Plan Overview

Medicare Advantage Plan Overview

CHRISTUS Health Plan offers CHRISTUS Health Plan Generations and Generations Plus (HMO) prescription drug coverage to seniors receiving Medicare benefits. Our all-in-one plans combine Parts A and B benefits with Part D drug coverage in one convenient package. Plus, we offer a network of doctors and facilities close to home.

Find more details below, or call 1-844-282-3026 with questions (1-800-659-8331 for TTY users). This information is also available in other languages. We’re ready to help, seven days a week, 8 a.m. to 8 p.m. local time.

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Who the Plan is For

CHRISTUS Health Plan Generations and Generations Plus (HMO) are created for seniors 65 and older looking for health insurance and prescription drug coverage in addition to Medicare benefits. Currently CHRISTUS Health Plan Generations is available to residents in Los Alamos, Santa Fe and San Miguel counties in New Mexico. Effective January 1, 2018 our plans will be available for residents in Smith, Wood and Cherokee counties in Texas as well as Los Alamos, Santa Fe, San Miguel and Rio Arriba counties in New Mexico. For more information, read about eligibility and coverage.


Plan Benefits

CHRISTUS Health Plan Generations and Generations Plus (HMO) includes doctor and hospital benefits, prescriptions and more:

  • Medical and drug coverage in one plan
  • A network of hospitals, doctors and facilities close to home
  • 24/7 Nurse Hotline at 1-844-581-3173
  • Routine eye exam
  • Preventive dental cleaning
  • Other programs to keep you healthy


Plan Requirements

To be eligible for CHRISTUS Health Plan Generations and Generations Plus (HMO), you must meet these requirements:

  • Must physically live in the service areas within New Mexico or Texas to meet all terms and conditions for coverage in this policy. See more about eligibility and coverage.
  • Must be eligible for Medicare.
  • Must pay your deductible, copay or coinsurance at the time you receive covered services. CHRISTUS Health Plan will reimburse the provider balance due for covered services. Your summary of benefits can be found in the forms and documents section with more information on cost sharing.


Enrollment Periods

There are eligibility restrictions to when and how often you can change the way you get Medicare. Open enrollment begins October 15, 2017 and ends December 7, 2017. Outside of open enrollment, you may enroll when you turn 65 or qualify for a Special Enrollment Period (SEP). Learn more about SEPs.


Medicare Star Ratings

Medicare evaluates health insurance plans based on a five-star rating system. This rating is based on quality and performance from things like satisfaction surveys, plans and providers. Five is considered excellent. Because CHRISTUS Health Plan is a new provider, we do not currently have a star rating. Learn more about Medicare Star Ratings:


Medicare Financial Assistance

Medicare offers assistance for people with low incomes. These subsidies and cost-sharing benefits can help you pay for Medicare premiums, deductibles and coinsurance. See if you qualify by calling 1-800-MEDICARE (1-877-486-2048 for TTY users).


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.


H1189_MM143 pending approval
Last Updated: 2/23/17