Eligibility & Coverage Areas

CHRISTUS Health Plan offers two Medicare Advantage plans with prescription drug coverage. If you’re already receiving Medicare benefits and are looking to package your benefits in one plan with prescription drug coverage included, you may qualify.

You’re eligible for plan year 2019 if:

  • You’re a New Mexico resident in Los Alamos, Santa Fe, San Miguel or Rio Arriba counties
  • You're a Texas resident in Camp, Cherokee, Gregg, Harrison, Hopkins, Franklin, Marion, Morris, Panola, Smith, Titus, Upshur and Wood counties     

AND

  • You’re eligible for Medicare coverage because you are:
  • Age 65 or older and receiving Social Security benefits
  • Receiving disability benefits through Social Security
  • Have end-stage renal disease
  • Have Lou Gehrig’s disease (ALS)

Benefits

We’ve got you covered from A to D

CHRISTUS Health Plan Generations and Generations Plus (HMO) are Medicare Advantage plan options. Medicare Advantage plans offer all-inclusive benefits, from Part A and Part B, to Part D (drug coverage). *Note: In order to be eligible to receive Part C and D benefits, you have to have already qualified for parts A and B through Medicare. With a network of providers and facilities close to home, it’s everything you need in one convenient place.

What Does Each Part Cover?

  • Part A: Hospital Insurance Benefits (i.e. 24/7 Nurse Hotline at 1-844-581-3173)
  • Part B: Medical Insurance Benefits (i.e. your primary care provider and specialists)
  • Part C: Medicare Advantage Plans (Parts A and B with added benefits like annual eye exams, preventive dental cleaning, other various programs to keep you healthy)
  • Part D: Prescription Drug Coverage (Medication Therapy Management Program)

Contact Us

If you’re still unsure what plan is right for you or if you’re eligible, contact us or call 1-844-282-3026 ( 711 for TTY users).

Customer service representatives are available seven days a week, from 8:00 a.m. to 8:00 p.m. local time from October 1 to March 31. Starting April 1 to September 30 customer service representatives are available Monday through Friday, from 8:00 a.m. to 8:00 p.m. local time.

An interactive voice response system is available for Thanksgiving and Christmas Day (messages will be returned within one (1) business day). From February 15th to September 30th our hours of operation are 8:00 a.m. to 8:00 p.m. CST, Monday through Friday.


Disclaimer
CHRISTUS Health Plan Generations is an HMO plan with a Medicare contract. Enrollment in CHRISTUS Health Plan Generations depends on contract renewal. You must continue to pay your Part B premium. The benefit information provided is a brief summary, not a complete description of benefits. For more information, contact the plan. Limitations, copayments, and restrictions may apply. Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. Other pharmacies/physicians/providers are available in our network. Medicare beneficiaries may also enroll in CHRISTUS Health Plan Generations (HMO) through the CMS Medicare Online Enrollment Center located at medicare.gov. A sales person will be present with information and applications. This information is available for free in other languages. For accommodations of persons with special needs at sales meetings, call 1-844-282-3026, TTY call 711. Open seven days a week, 8:00 a.m. to 8:00 p.m., local time, from October 1 – March 31, and Monday – Friday, 8:00 a.m. to 8:00 p.m., local time, from April 1 – September 30. A voice response system is available after hours as well as Thanksgiving and Christmas Day. Messages left will be responded to within one (1) business day. CHRISTUS Health Plan Generations (HMO) Contract #H1189.

Notice: CHRISTUS Health Plan does NOT require authorization for in-network behavioral health services. If you have any questions, please call Member Services at: 1-844-282-3026