. It’s decision time again, and we’re here to keep things simple and smart. Gold plans give you and your family the highest level of coverage. Ours come with all our best benefits, plus special health and wellness programs and discounts. PRIOR AUTHORIZATION INFORMATION Prior Authorization Information Prior Authorization Information What is a prior authorization? Community Health Choice members have access to all covered benefits that are medically necessary health care services. Some of these services need to be reviewed before the service is provided to make sure the service is appropriate and medically necessary. This review is called FORMULARY | COMMUNITY HEALTH CHOICE 2020 Formulary 2020 Formulary. The formulary is a list of covered drugs. Community Health Choice (HMO D-SNP) will generally cover any prescription drug listed in our formulary as long as: the drug is medically necessary the prescription is filled at a network pharmacy all other plan rules are followed Changes to the Formulary We mayFIND A DOCTOR
Find a Doctor - Community Health Choice, Inc. Specialty. Any. Language Spoken. Any. Available Hours. All of the above. Texas Health Steps. Primary Care Physicians Only. COMMUNITY HEALTH CHOICE HMO GOLD 005-01 Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services Coverage Period: 01/01/2020 – 12/31/2020 Community Health Choice: Community Health Choice HMO Gold005-01 Coverage for: Individual + Family | Plan Type: HMO 1 of 7. The Summary of Benefits and Coverage (SBC) document will help you choose a healthplan.
AUTHORIZATION REVIEW FORM FOR HEALTH CARE SERVICES MEDICAL SERVICES Medicare D-SNP Pre-Authorization Fax: 713-295-7059 Admissions Notification Fax: 713-295-2284 Complex Care Fax: 713-295-7016 FailureCOMMUNITY HOMEPAGE
Community participates in the Children's Health Insurance Program (CHIP), including CHIP Perinatal (CHIP-P). CHIP is a health insurance plan for children under the age of 19 and is designed for families who earn too much money to qualify for Texas Medicaid programs yet cannotafford to
MY MEMBER ACCOUNT
Our hours of operation are 8 a.m. – 5 p.m. Call Us: Local: 713.295.6704 Toll-Free 1.855.315.5386 COMMUNITY HEALTH CHOICE Create an online account so you can: Print a temporary ID card. Find a doctor or pharmacy. Check your Member handbook. Send secure messages. Make a quick payment. Manage automatic payments. Sign up for paperless billing. Update your address.2021 SILVER PLANS
Silver plans have mid-range premiums. Silver plans have mid-range out-of-pocket costs. On average, the insurance company pays 70%. You pay 30%. “The comprehensive plan balanced with affordability.”. All Community plans come with: Free preventative care. 24/7/365 Nurse Advice Line. Huge doctor &PROVIDER HOME
COMMUNITY CARES Providing superior care to our Members together. Become a Community Provider Community Cares Connecting you to the best health insurance for every stage of life. Become a Community Provider COVID-19 Updates Resources and information about COVID-19 for Community Providers. Read More Provider Newsletter Get the latest on Community in our 2021 COMMUNITY HEALTH CHOICE About Community Community Health Choice, Inc. (Community) is a LOCAL, non-profit health plan that genuinely CARES for and SERVES ourcommunity.
PRIOR AUTHORIZATION INFORMATION Prior Authorization Information Prior Authorization Information What is a prior authorization? Community Health Choice members have access to all covered benefits that are medically necessary health care services. Some of these services need to be reviewed before the service is provided to make sure the service is appropriate and medically necessary. This review is called2021 BRONZE PLANS
Our hours of operation are 8 a.m. – 5 p.m. Call Us: Local: 713.295.6704 Toll-Free 1.855.315.5386FIND A DOCTOR
Find a Doctor - Community Health Choice, Inc. Specialty. Any. Language Spoken. Any. Available Hours. All of the above. Texas Health Steps. Primary Care Physicians Only. COMMUNITY HEALTH CHOICE Community Health Choice, Inc. (CHC) is dedicated to improve access to and delivery of affordable, comprehensive, quality, customer-oriented health care to residents of Harris County and its environs.COMMUNITY HOMEPAGE
Community participates in the Children's Health Insurance Program (CHIP), including CHIP Perinatal (CHIP-P). CHIP is a health insurance plan for children under the age of 19 and is designed for families who earn too much money to qualify for Texas Medicaid programs yet cannotafford to
MY MEMBER ACCOUNT
Our hours of operation are 8 a.m. – 5 p.m. Call Us: Local: 713.295.6704 Toll-Free 1.855.315.5386 COMMUNITY HEALTH CHOICE Create an online account so you can: Print a temporary ID card. Find a doctor or pharmacy. Check your Member handbook. Send secure messages. Make a quick payment. Manage automatic payments. Sign up for paperless billing. Update your address.2021 SILVER PLANS
Silver plans have mid-range premiums. Silver plans have mid-range out-of-pocket costs. On average, the insurance company pays 70%. You pay 30%. “The comprehensive plan balanced with affordability.”. All Community plans come with: Free preventative care. 24/7/365 Nurse Advice Line. Huge doctor &PROVIDER HOME
COMMUNITY CARES Providing superior care to our Members together. Become a Community Provider Community Cares Connecting you to the best health insurance for every stage of life. Become a Community Provider COVID-19 Updates Resources and information about COVID-19 for Community Providers. Read More Provider Newsletter Get the latest on Community in our 2021 COMMUNITY HEALTH CHOICE About Community Community Health Choice, Inc. (Community) is a LOCAL, non-profit health plan that genuinely CARES for and SERVES ourcommunity.
PRIOR AUTHORIZATION INFORMATION Prior Authorization Information Prior Authorization Information What is a prior authorization? Community Health Choice members have access to all covered benefits that are medically necessary health care services. Some of these services need to be reviewed before the service is provided to make sure the service is appropriate and medically necessary. This review is called2021 BRONZE PLANS
Our hours of operation are 8 a.m. – 5 p.m. Call Us: Local: 713.295.6704 Toll-Free 1.855.315.5386FIND A DOCTOR
Find a Doctor - Community Health Choice, Inc. Specialty. Any. Language Spoken. Any. Available Hours. All of the above. Texas Health Steps. Primary Care Physicians Only. COMMUNITY HEALTH CHOICE Community Health Choice, Inc. (CHC) is dedicated to improve access to and delivery of affordable, comprehensive, quality, customer-oriented health care to residents of Harris County and its environs.MY MEMBER ACCOUNT
Our hours of operation are 8 a.m. – 5 p.m. Call Us: Local: 713.295.6704 Toll-Free 1.855.315.5386 MEDICARE | COMMUNITY HEALTH CHOICE Community Health Choice Texas, Inc. is a (HMO D-SNP) plan with a Medicare contract. Enrollment in our plans depends on contract renewal. ATTENTION: If you speak Spanish, language assistance services, free of charge, are available to you. Call 1.833.276.8306 (TTY: 711) Community Health Choice Texas, Inc.’s pharmacy network includes limited lower-cost, preferred pharmacies in our2021 BRONZE PLANS
Our hours of operation are 8 a.m. – 5 p.m. Call Us: Local: 713.295.6704 Toll-Free 1.855.315.53862021 GOLD PLANS
Gold plans have the highest premiums. Gold plans have lower out-of-pocket costs. On average, the insurance company pays 80%. You pay 20%. “Get this plan if your doctor knows you better than your spouse.”. All Community plans come with: Free preventative care. 24/7/365 Nurse Advice Line. Huge doctor & hospital network.GO FOR THE GOLD
GO FOR THE GOLD. The Community Gold standard for 2021: All our best benefits and our best value. It’s decision time again, and we’re here to keep things simple and smart. Gold plans give you and your family the highest level of coverage. Ours come with all our best benefits, plus special health and wellness programs and discounts. PRIOR AUTHORIZATION INFORMATION Prior Authorization Information Prior Authorization Information What is a prior authorization? Community Health Choice members have access to all covered benefits that are medically necessary health care services. Some of these services need to be reviewed before the service is provided to make sure the service is appropriate and medically necessary. This review is calledTEXAS CHIP PLAN
Texas CHIP Plan Texas CHIP Plan Do you qualify for Texas CHIP? CHIP is a health insurance plan for children under the age of 19. It is for families who earn too much money to qualify for Texas Medicaid programs and cannot afford to buy private insurance. Apply for Texas CHIP Get Started How does AUTHORIZATION REVIEW FORM FOR HEALTH CARE SERVICES MEDICAL SERVICES Medicare D-SNP Pre-Authorization Fax: 713-295-7059 Admissions Notification Fax: 713-295-2284 Complex Care Fax: 713-295-7016 Failure HMO D-SNP 2021 PROVIDER The Provider Manual is designed as an informational and procedural guide for Community Health Choice Participating Providers and their staff, for Community Health Choice’s contracted facilities, and for Community Health Choice’s Ancillary Providers. ANXIETY DISORDERS PRACTICE GUIDELINES Anxiety disorders are a group of related conditions, each having unique symptoms. However, all anxiety disorders have one thing in common: persistent, excessive fear Skip to main content Enable accessibility forvisually impaired
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COMMUNITY CARES
CONNECTING YOU TO THE BEST HEALTH INSURANCE FOR EVERY STAGE OF YOURLIFE.
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COMMUNITY CARES
Connecting you to the best health insurance for every stage of yourlife.
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NEED HEALTH INSURANCE? If you need a 2021 health plan, call 281.688.9526 or click below to explore your options.Learn More
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NEED HEALTH INSURANCE? If you need a 2021 health plan, call 281.688.9526 or explore youroptions here.
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VENDOR INVOICING ERROR Some Marketplace Members received multiple invoices in the mail.__
COMMUNITY SPOTLIGHT BLOG As more than a health plan, we provide education and news you can useto stay healthy.
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COVID-19 MEMBER UPDATES Community Health Choice is monitoring the Coronavirus disease (COVID-19) to help keep you and your family healthy.Read More
Which Plan Is Right For You?__ Not sure which plan is right for you? We can help you decide. First Name Last Name Email Street Address City State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Telephone Number Best Time to Call 8:00 a.m. – 9:00 a.m. 9:00 a.m. – 10:00 a.m. 10:00 a.m. – 11:00 a.m. 11:00 a.m. – 12:00 p.m. 1:00 p.m. – 2:00 p.m. 2:00 p.m. – 3:00 p.m. 3:00 p.m. – 4:00 p.m. 4:00 p.m. – 5:00 p.m. Plan Type CHIP, CHIP-P, STAR Marketplace Are you a current Member? Yes No Member ID _(Required, if you are a Member)_ How did you hear about Community? Choose an option… Online Search Social Media Online Ads Radio / Newspaper Ads Friends or Family Community Health Choice Member Doctor Flyer Questions/CommentsMARKETPLACE PLANS
Community proudly offers individual health insurance in the new Health Insurance Marketplace. With a range of plan options to fit any budget, and a network of doctors you can trust like Memorial Hermann, Community makes it easy to get the care you need and deserve.__
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MEDICARE D-SNP
Community’s (HMO D-SNP) plan offers additional benefits and services not covered under Original Medicare, such as dental, hearing aids, and vision. You keep all your Medicaid benefits. You get all of Original Medicare’s covered services. You may be eligible if you have Medicare Parts A and B, qualify for Texas Medicaid QMB or QMB+ and live in our service area.View Plan
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Am I Eligible?
TEXAS CHIP PLAN
Community participates in the Children’s Health Insurance Program (CHIP), including CHIP Perinatal (CHIP-P). CHIP is a health insurance plan for children under the age of 19 and is designed for families who earn too much money to qualify for Texas Medicaid programs yet cannot afford to buy private insurance. CHIP-P provides prenatal care for the unborn children of low-income women who do not qualify for Medicaid.View Plan
Member Handbook
TEXAS STAR (MEDICAID) PLAN Community participates in the State of Texas Access Reform (STAR) Managed Care Program (Medicaid). As a part of Medicaid, Community provides both Children’s Medicaid and Medicaid for pregnant women. These programs are at no cost to U.S. residents who cannot afford health insurance.__
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Member Handbook
Texas CHIP Plan__
Community participates in the Children's Health Insurance Program (CHIP), including CHIP Perinatal (CHIP-P). CHIP is a health insurance plan for children under the age of 19 and is designed for families who earn too much money to qualify for Texas Medicaid programs yet cannot afford to buy private insurance. CHIP-P provides prenatal care for the unborn children of low-income women who do not qualify for Medicaid.* View Plan »
* Member Handbook » Texas STAR (Medicaid) Plan__ Community participates in the State of Texas Access Reform (STAR) Managed Care Program (Medicaid). As a part of Medicaid, Community provides both Children’s Medicaid and Medicaid for pregnant women. These programs are at no cost to U.S. residents who cannot afford health insurance.* View Plan
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Marketplace__
Community proudly offers individual health insurance in the new Health Insurance Marketplace. With a range of plan options to fit any budget, and a network of doctors you can trust like Memorial Hermann, Community makes it easy to get the care you need and deserve.* View Plans
* Member Handbook
Medicare D-SNP__
Community's (HMO D-SNP) plan offers additional benefits and services not covered under Original Medicare, such as dental, hearing aids, and vision. You keep all your Medicaid benefits. You get all of Original Medicare's covered services. You may be eligible if you have Medicare Parts A and B, qualify for Texas Medicaid QMB or QMB+ and live in our service area. Member Handbook* View Plan
* Am I Eligible?
GENERAL INFORMATION & QUICK LINKS * __ CHIP Behavioral Health/Substance Abuse Services Crisis Hotline * __ CHIP Prescription, Vision, and Dental Benefits * __ Enrollment Brokers * __ Medicaid/STAR Behavioral Health/Substance Abuse Services CrisisHotline
* __ Medicaid/STAR Prescription, Vision, and Dental Benefits * __ Enrollment Brokers 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 andyour 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 Community Health Choice Texas, Inc. 2636 South Loop West, Suite 125Houston, TX 77054
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