Welcome to Community Health Choice - Community Health Choice (2024)

Connecting you to the best health insurance for every stage of your life.

Welcome to Community Health Choice - Community Health Choice (1)

Connecting you to the best health insurance for every stage of your life.

Thank you for choosing us!

We are here to help you get great health care whenever you need it and find new ways to stay healthy. We have a welcome letter and ID card ready to send your way.

Follow the steps below to make it official. Once you are all set up, a wellness checkup is a great way to get started—and there is no charge.

Make your first payment

You have multiple ways to make a premium payment:

  • Payonline to make a Quick Payment.
  • Pay anytime by phone using our automated system at713.295.6704 or toll-free at 1.855.315.5386.
  • Pay by mail with a check or money order. Send your payment to Community Health Choice, P.O. Box 844124, Dallas, TX 75284-4124.

Please note: Invoices are sent out automatically. If you have already made a payment, thank you! Some payments can take up to a week to process.

Complete Step 1

Community Tip: Make A Choice
Remember, your payment must be received by the date on your invoice. If you miss this date, your plan is automatically canceled, and you will lose your coverage. You must re-enroll if you are still eligible.

Choose a primary care physician

It’s important to choose a primary care physician from the Community Health Choice network to coordinate your care. Use our Provider Directory to see if your primary care physician is in the network or to find a new one.

Select the Marketplace plan you enrolled in.

Here’s how they differ:

PREMIER PLANS – BROADEST NETWORK
Our Premier plans have the broadest network of high-quality Providers across Southeast Texas that are committed to delivering a high standard of care.

SELECT PLANS – LIMITED NETWORK
With a smaller network of high-quality providers, our Select Plans allow us to pass on lower premiums and out-of-pocket costs to our Members without sacrificing quality of care. The Select Plans are available only to Harris County residents.

Make your selection by signing in to your Member account.

Complete Step 2

Choose a Primary Care Physician

Community Tip: Make A Choice
If you do not choose a primary care doctor, we will match you to one based on where you live. Please note that your ID cards will be mailed once you have selected a Primary Care Physician or you have been matched with one.

Create your online Member account

Your health plan, personalized. Your personal My Member Account makes it easy to manage your health plan. Everything that you need is at your fingertips. New Members create your My Member Account five to seven business days after your first premium payment is processed.

Your My Member Account lets you:

  • Pay premiums online and set up auto-payments.
  • Print a copy of your Member ID card.
  • Check claim status.
  • Send secure messages to our Member Services team.
  • And much more!

Complete Step 3

Create your Account

Community Tip: Set up automatic payments
Once you have made your first payment in your Member account you can schedule future premiums to be paid automatically on the 15th or 25th of each month. If you had set up automatic payments in 2022, we recommend you log in to your account to review your recurring payment amounts.

See if you need to send supporting documentation

The Advanced Premium Tax Credit (APTC) is a federal subsidy available to individuals and families who earn less than 400% of the Federal Poverty Level (FPL) when enrolling in plans through the Health Insurance Marketplace. This subsidy helps to pay part of your health insurance premiums to make your insurance more affordable.

If you have been asked for supporting documentation by the Health Insurance Marketplace, send your supporting documents in to the Health Insurance Marketplace now. You have just 30 days from the day you enroll to show proof to the Centers for Medicare & Medicaid Services (CMS) that you qualify for financial help with your premiums. It is important to send any missing documents or you will lose your eligibility for Marketplace coverage.

Complete Step 4

APTC Information

Community Tip: Makethe Deadline
If you miss the deadline, you could lose your financial assistance, and your premiums could be higher—possibly much higher. So, please get those documents to CMS, not Community, immediately.

Make your first payment

You have multiple ways to make a premium payment:

Please note: Invoices are sent out automatically. If you have already made a payment, thank you! Some payments can take up to a week to process.

Complete Step 1

Community Tip: Make A Choice
Remember, your payment must be received by the date on your invoice. If you miss this date, your plan is automatically canceled, and you will lose your coverage. You must re-enroll if you are still eligible.

Choose a primary care physician

It’s important to choose a primary care physician from the Community Health Choice network to coordinate your care. Use our Provider Directory to see if your primary care physician is in the network or to find a new one.

Make your selection by signing in to your Member account, go to the “Message Center” and email us the Provider First and Last Name/Clinic Name and phone number. You can also call us at 713.295.6704 or toll-free at 1.855.315.5386 to let us know your choice. Please note that we are currently experiencing unexpected long hold times.

Complete Step 2

Choose a Primary Care Physician

Community Tip: Make A Choice
If you do not choose a primary care doctor, we will match you to one based on where you live. Please note that your ID cards will be mailed once you have selected a Primary Care Physician or you have been matched with one.

Create your online Member account

Your health plan, personalized. Your personal My Member Account makes it easy to manage your health plan. Everything that you need is at your fingertips. New Members create your My Member Account five to seven business days after your first premium payment is processed.

Your My Member Account lets you:

  • Pay premiums online and set up auto-payments.
  • Print a copy of your Member ID card.
  • Check claim status.
  • Send secure messages to our Member Services team.
  • And much more!

Complete Step 3

Create your Account

Community Tip: Set up automatic payments
Once you have made your first payment in your Member account you can schedule future premiums to be paid automatically on the 15th or 25th of each month. If you had set up automatic payments in 2022, we recommend you log in to your account to review your recurring payment amounts.

See if you need to send supporting documentation

The Advanced Premium Tax Credit (APTC) is a federal subsidy available to individuals and families who earn less than 400% of the Federal Poverty Level (FPL) when enrolling in plans through the Health Insurance Marketplace. This subsidy helps to pay part of your health insurance premiums to make your insurance more affordable.

If you have been asked for supporting documentation by the Health Insurance Marketplace, send your supporting documents in to the Health Insurance Marketplace now. You have just 30 days from the day you enroll to show proof to the Centers for Medicare & Medicaid Services (CMS) that you qualify for financial help with your premiums. It is important to send any missing documents or you will lose your eligibility for Marketplace coverage.

Complete Step 4

APTC Information

Community Tip: Makethe Deadline
If you miss the deadline, you could lose your financial assistance, and your premiums could be higher—possibly much higher. So, please get those documents to CMS, not Community, immediately.

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 and your family.

“Community Health Choice is always there to answer my questions and help me and my family with our medical needs. I truly appreciate and value their customer support and service.”

– Cecily
Member of Community Health Choice

Welcome to Community Health Choice - Community Health Choice (2024)

FAQs

Is Community Health Choice Texas Medicaid? ›

Community Health Choice is a managed care organization that offers Texas Medicaid STAR coverage and provides services that are covered benefits of the Medicaid Program.

Is community health choice part of harris health system? ›

Community Health Choice is a local, nonprofit, managed care organization committed to helping improve the health and well-being for Texas residents. Launched in 1997 by Harris Health System, our region's public academic healthcare system, we began by offering STAR Medicaid coverage to low-income children.

Is Health Choice an Ahcccs plan? ›

BCBSAZ Health Choice is a local health plan that serves Arizonans eligible for Arizona Health Care Cost Containment System (AHCCCS) or KidsCare.

Is community health group the same as Medi Cal? ›

Community Health Group provides health care coverage for San Diego County residents who are eligible for full Medi-Cal. Once enrolled, we will work with you to find the right health care providers to meet your needs.

What are the two types of Medicaid in Texas? ›

In Texas, there are 5 different types of Medicaid:
  • Traditional Medicaid.
  • STAR.
  • STAR Kids.
  • STAR Health.
  • STAR+PLUS.

What is Texas state Medicaid called? ›

Most people who have Medicaid in Texas get their coverage through the STAR managed care program. STAR covers low-income children, pregnant women and families. STAR members get their services through health plans they choose.

Who is the parent company of Harris healthcare? ›

Our parent company, Constellation Software, is the largest software business in Canada with $3B in Revenue, over 15,000 employees, 140,000 customers, and 45 + locations across North America and Global. Harris Computer serves multiple verticals including Healthcare, Utilities, Schools, Private and Public sector.

Did Harris Health System change their name? ›

In January 2012, board members of Harris County Hospital District approved a rebranding to Harris Health System.

What type of insurance is CCHP? ›

Contra Costa Health Plan (CCHP) is an HMO, or health maintenance organization. HMOs cover health services provided by a network of specific doctors and providers. In Contra Costa County, CCHP is the primary managed-care plan for people with Medi-Cal.

What is the difference between Medicaid and AHCCCS? ›

Founded in 1982, the Arizona Health Care Cost Containment System (written as AHCCCS and pronounced 'access') is Arizona's Medicaid program, a federal health care program jointly funded by the federal and state governments for individuals and families who qualify based on income level.

What insurances fall under AHCCCS? ›

AHCCCS Health Plan Contacts
AHCCCS COMPLETE CARE (ACC) HEALTH PLANS
AHCCCS Complete Care Health PlanMember Services Phone Number
Mercy Care1-800-624-3879
Health Choice Arizona1-800-322-8670
UnitedHealthcare Community Plan1-800-348-4058
4 more rows

What is the maximum income for AHCCCS? ›

Income Limits
Household SizeGross Monthly Income Limit Effective 02/01/2024
3$2,862
4$3,458
5$4,055
Each additional person $597*
2 more rows

Which is better, Molina or Community Health Group? ›

In 2019, Community Health Group was the fourth-highest-ranked Medi-Cal insurer in the state, according to state data, beaten only by San Francisco Health Plan and two Kaiser plans, which tend to serve healthier patients. In contrast, Molina's San Diego plan ranked 16th and Health Net's ranked 29th.

Is community health group HMO or PPO? ›

Community Health Group | 2023 Plan Information for CommuniCare Advantage (HMO SNP) (HMO D-SNP)

Is Blue Shield part of Medi-Cal? ›

Blue Shield Promise provides Medi-Cal services for children and young adults under the age of 21. Some of the free services included are: Getting a doctor's appointment. Getting a ride to and from your doctor appointment.

What is community Medicaid in Texas? ›

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.

How many Medicaid plans are there in Texas? ›

Participating Plans, Plan Selection, and Rate Setting

Texas contracts with a total of 16 plans, some of which participate in more than one program.

What funds Medicaid in Texas? ›

Medicaid is a program jointly funded by federal and state governments. The federal government provides matching funds to states for a specific percentage of Medicaid expenditures, called federal financial participation (FFP).

What is the difference between chip and Medicaid in Texas? ›

Children's Medicaid is a health care program for children in low-income families. CHIP is a health care program for children without health insurance whose families earn too much to get Medicaid but cannot afford health insurance.

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