PARTCRX

Plan Summary

Insurance Type
Medicare Advantage Plan (Part C w/ RX)
Insurance Provider
Universal American
CMS Rating
Plan Type
HMO-POS
Annual Deductible
$0.00

What To Know About This Plan

  • This plan has health and drug coverage

Plan Details

Costs and Other Important Information

Plan Year:
2014
Optional Supplemental Benefits?
No
Choice of Doctors?
Plan Doctors Only (some exceptions)
Prescription Drugs Covered?
Yes
Out-Of-Pocket Spending Limit
$3,400 In-Network$10,000 Out-of-Network
Other Deductibles?
In Network: No. Out of Network: No
Health Plan Deductible
$0
Monthly Drug Plan Premium
$0.00
Monthly Health Plan Premium
$0.00

Benefits

Service
In Network
Out of Network
Inpatient Hospital Care
Days 1-6: $135 copay per day. Days 7-90: $0 copay per day. Point of Service: 40%
In Network: Days 1-6: $135 copay per day. Days 7-90: $0 copay per day. Point of Service: 40%
Inpatient Mental Health Care
Days 1-6: $135 copay per day. Days 7-90: $0 copay per day. Point of Service: 40%
In Network: Days 1-6: $135 copay per day. Days 7-90: $0 copay per day. Point of Service: 40%
Skilled Nursing Facility (SNF)
Days 1-20: $0 copay per day. Days 21-100: $150 copay per day. Point of Service: Not Applicable
In Network: Days 1-20: $0 copay per day. Days 21-100: $150 copay per day. Point of Service: Not Applicable
Home Health Care
$0 maximum per visit. Point of Service: Not Applicable
In Network: $0 maximum per visit. Point of Service: Not Applicable
Doctor Office Visits
$0 maximum per visit. Point of Service: $35 maximum per visit
In Network: $0 maximum per visit. Point of Service: $35 maximum per visit
Outpatient Services
$150 maximum per visit. Point of Service: 40% maximum per visit
In Network: $150 maximum per visit. Point of Service: 40% maximum per visit
Ambulance Services
$150 maximum. Point of Service: $150 maximum
In Network: $150 maximum. Point of Service: $150 maximum
Emergency Care
$65 maximum per visit. Point of Service: Not Applicable
In Network: $65 maximum per visit. Point of Service: Not Applicable
Durable Medical Equipment
20% maximum per item. Point of Service: Not Applicable
In Network: 20% maximum per item. Point of Service: Not Applicable
Kidney Disease and Conditions
20% maximum per visit. Point of Service: Not Applicable
In Network: 20% maximum per visit. Point of Service: Not Applicable
Specialist Office Visit
$30 maximum per visit. Point of Service: $50 maximum per visit
In Network: $30 maximum per visit. Point of Service: $50 maximum per visit

Prescription Drug Coverage

Drugs Covered under Medicare Part B

General

0% to 20% of the cost for Medicare Part B drugs (not including Part B chemotherapy drugs).

20% of the cost for Medicare Part B chemotherapy drugs.


Drugs Covered under Medicare Part D

General

This plan uses a formulary. The plan will send you the formulary. You can also see the formulary at http://www.TexanPlus.com on the web.

Different out-of-pocket costs may apply for people who
  • have limited incomes,
  • live in long term care facilities, or
  • have access to Indian/Tribal/Urban (Indian Health Service) providers.


The plan offers national in-network prescription coverage (i.e., this would include 50 states and the District of Columbia). This means that you will pay the same cost-sharing amount for your prescription drugs if you get them at an in-network pharmacy outside of the plan's service area (for instance when you travel).

Total yearly drug costs are the total drug costs paid by both you and a Part D plan.

The plan may require you to first try one drug to treat your condition before it will cover another drug for that condition.

Some drugs have quantity limits.

Your provider must get prior authorization from TexanPlus Choice (HMO-POS) for certain drugs.

You must go to certain pharmacies for a very limited number of drugs, due to special handling, provider coordination, or patient education requirements that cannot be met by most pharmacies in your network. These drugs are listed on the plan's website, formulary, printed materials, as well as on the Medicare Prescription Drug Plan Finder on Medicare.gov.

If the actual cost of a drug is less than the normal cost-sharing amount for that drug, you will pay the actual cost, not the higher cost-sharing amount.

If you request a formulary exception for a drug and TexanPlus Choice (HMO-POS) approves the exception, you will pay Tier 4: Non-Preferred Brand cost sharing for that drug.

In-Network

$0 deductible.

Initial Coverage

You pay the following until total yearly drug costs reach $2,850:

Retail Pharmacy

Contact your plan if you have questions about cost-sharing or billing when less than a one-month supply is dispensed.

You can get drugs the following way(s):

Tier 1: Preferred Generic

  • $0 copay for a one-month (30-day) supply of drugs in this tier


  • $0 copay for a three-month (90-day) supply of drugs in this tier


  • Not all drugs on this tier are available at this extended day supply. Please contact the plan for more information.

    Tier 2: Non-Preferred Generic

  • $0 copay for a one-month (30-day) supply of drugs in this tier


  • $0 copay for a three-month (90-day) supply of drugs in this tier


  • Not all drugs on this tier are available at this extended day supply. Please contact the plan for more information.

    Tier 3: Preferred Brand

  • $40 copay for a one-month (30-day) supply of drugs in this tier


  • $100 copay for a three-month (90-day) supply of drugs in this tier


  • Not all drugs on this tier are available at this extended day supply. Please contact the plan for more information.

    Tier 4: Non-Preferred Brand

  • $80 copay for a one-month (30-day) supply of drugs in this tier


  • $200 copay for a three-month (90-day) supply of drugs in this tier


Not all drugs on this tier are available at this extended day supply. Please contact the plan for more information.

Tier 5: Specialty Tier

  • 33% coinsurance for a one-month (30-day) supply of drugs in this tier


  • Long Term Care Pharmacy

    Long term care pharmacies must dispense brand name drugs in amounts less than a 14 days supply at a time. They may also dispense less than a month's supply of generic drugs at a time. Contact your plan if you have questions about cost-sharing or billing when less than a one-month supply is dispensed.

    You can get drugs the following way(s):

    Tier 1: Preferred Generic

    • $0 copay for a one-month (34-day) supply of drugs in this tier


    • Tier 2: Non-Preferred Generic

    • $0 copay for a one-month (34-day) supply of drugs in this tier


    • Tier 3: Preferred Brand

    • $40 copay for a one-month (34-day) supply of drugs in this tier


    • Tier 4: Non-Preferred Brand

    • $80 copay for a one-month (34-day) supply of drugs in this tier


    • Tier 5: Specialty Tier

    • 33% coinsurance for a one-month (34-day) supply of drugs in this tier



    Mail Order


    Contact your plan if you have questions about cost-sharing or billing when less than a one-month supply is dispensed.

    You can get drugs from a preferred and non-preferred mail order pharmacy the following way(s):

    Tier 1: Preferred Generic

    • $0 copay for a one-month (30-day) supply of drugs in this tier from a preferred mail order pharmacy.


    • $0 copay for a three-month (90-day) supply of drugs in this tier from a preferred mail order pharmacy.


    • $0 copay for a one-month (30-day) supply of drugs in this tier from a non-preferred mail order pharmacy.


    • $0 copay for a three-month (90-day) supply of drugs in this tier from a non-preferred mail order pharmacy.


    • Not all drugs on this tier are available at this extended day supply. Please contact the plan for more information.

      Tier 2: Non-Preferred Generic

    • $0 copay for a one-month (30-day) supply of drugs in this tier from a preferred mail order pharmacy.


    • $0 copay for a three-month (90-day) supply of drugs in this tier from a preferred mail order pharmacy.


    • $0 copay for a one-month (30-day) supply of drugs in this tier from a non-preferred mail order pharmacy.


    • $0 copay for a three-month (90-day) supply of drugs in this tier from a non-preferred mail order pharmacy.


    • Not all drugs on this tier are available at this extended day supply. Please contact the plan for more information.

      Tier 3: Preferred Brand

    • $40 copay for a one-month (30-day) supply of drugs in this tier from a preferred mail order pharmacy.


    • $40 copay for a three-month (90-day) supply of drugs in this tier from a preferred mail order pharmacy.


    • $40 copay for a one-month (30-day) supply of drugs in this tier from a non-preferred mail order pharmacy.


    • $100 copay for a three-month (90-day) supply of drugs in this tier from a non-preferred mail order pharmacy.


    • Not all drugs on this tier are available at this extended day supply. Please contact the plan for more information.

      Tier 4: Non-Preferred Brand

    • $80 copay for a one-month (30-day) supply of drugs in this tier from a preferred mail order pharmacy.


    • $80 copay for a three-month (90-day) supply of drugs in this tier from a preferred mail order pharmacy.


    • $80 copay for a one-month (30-day) supply of drugs in this tier from a non-preferred mail order pharmacy.


    • $200 copay for a three-month (90-day) supply of drugs in this tier from a non-preferred mail order pharmacy.


    Not all drugs on this tier are available at this extended day supply. Please contact the plan for more information.

    Tier 5: Specialty Tier

  • 33% coinsurance for a one-month (30-day) supply of drugs in this tier from a preferred mail order pharmacy.


  • 33% coinsurance for a one-month (30-day) supply of drugs in this tier from a non-preferred mail order pharmacy.


  • Coverage Gap

    After your total yearly drug costs reach $2,850, you receive limited coverage by the plan on certain drugs. You will also receive a discount on brand name drugs and generally pay no more than 47.5% for the plan's costs for brand drugs and 72% of the plan's costs for generic drugs until your yearly out-of-pocket drug costs reach $4,550.

    Additional Coverage Gap

    The plan covers many formulary generics (65%-99% of formulary generic drugs), few formulary brands (less than 10% of formulary brand drugs) through the coverage gap.

    The plan offers additional coverage in the gap for the following tiers. You pay the following:

    Retail Pharmacy

    Contact your plan if you have questions about cost-sharing or billing when less than a one-month supply is dispensed.

    Tier 1: Preferred Generic

    • $0 copay for a one-month (30-day) supply of all drugs covered within this tier


    • $0 copay for a three-month (90-day) supply of all drugs covered within this tier


    • Not all drugs on this tier are available at this extended day supply. Please contact the plan for more information.

      Tier 2: Non-Preferred Generic

    • $0 copay for a one-month (30-day) supply of all drugs covered within this tier


    • $0 copay for a three-month (90-day) supply of all drugs covered within this tier


    • Not all drugs on this tier are available at this extended day supply. Please contact the plan for more information.

      Tier 3: Preferred Brand

    • $40 copay for a one-month (30-day) supply of certain drugs covered within this tier


    • $100 copay for a three-month (90-day) supply of certain drugs covered within this tier


    Not all drugs on this tier are available at this extended day supply. Please contact the plan for more information.

    Long Term Care Pharmacy

    Long term care pharmacies must dispense brand name drugs in amounts less than a 14 days supply at a time. They may also dispense less than a month's supply of generic drugs at a time. Contact your plan if you have questions about cost-sharing or billing when less than a one-month supply is dispensed.

    Tier 1: Preferred Generic

    • $0 copay for a one-month (34-day) supply of all drugs covered within this tier


    • Tier 2: Non-Preferred Generic

    • $0 copay for a one-month (34-day) supply of all drugs covered within this tier


    • Tier 3: Preferred Brand

    • $40 copay for a one-month (34-day) supply of certain drugs covered within this tier



    Mail Order


    Contact your plan if you have questions about cost-sharing or billing when less than a one-month supply is dispensed.

    Tier 1: Preferred Generic

    • $0 copay for a one-month (30-day) supply of all drugs covered within this tier from a preferred mail order pharmacy


    • $0 copay for a three-month (90-day) supply of all drugs covered within this tier from a preferred mail order pharmacy


    • $0 copay for a one-month (30-day) supply of all drugs covered within this tier from a non-preferred mail order pharmacy


    • $0 copay for a three-month (90-day) supply of all drugs covered within this tier from a non-preferred mail order pharmacy


    • Not all drugs on this tier are available at this extended day supply. Please contact the plan for more information.

      Tier 2: Non-Preferred Generic

    • $0 copay for a one-month (30-day) supply of all drugs covered within this tier from a preferred mail order pharmacy


    • $0 copay for a three-month (90-day) supply of all drugs covered within this tier from a preferred mail order pharmacy


    • $0 copay for a one-month (30-day) supply of all drugs covered within this tier from a non-preferred mail order pharmacy


    • $0 copay for a three-month (90-day) supply of all drugs covered within this tier from a non-preferred mail order pharmacy


    • Not all drugs on this tier are available at this extended day supply. Please contact the plan for more information.

      Tier 3: Preferred Brand

    • $40 copay for a one-month (30-day) supply of certain drugs covered within this tier from a preferred mail order pharmacy


    • $40 copay for a three-month (90-day) supply of certain drugs covered within this tier from a preferred mail order pharmacy


    • $40 copay for a one-month (30-day) supply of certain drugs covered within this tier from a non-preferred mail order pharmacy


    • $100 copay for a three-month (90-day) supply of certain drugs covered within this tier from a non-preferred mail order pharmacy


    Not all drugs on this tier are available at this extended day supply. Please contact the plan for more information.

    Please contact the plan for a complete list of drugs covered through the gap.

    Catastrophic Coverage

    After your yearly out-of-pocket drug costs reach $4,550, you pay the greater of:
    • 5% coinsurance, or
    • $2.55 copay for generic (including brand drugs treated as generic) and a $6.35 copay for all other drugs.


    Out-of-Network

    Plan drugs may be covered in special circumstances, for instance, illness while traveling outside of the plan's service area where there is no network pharmacy. You may have to pay more than your normal cost-sharing amount if you get your drugs at an out-of-network pharmacy. In addition, you will likely have to pay the pharmacy's full charge for the drug and submit documentation to receive reimbursement from TexanPlus Choice (HMO-POS).

    You can get out-of-network drugs the following way:

    Out-of-Network Initial Coverage

    You will be reimbursed up to the plan's cost of the drug minus the following for drugs purchased out-of-network until total yearly drug costs reach $2,850:

    Out-of-Network Initial Coverage

    Tier 1: Preferred Generic

    • $0 copay for a one-month (30-day) supply of drugs in this tier


    • Tier 2: Non-Preferred Generic

    • $0 copay for a one-month (30-day) supply of drugs in this tier


    • Tier 3: Preferred Brand

    • $40 copay for a one-month (30-day) supply of drugs in this tier


    • Tier 4: Non-Preferred Brand

    • $80 copay for a one-month (30-day) supply of drugs in this tier


    • Tier 5: Specialty Tier

    • 33% coinsurance for a one-month (30-day) supply of drugs in this tier


    Out-of-Network Coverage Gap

    You will be reimbursed up to 28% of the plan allowable cost for generic drugs purchased out-of-network until total yearly out-of-pocket drug costs reach $4,550. Please note that the plan allowable cost may be less than the out-of-network pharmacy price paid for your drug(s). You will be reimbursed up to 52.5% of the plan allowable cost for brand name drugs purchased out-of-network until your total yearly out-of-pocket drug costs reach $4,550. Please note that the plan allowable cost may be less than the out-of-network pharmacy price paid for your drug(s).

    Additional Out-of-Network Coverage Gap

    You will be reimbursed for these drugs purchased out-of-network up to the plan's cost of the drug minus the following:

    Tier 1: Preferred Generic

    • $0 copay for a one-month (30-day) supply of all drugs covered within this tier


    • Tier 2: Non-Preferred Generic

    • $0 copay for a one-month (30-day) supply of all drugs covered within this tier


    • Tier 3: Preferred Brand

    • $40 copay for a one-month (30-day) supply of certain drugs covered within this tier


    Out-of-Network Catastrophic Coverage

    After your yearly out-of-pocket drug costs reach $4,550, you will be reimbursed for drugs purchased out-of-network up to the plan's cost of the drug minus your cost share, which is the greater of:
    • 5% coinsurance, or
    • $2.55 copay for generic (including brand drugs treated as generic) and a $6.35 copay for all other drugs.



    Other Services

    Inpatient Care

    Doctor and Hospital Choice



    Referral required for network hospitals and specialists (for certain benefits).


    Inpatient Hospital Care



    No limit to the number of days covered by the plan each hospital stay.

    For Medicare-covered hospital stays:

    • Days 1 - 6: $135 copay per day


    • Days 7 - 90: $0 copay per day


    $0 copay for additional non-Medicare-covered hospital days

    Except in an emergency, your doctor must tell the plan that you are going to be admitted to the hospital.


    Outpatient Care

    Inpatient Mental Health Care



    Contact the plan for details about coverage in a Psychiatric Hospital beyond 190 days.

    For Medicare-covered hospital stays:

    • Days 1 - 6: $135 copay per day


    • Days 7 - 90: $0 copay per day


    $0 copay for additional non-Medicare-covered hospital days

    Except in an emergency, your doctor must tell the plan that you are going to be admitted to the hospital.


    Skilled Nursing Facility (SNF)



    Authorization rules may apply.

    Plan covers up to 100 days each benefit period

    No prior hospital stay is required.

    For SNF stays:

    • Days 1 - 20: $0 copay per day


    • Days 21 - 100: $150 copay per day



    Home Health Care



    Authorization rules may apply.

    $0 copay for each Medicare-covered home health visit


    Hospice



    You must get care from a Medicare-certified hospice. You must consult with your plan before you select hospice.


    Doctor Office Visits



    Authorization rules may apply.

    $0 copay for each Medicare-covered primary care doctor visit.

    $30 copay for each Medicare-covered specialist visit.


    Outpatient Medical Services and Supplies

    Chiropractic Services



    Authorization rules may apply.

    $20 copay for each Medicare-covered chiropractic visit

    Medicare-covered chiropractic visits are for manual manipulation of the spine to correct subluxation (a displacement or misalignment of a joint or body part).


    Podiatry Services



    Authorization rules may apply.

    $30 copay for each Medicare-covered podiatry visit

    Medicare-covered podiatry visits are for medically necessary foot care.


    Outpatient Mental Health Care



    Authorization rules may apply.

    $30 copay for each Medicare-covered individual therapy visit

    $30 copay for each Medicare-covered group therapy visit

    $30 copay for each Medicare-covered individual therapy visit with a psychiatrist

    $30 copay for each Medicare-covered group therapy visit with a psychiatrist

    $55 copay for Medicare-covered partial hospitalization program services


    Outpatient Substance Abuse Care



    Authorization rules may apply.

    $30 copay for Medicare-covered individual substance abuse outpatient treatment visits

    $30 copay for Medicare-covered group substance abuse outpatient treatment visits


    Outpatient Services



    Authorization rules may apply.

    $100 copay for each Medicare-covered ambulatory surgical center visit

    $150 copay for each Medicare-covered outpatient hospital facility visit


    Ambulance Services



    Authorization rules may apply.

    $150 copay for Medicare-covered ambulance benefits.


    Emergency Care



    $65 copay for Medicare-covered emergency room visits

    Not covered outside the U.S. and its territories except under limited circumstances. Contact plan for details.

    If you are admitted to the hospital within 24-hour(s) for the same condition, you pay $0 for the emergency room visit.


    Urgently Needed Care



    $30 copay for Medicare-covered urgently-needed-care visits

    If you are admitted to the hospital within 24-hour(s) for the same condition, you pay $0 for the urgently-needed-care visit.


    Outpatient Rehabilitation Services



    Authorization rules may apply.

    Medically necessary physical therapy, occupational therapy, and speech and language pathology services are covered.

    $30 copay for Medicare-covered Occupational Therapy visits

    $30 copay for Medicare-covered Physical Therapy and/or Speech and Language Pathology visits


    Durable Medical Equipment



    Authorization rules may apply.

    20% of the cost for Medicare-covered durable medical equipment


    Preventive Services

    Prosthetic Devices



    Authorization rules may apply.

    20% of the cost for Medicare-covered prosthetic devices

    20% of the cost for Medicare-covered medical supplies related to prosthetics, splints, and other devices


    Diabetes Programs and Supplies



    Authorization rules may apply.

    $0 copay for Medicare-covered Diabetes self-management training

    0% to 20% of the cost for Medicare-covered Diabetes monitoring supplies

    20% of the cost for Medicare-covered Therapeutic shoes or inserts

    If the doctor provides you services in addition to Diabetes self-management training, separate cost sharing of $0 to $30 may apply


    Diagnostic Tests, X-Rays, Lab Services, and Radiology Services



    Authorization rules may apply.

    $0 copay for Medicare-covered lab services

    $0 copay for Medicare-covered diagnostic procedures and tests

    $16 copay for Medicare-covered X-rays

    20% of the cost for Medicare-covered diagnostic radiology services (not including X-rays)

    20% of the cost for Medicare-covered therapeutic radiology services

    If the doctor provides you services in addition to Outpatient Diagnostic Procedures, Tests and Lab Services, separate cost sharing of $0 to $30 may apply

    If the doctor provides you services in addition to Outpatient Diagnostic and Therapeutic Radiology Services, separate cost sharing of $0 to $30 may apply


    Cardiac and Pulmonary Rehabilitation Services



    Authorization rules may apply.

    $30 copay for Medicare-covered Cardiac Rehabilitation Services

    $30 copay for Medicare-covered Intensive Cardiac Rehabilitation Services

    $30 copay for Medicare-covered Pulmonary Rehabilitation Services


    Additional Benefits

    Preventive Services



    $0 copay for all preventive services covered under Original Medicare at zero cost sharing. Any additional preventive services approved by Medicare mid-year will be covered by the plan or by Original Medicare.

    Authorization rules may apply.


    Kidney Disease and Conditions



    Authorization rules may apply.

    20% of the cost for Medicare-covered renal dialysis

    $0 copay for Medicare-covered kidney disease education services


    Dental Services



    $0 copay for Medicare-covered dental benefits

    $15 copay for a supplemental visit that includes:

    • up to 2 oral exam(s) every year


    • up to 2 cleaning(s) every year


    • up to 2 fluoride treatment(s) every year


    • up to 2 dental x-ray(s) every year



    Hearing Services



    Authorization rules may apply.

    In general, supplemental routine hearing exams and hearing aids not covered.

    $30 copay for Medicare-covered diagnostic hearing exams


    Vision Services



    $0 copay for Medicare-covered exams to diagnose and treat diseases and conditions of the eye, including an annual glaucoma screening for people at risk

    $0 copay for up to 1 supplemental routine eye exam(s) every year

    $0 copay for
    • one pair of Medicare-covered eyeglasses (lenses and frames) or contact lenses after cataract surgery


    If the doctor provides you services in addition to eye exams, separate cost sharing of $0 to $30 may apply


    Cost Sharing Information

    Prescription Drug Copay/Coninsurance Details - Initial Coverage Limit

    30 Day SupplyPreferred Retail PharmaciesNon-Preferred Retail PharmaciesMail-Order Pharmacies
    Tier 1: Preferred Generic$0 copay$0 copay$0 copay
    Tier 2: Non-Preferred Generic$0 copay$0 copay$0 copay
    Tier 3: Preferred Brand Name$40 copay$40 copay$40 copay
    Tier 4: Non-Preferred Brand Name$80 copay$80 copay$80 copay
    Tier 5: Specialty Tier33% coinsurance33% coinsurance33% coinsurance
    90 Day SupplyPreferred Retail PharmaciesNon-Preferred Retail PharmaciesMail-Order Pharmacies
    Tier 1: Preferred Generic$0 copay$0 copay$0 copay
    Tier 2: Non-Preferred Generic$0 copay$0 copay$0 copay
    Tier 3: Preferred Brand Name$100 copay$100 copay$40 copay
    Tier 4: Non-Preferred Brand Name$200 copay$200 copay$80 copay
    Tier 5: Specialty Tier

    CMS Ratings

    Staying healthy - screenings, tests and vaccines

    Breast cancer screening
    Not Rated
    Colorectal cancer screening
    Cholesterol screening for patients with heart disease
    Glaucoma testing
    Annual flu vaccine
    Pneumonia vaccine
    Improving or maintaining physical health
    Improving or maintaining mental health
    Monitoring physical ability
    Access to primary care doctor visits
    Adult BMI assessment

    Managing Chronic Conditions

    Care for older adults – medication review
    Not Rated
    Care for older adults – functional status assessment
    Not Rated
    Care for older adults – Pain screening
    Not Rated
    Osteoporosis management in women who had a fracture
    Diabetes care – eye exam
    Diabetes care – kidney disease monitoring
    Diabetes care – blood sugar controlled
    Diabetes care – cholesterol controlled
    Controlling blood pressure
    Rheumatoid arthritis management
    Improving bladder control
    Reducing the risk of falling
    Plan all-cause readmissions

    Ratings of Plan Responsiveness and Care

    Getting needed care
    Getting appointments and care quickly
    Customer service
    Overall rating of health care quality
    Overall rating of plan

    Member Complaints, Problems Getting Services, and Choosing to Leave the Plan

    Complaints about the health plan
    Beneficiary access and performance problems
    Members choosing to leave the plan
    Plan makes timely decision about appeals
    Reviewing appeals decisions
    Call center – foreign language interpreter and TTY/TDD availability

    Physician Finder

    Physicians that accept TexanPlus Choice (HMO-POS) for Texas

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    Community Q&A

    Do you have questions about this plan?

    Get answers from the HealthPocket community.
    2 question| 1 answer
    Lab Workups
    Q:Who is the company available to do Lab Work
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    how to jion a plan, what a phone number I can contact with an agent
    Q:
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    1 answer

    Know the Answer? Answer this Question
    A: It is best to speak with a licensed agent. The phone number and hours of operation is available when you click on 'Select'.
    Answered on 1/28/2014 by davina

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