1. What is Community Health Choice?
Community Health Choice is a nonprofit health insurance provider in Texas. It offers Medicaid, CHIP, Marketplace, and Medicare Dual-Eligible plans, serving more than 400,000 members across Southeast Texas.
2. What types of health plans does Community Health Choice offer?
They provide a wide range of plans, including:
- STAR (Medicaid)
- STAR+PLUS (Medicaid)
- CHIP and CHIP-Perinate
- Health Insurance Marketplace (Bronze, Silver, Gold)
- Medicare Dual-Eligible Special Needs Plan (D-SNP)
3. Who qualifies for Community Health Choice plans?
Eligibility depends on the plan:
- Medicaid (STAR/STAR+PLUS): Low-income children, pregnant women, seniors, and people with disabilities.
- CHIP: Children under 19 who don’t qualify for Medicaid.
- Marketplace plans: Anyone can apply, but subsidies are income-based.
- Medicare D-SNP: For people who qualify for both Medicare and Medicaid.
4. How do I enroll in a Community Health Choice plan?
You can enroll online through communityhealthchoice.org, call their Member Services, or sign up via the federal HealthCare.gov Marketplace during open enrollment (or a special enrollment period if you qualify).
5. How do I create a Member Account?
New members can create their My Member Account about 5–7 business days after paying the first premium. With this account, you can pay bills, view ID cards, check claims, and send secure messages.
6. How can I pay my monthly premium?
You can pay online via the Member Portal, set up auto-pay, mail a check, or call the billing hotline. Premium payment methods vary depending on your plan type (Medicaid/CHIP plans usually have no premium).
7. How do I get my Member ID card?
Once enrolled, you’ll receive a Member ID card by mail. If it hasn’t arrived, you can print a temporary card or request a replacement through your online Member Account.
8. What benefits are included with Community Health Choice?
Benefits vary by plan but typically include:
- Primary care and specialist visits
- Prescription coverage
- Maternity and child health services
- Preventive screenings and immunizations
- Mental health services
- Extra benefits like dental, vision, telehealth, and nurse hotline
9. How do I find a doctor or hospital in the network?
Use the Find a Provider tool on the website to search by location, specialty, or plan. Members can also call Member Services for help choosing a primary care provider (PCP).
10. How can I contact Community Health Choice for help?
- Member Services: 713-295-6704 or 1-855-315-5386 (Mon–Fri, 8 a.m.–5 p.m.)
- Nurse Hotline: 1-800-206-9052 (24/7)
- General Inquiries: 713-295-2222 or 1-877-635-6736
- Website: communityhealthchoice.org