Eligibility & Coverage Areas

CHRISTUS Health Plan offers three Medicare Advantage plans, two with prescription drug coverage.  

Eligibility Requirements:

  • Have both Medicare Part A Part B
  • Reside in the CHRISTUS Health Plan geographic service areas in Texas and New Mexico
    • New Mexico: Bernalillo, Los Alamos, Rio Arriba, Sandoval, San Miguel, Santa Fe, Taos
    • Northeast Texas: Bowie, Camp, Cass, Cherokee, Franklin, Gregg, Harrison, Henderson, Hopkins, Marion, Morris, Panola, Red River, Rusk, Smith, Titus, Upshur, Van Zandt, Wood
    • East Texas: Hardin, Jasper, Jefferson, Newton, Orange, Tyler
    • Southeast Texas: Aransas, Bee, Jim Wells, Kleberg, Nueces, Refugio and San Patricio
    • South Central Texas:  Caldwell, Comal, Guadalupe
  • Are United States citizen or are lawfully present in the United States 

2023 Coverage Maps

 

Benefits

We’ve got you covered from A to D

CHRISTUS Health Plan Generations, Generations Plus and Guardian 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.

***CHRISTUS Health Plan Generations and Generations Plus plans provide Part A, Part B, Part C and Part D coverage, while Guardian Plans cover Part A, Part B and Part C coverage.***

What Does Each Part Cover?

  • Part A: Hospital Insurance Benefits (i.e. 24/7 Nurse Hotline at 1-844-581-3174)
  • 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.

Interactive voice response system or similar technologies for Saturdays, Sundays and Federal Holidays (messages must be returned within one (1) business day. 


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. Interactive voice response system or similar technologies for Saturdays, Sundays and Federal Holidays (messages must be returned 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 ( 711 for TTY users).

Last Updated: 09/28/2020