Alyssa Lane
Health Choice is a healthcare provider that offers a range of health insurance plans. One of their offerings is Medicaid, a government-funded health insurance program for those who cannot afford private insurance. Health Choice's Medicaid plans are available in certain states, such as Texas, and cover children, pregnant women, and Texans over 65 or with disabilities. As of April 1, 2023, NC Health Choice beneficiaries in North Carolina were automatically transitioned to the Medicaid program, where they continue to receive the same health benefits.
| Characteristics | Values |
|---|---|
| Community Health Choice | Offers STAR +Plus Medicaid in Texas in the Harris service area |
| Provides Medicaid for children and pregnant women | |
| Offers individual health insurance in the new Health Insurance Marketplace | |
| Offers additional benefits not covered under Original Medicare, such as dental, hearing aids, and vision | |
| Participates in the Children's Health Insurance Program (CHIP) | |
| Provides Medicaid for Texans with disabilities or age 65+ | |
| NC Health Choice | Beneficiaries automatically moved to the Medicaid program effective April 1, 2023 |
| Beneficiaries are eligible for Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) | |
| Beneficiaries keep their Medicaid ID number | |
| Nearly all providers who accepted NC Health Choice also accept Medicaid | |
| Health Choice AZ | Provides AHCCCS coverage |
| Offers $50 gift cards for getting a breast cancer screening | |
| HealthChoice Insurance Programs | Sponsors an Association Group Health Insurance plan for providers |
| Offers property and casualty insurance |
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What You'll Learn
- Community Health Choice offers Medicaid plans for Texans with disabilities or over 65
- NC Health Choice beneficiaries automatically moved to Medicaid from April 1, 2023
- Community Health Choice provides Medicaid for pregnant women and children
- Community Health Choice offers additional benefits not covered by Original Medicare
- Community Health Choice offers STAR +Plus Medicaid in the Harris service area
Community Health Choice offers Medicaid plans for Texans with disabilities or over 65
Community Health Choice provides a range of health insurance plans, including Medicaid, to Texans of all ages. Texans with disabilities or over 65 are eligible for STAR+PLUS, a Medicaid plan offered by Community Health Choice. This plan is available to Texans aged 21 and older and provides access to a network of trusted doctors, such as Memorial Hermann. Community Health Choice also offers Children's Medicaid and Medicaid for pregnant women, as well as CHIP, a health insurance plan for children under the age of 19 who do not qualify for Texas Medicaid but cannot afford private insurance.
Medicaid is a state and federal health insurance program that serves people with lower incomes. In Texas, Medicaid offers six Home and Community-based Services (HCBS) waivers that help people with disabilities live and work in their communities instead of being institutionalized. Texans with disabilities have legal protection when purchasing insurance, and insurance companies must sell a health plan to anyone who applies during the open enrollment period. They cannot deny coverage or charge more due to a pre-existing condition or disability.
Community Health Choice's STAR+PLUS plan offers additional benefits not covered by Original Medicare, including dental, hearing aids, and vision services. To be eligible for Medicaid in Texas, individuals must meet both financial and functional criteria. Texans over 65 will have more choices for Medicare supplement plans, as they will be able to choose from all the options that companies offer. Medicare Advantage plans, for example, are offered by insurance companies and provide at least the same coverage as Original Medicare, with some offering additional benefits.
Community Health Choice is dedicated to helping Texans navigate their healthcare journey and coordinate care. They offer assistance in English and Spanish and can provide information in various formats, such as audio, large print, or Braille. Texans seeking health insurance can turn to Community Health Choice for a range of affordable plans, including Medicaid options for those who qualify.
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NC Health Choice beneficiaries automatically moved to Medicaid from April 1, 2023
As of April 1, 2023, beneficiaries of the NC Health Choice program in North Carolina have been automatically transitioned to the Medicaid program. This change affects approximately 55,000 children and is the result of a provision in the state budget that was approved in July 2022. The move aims to streamline medical coverage for eligible children and bring North Carolina in line with 17 other states that have already combined their Medicaid and Children's Health Insurance Program (CHIP) offerings.
Previously, North Carolina operated two similar but separate programs: NC Medicaid, funded through the federal Medicaid program, and NC Health Choice, funded through CHIP. Now, beneficiaries will continue to receive the same health benefits as before, but with additional physical and behavioral health services and without the burden of enrollment fees or copays for medical visits and prescriptions. This means that families will save money and experience increased access to care.
The transition to Medicaid has been designed to be seamless for both beneficiaries and providers. Beneficiaries will keep their Medicaid ID number, also known as their Recipient ID, and will receive a new Medicaid ID card in the mail. In the meantime, they can continue using their current ID card. Beneficiaries are also now eligible for Early and Periodic Screening, Diagnosis, and Treatment (EPSDT), which helps to identify and treat health conditions before they become serious.
Nearly all providers who accepted NC Health Choice also accept Medicaid. Providers should continue to verify a beneficiary's eligibility through NCTracks using their Medicaid ID number. No action is required from either beneficiaries or providers to effect this change. People impacted by the transition should have received a letter from their local Department of Social Services in early March.
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$93.13 $109.99
Community Health Choice provides Medicaid for pregnant women and children
Community Health Choice (Community) provides Medicaid for pregnant women and children as part of the State of Texas Access Reform (STAR) Managed Care Program. These programs are free for U.S. residents who cannot afford health insurance.
Medicaid for pregnant women includes the full array of Medicaid services, including prenatal doctor visits, prenatal vitamins, labor and delivery, and checkups and other benefits for the baby after leaving the hospital. To be eligible for Medicaid for Pregnant Women, the woman must be at or below 185% of the Federal Poverty Level (FPL).
The Children's Health Insurance Program (CHIP) is a health insurance plan for children under the age of 19. CHIP is designed for families who earn too much money to qualify for Texas Medicaid but cannot afford private insurance. CHIP-P provides prenatal care for the unborn children of low-income women who do not qualify for Medicaid. CHIP Perinatal provides limited coverage during pregnancy and two postpartum visits within 60 days of the end of the pregnancy for women who cannot get Medicaid and don't have health insurance.
Community Health Choice also offers STAR +Plus Medicaid in the Harris service area in Texas. They help members navigate their healthcare journey and coordinate care, with information available in English and Spanish.
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Community Health Choice offers additional benefits not covered by Original Medicare
Community Health Choice is a local nonprofit health plan that offers an (HMO D-SNP) plan with additional benefits and services not covered by Original Medicare. These include dental, hearing aids, and vision services. To be eligible for Community Health Choice, individuals must have Medicare Parts A and B, qualify for Texas Medicaid QMB or QMB+, and live in the service area.
Community Health Choice is unique in that it allows individuals to retain all their Medicaid benefits while also gaining access to Original Medicare's covered services. This dual coverage ensures that members receive comprehensive healthcare support.
The organization also participates in the Children's Health Insurance Program (CHIP), which provides health insurance for children under the age of 19. CHIP is designed for families who earn too much to qualify for Texas Medicaid but cannot afford private insurance. Community Health Choice also offers CHIP-P, which provides prenatal care for unborn children of low-income women who do not qualify for Medicaid.
In addition to its health insurance offerings, Community Health Choice provides information and resources in multiple languages, including English and Spanish. They also offer assistance in scheduling appointments and navigating the healthcare system, ensuring that members receive the support they need to make the most of their benefits.
Community Health Choice's additional benefits, such as dental, hearing, and vision services, enhance the overall healthcare experience for individuals who may have limited access to these services under Original Medicare. By filling these gaps in coverage, Community Health Choice provides a more comprehensive and accessible healthcare option for those who qualify.
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Community Health Choice offers STAR +Plus Medicaid in the Harris service area
Community Health Choice offers STAR+PLUS Medicaid in the Harris service area in Texas. STAR+PLUS is a Texas Medicaid-managed care program for adults aged 65 and over or those with disabilities. It is designed to meet the unique needs of this demographic, providing healthcare and long-term services and support through a health plan that they choose.
Community Health Choice is a local non-profit health plan that offers a range of health insurance plans to fit any budget. They participate in the State of Texas Access Reform (STAR) Managed Care Program (Medicaid), and as part of this, they provide Children's Medicaid and Medicaid for pregnant women. These programs are at no cost to US residents who cannot afford health insurance. Community Health Choice also participates in the Children's Health Insurance Program (CHIP), which is designed for families who earn too much to qualify for Texas Medicaid but cannot afford private insurance.
To qualify for STAR+PLUS, you must be approved for Medicaid and meet at least one of the following criteria:
- Age 21 or older, receiving Supplemental Security Income (SSI) benefits, and able to get Medicaid due to low income.
- Not receiving SSI but needing the type of services in the STAR+PLUS Home and Community-Based Services program.
- Age 21 or older, getting Medicaid through "Social Security Exclusion programs" and meeting program rules for income and asset levels.
- Age 21 or over, residing in a nursing home, and receiving Medicaid.
- In the Medicaid for Breast and Cervical Cancer program.
Community Health Choice provides support to members in navigating their healthcare journey and coordinating care. Information is available in English and Spanish, and interpreters can be requested. The Member Handbook is available in paper form without charge and will be provided within five business days of the member's request.
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Frequently asked questions
Health Choice is a health insurance provider that offers a range of plans, including Medicaid and Medicare plans.
Health Choice Insurance offers Medicaid plans, but it also offers other plans such as Medicare plans and the Children's Health Insurance Program (CHIP).
Health Choice is a health insurance provider that offers a range of plans, including Medicaid. Medicaid is a government-funded health insurance program for individuals who cannot afford health insurance.
