Medicare Advantage

Claim, Request & Appeal Forms


Ways to Enroll

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

Enroll online - Enroll Now

2020 Short Enrollment Request Form
2020 Short Enrollment Request Form en Espanol (PDF)

2020 Enrollment applications (fax or email)

Enroll online through Medicare.gov - Enroll now through Medicare.gov


Evidence of Coverage (EOC) 

2020

New Mexico

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Texas

English

Spanish


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Provider & Pharmacy Directory

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Summary of Benefits

2020

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: 11/04/2019