A Healthy CollaborationSM

Disclaimers

TexanPlus® Medicare Advantage is available to person’s enrolled in Medicare Part B and entitled to Part A by age or disability living Austin, Brazoria, Chambers, Fort Bend, Galveston (77510, 77511, 77517, 77518, 77539, 77546, 77549, 77563, 77568, 77573, 77574, 77590, 77591, 77592), Hardin, Harris, Jefferson, Liberty, Montgomery, Orange or Waller counties. You must continue to pay your Part B premium. TexanPlus Medicare Advantage plans is a Medicare-approved Medicare Advantage plan offered through SelectCare of Texas, L.L.C., a member of the Universal American family of companies. TexanPlus contracts with the Federal government.

Enrollment Limitations

Members may enroll only during specific times of the year. Contact TexanPlus at 1-866.731.9589 (TTY for the hearing impaired: 1-866-338-4681) 8 AM to 8 PM, 7 days a week to obtain more information.

Potential for Contract Termination

The TexanPlus benefit package, premiums, co-payments and service areas are all subject to change annually at TexanPlus contract renewal time with the Centers for Medicare and Medicaid Services (usually January 1). Availability of coverage beyond the end of the current contract year is not guaranteed.

Availability of Medicare Subsidy Information

Beneficiaries interested in determining qualifications for extra help with Medicare Prescription Drug Plan costs should call:

  • 1-800-MEDICARE (1-800-633-4227). TTY/TDD users should call 1-877-486-2048, 24 hours a day/7 days a week), or
  • Your State Medicaid Office, or
  • The Social Security Administration at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday thru Friday. TTY/TDD users should call 1-800-325-0778.

Low Income Subsidy Premium Disclaimer

If you qualify for extra help with your Medicare Prescription Drug Plan costs, your premium and drug costs may be lower. When you join TexanPlus, Medicare will tell us how much extra help you are getting. Then, we will let you know the amount you will pay. If you aren’t getting any extra help, you can see if you qualify by calling:

  • 1-800-MEDICARE (1-800-633-4227). TTY/TDD users should call 1-877-486-2048, 24 hours a day/7 days a week), or
  • Your State Medicaid Office, or
  • The Social Security Administration at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday thru Friday. TTY/TDD users should call 1-800-325-0778.

Medigap Disclaimer

If you have a Medicare Supplement (Medigap) policy that includes prescription drug coverage, you must contact your Medigap Issuer to let them know that you have joined a Medicare Prescription Drug Plan. If you decide to keep your current Medigap supplement policy, your Medigap Issuer will remove the prescription drug coverage portion of your policy and adjust your premium. Under certain circumstances, you can also buy a different Medigap policy without prescription drug coverage sold by your Medigap Issuer. Your Medigap Issuer cannot charge you more based on any past or present health problems. Call your Medigap Issuer for details.

Potential for Contract Termination

In the unlikely event your Plan Sponsor leaves the Medicare program, or no longer offers prescription drug coverage in the service area where you live, we will notify you in writing.

If this happens, your membership in TexanPlus will end, and you will need to enroll in another Medicare Advantage Plan to continue your coverage. All of the benefits and rules of TexanPlus would continue until the effective date your membership in TexanPlus ends. You also would continue to receive your prescription drugs in the usual way through TexanPlus’s network pharmacies.

If TexanPlus leaves the Medicare program or your service area, you would need to select another plan. Your choices would include joining another Medicare Advantage Plan with prescription drug coverage (MAPD), if these plans are available in your area and are accepting new members. As soon as TexanPlus has notified you in writing that we are leaving the Medicare program or the area where you live, you may enroll in another plan.

The Plan Sponsor is contracted with the Centers for Medicare & Medicaid Services (CMS), the government agency that runs Medicare. This contract is subject to renewal each year. However, the Plan Sponsor or CMS can decide to end the contract at any time. You will generally be notified 90 days in advance if this situation occurs. However, your advance notice may be as little as 30 days or fewer if CMS must end the contract in the middle of the year.

M0018_H4506_209 Pending CMS Approval Last updated: 4/1/2022

©2008 Universal American Corp. All rights reserved