Medicare Advantage

Medicare Advantage Plans

Enjoy your health at any age. CHRISTUS Health Plan offers Generations and Generations Plus (HMO) insurance plans as our Medicare Advantage options. With quality care and service, our plans provide the coverage seniors need in addition to Medicare benefits.

Our plans combine Medicare Part A and B benefits with prescription drug coverage. What that means: you get the coverage and care you need under one plan while keeping your current doctor and the hospitals close to you. Learn more by reading the plan overview.

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ACCESSING BENEFITS DURING A DISASTER

Here are important things to know about getting care in a disaster or emergency

When the President, Governor or the Secretary of Health and Human Services declares a disaster or public emergency, CHRISTUS Health Plan ensures your access to benefits and services. The following safeguards are in place so that our members do not suffer unnecessary hardship:

  • We cover Medicare Parts A and B services and supplement Part C services at non-contracting facilities;
  • We waive requirements for referrals and authorizations;
  • We provide the same cost-sharing for services as if the service or benefit were provided by a plan contracted provider;
  • If you cannot use a network pharmacy, we will cover your prescription filled at an out of network pharmacy;
  • We implement these changes immediately upon notification of a disaster or public emergency.

  • CHRISTUS Health Plan makes all of these changes, that help our members, effective immediately. CHRISTUS Health Plan’s benefits protections will remain in place until:

  • The President, Governor or the Secretary of Health and Human Services declares the disaster or public emergency has ended, or
  • When 30 days have passed since the declaration of the disaster or public emergency.

  • If CHRISTUS Health Plan is unable to operate or unable to resume normal business processes due to a disaster or public emergency, we will notify the Centers for Medicare and Medicaid (CMS).


    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 www.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 1-800-659-8331. Open seven days a week, 8:00 a.m. to 8:00 p.m., local time, from October 1 – February 14, and Monday – Friday, 8:00 a.m. to 8:00 p.m., local time, from February 15 – September 30. A voice response system is available after hours. Messages left will be responded to within one business day. CHRISTUS Health Plan Generations (HMO) Contract #H1189.


    Notice:

    Effective immediately, CHRISTUS Health Plan does NOT require authorization for in-network behavioral health services. If you have any questions, please call Member Services at:

    Member Services: 844-282-3026



    H1189_MM143 pending approval
    Last Updated: 2/23/17