Medicare Advantage Guardian

2024 Plan Year

ENGLISH

• Christus Health Medicare Guardian (HMO) - South Texas Plan 6
• Christus Health Medicare Guardian (HMO) - New Mexico Plan 7
• Christus Health Medicare Guardian (HMO) - Northeast Texas Plan 8

SPANISH

• Christus Health Medicare Guardian (HMO) - South Texas Plan 6
• Christus Health Medicare Guardian (HMO) - New Mexico Plan 7
• Christus Health Medicare Guardian (HMO) - Northeast Texas Plan 8

 

 

2023 Plan Year

 

English

• Guardian  Annual Notice of Change (ANOC) - New Mexico (PDF)
• Guardian Annual Notice of Change (ANOC) - Northeast Texas (PDF)
• Guardian Annual Notice of Change (ANOC) - Southeast Texas  (PDF)

 

Spanish

• Guardian  Annual Notice of Change (ANOC) - New Mexico en Espanol (PDF)
• Guardian Annual Notice of Change (ANOC) - Northeast Texas en Espanol (PDF)
• Guardian Annual Notice of Change (ANOC) - Southeast Texas en Espanol (PDF)

 

• Appointment of Representative Form (PDF)
• Appointment of Representative Form en Espanol (PDF)

• Consent Form (PDF)

• Annual Attestations from FDRs (PDF)
• Annual Compliance Program Effectiveness Assessment- Medicare Advantage (PDF)
• Breach Notification PHI- Reporting Guideline (PDF)
• Code of Ethics (PDF)
• Code of Ethics for CHRISTUS Health Plan Louisiana (PDF)
• Communications Regarding Regulatory Changes (PDF)
• Compliance Training and Education (PDF)
• Corrective Action (PDF)
• Fraud, Waste, and Abuse (PDF)
• Monitoring and Auditing (PDF)
• Non-Discrimination Notice (PDF)
• Non-Retaliation Policy (PDF) 

Ways to Enroll

We provide three enrollment options: Online, Application (fax or mail) and through Medicare.gov.

Enroll online - Enroll Now

2023 Enrollment Applications (fax or email)

• 2023 Short Enrollment Application (PDF)
• 2023 Short Enrollment Application en Espanol (PDF)
• 2023 New Mexico Enrollment Application (PDF)
• 2023 New Mexico Enrollment Application en Espanol (PDF)
• 2023 Enrollment Application Northeast Texas (PDF)
  
• 2023 Enrollment Application Northeast Texas en Espanol (PDF)
• 2023 Enrollment Application Southeast Texas  (PDF)
• 2023 Enrollment Application Southeast Texas en Espanol; (PDF)
• 2023 Enrollment Application South Central and East Texas Medicare Expansion Counties (PDF)
• 2023 Enrollment Application South Central and East Texas Medicare Expansion Counties en Espanol (PDF)

2023 Disenrollment Applications 

• Disenrollment Request Form (PDF)
• Disenrollment Request Form en Espanol (PDF)

2022 Enrollment Applications (fax or email)

• 2022 Short Enrollment Application (PDF)
• 2022 Short Enrollment Application en Espanol (PDF)
• 2022 New Mexico Enrollment Application (PDF)
• 2022 New Mexico Enrollment Application en Espanol (PDF)
• 2022 Enrollment Application Northeast Texas (PDF)
• 2022 Enrollment Application Southeast Texas  (PDF)
• 2022 Enrollment Application Northeast Texas en Espanol (PDF)
• 2022 Enrollment Application Southeast Texas en Espanol (PDF)
• Individual Enrollment Request Form en Espanol (PDF)
• Late Enrollment Penalty Reconsideration Notice (PDF)
• Medicare Part D Late Enrollment Penalty Reconsideration Notice (PDF)

2022 Disenrollment Applications 

• Disenrollment Request Form (PDF)
• Disenrollment Request Form en Espanol (PDF)
  
  

2024 Plan Year

ENGLISH

• Christus Health Medicare Guardian (HMO) - South Texas Plan 6
• Christus Health Medicare Guardian (HMO) - New Mexico Plan 7
• Christus Health Medicare Guardian (HMO) - Northeast Texas Plan 8

 

2023 Plan Year

Guardian English

• Guardian Evidence of Coverage - New Mexico (PDF)
• Guardian Evidence of Coverage - Northeast Texas (PDF)
• Guardian Evidence of Coverage - Southeast Texas (PDF)

Guardian Spanish

• Guardian Evidence of Coverage en Espanol - New Mexico (PDF)
• Guardian Evidence of Coverage en Espanol - Northeast Texas (PDF)
• Guardian Evidence of Coverage en Espanol- Southeast Texas (PDF)

• Grievance and Appeal Request Form (PDF)
• Learn more about our Grievance and Appeals Process
• LEP Reconsideration Request Form
• Appendix 14-Model Part D Late Enrollment Penalty Reconsideration Notice

Provider Search Tools

• Online Searchable Provider Directory

Printable Provider & Pharmacy Directories

Medicare Advantage Guardian

2023

• Guardian 2023 Provider Directory New Mexico - English (PDF) 
• Guardian 2023 Provider Directory Texas - English (PDF)

 

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2024 Plan Year

ENGLISH

• Christus Health Medicare Guardian (HMO) - South Texas Plan 6
• Christus Health Medicare Guardian (HMO) - New Mexico Plan 7
• Christus Health Medicare Guardian (HMO) - Northeast Texas Plan 8

2023 Plan Year

English

• Guardian Summary of Benefits - Mexico (PDF)
• Guardian Summary of Benefits - Northeast Texas (PDF)
• Guardian Summary of Benefits – Southeast Texas (PDF) 

Spanish

• Guardian Summary of Benefits en Espanol - Mexico (PDF)
• Guardian Summary of Benefits en Espanol - Northeast Texas (PDF)
• Guardian Summary of Benefits en Espanol – Southeast Texas (PDF)