TexanPlus Medicare Plans
TexanPlus Medicare plans are offered through a “Healthy Collaboration” with Universal American. They offer health plans designed to promote collaboration among members, doctors, pharmacists and other healthcare professionals. TexanPlus HMO is a Medicare-Approved Medicare Advantage plan contracted through the Federal government and offered as a result of the effort of SelectCare Health Plans of Texas, which does business as TexasFirst Health Plans, and is a member of the Universal American family of companies.
TexanPlus HMO is a Medicare Advantage Health Maintenance Organization (HMO), and provides health care to the North Texas region. They work to supply seniors with widespread medical coverage with additional benefits and prescription medication coverage at affordable prices. The TexanPlus HMO aims to provide you with exceptional care as long as you are in Medicare. TexanPlus is also a 2010 Senior Choice Gold Award Winner.
TexanPlus offers several plans designed to meet the variety of needs of their customers. They offer three plans, the TexanPlus Value HMO plan, the TexanPlus Classic powered by CCRx HMO plan, and the TexanPlus Premier powered by CCRx HMO plan.
The TexanPlus Classic offers a $0 premium per month on top of your Part B premium. There is also a $3,000 in-network out of-pocket cap for Medicare-approved health care services. For services, you must go to network providers. For various benefits, you may have to seek referrals to see specialists. Some doctor visits may also require a copayment. For in-network visits to your primary care physicians, there is a $0 copay for Medicare benefits. There is also a $25 copay for each Medicare-covered urgent care visit within the network in addition to a $25 copayment per specialist visit for Medicare-covered benefits.
The TexanPlus Premier plan offers $0 premium as well as your Part B premium. Within the network, you will also receive a $2,500 limit to what you can spend yourself on Medicare benefits. You must seek care from our network of providers, and in some cases you will need a referral in order to see certain specialists. Primary care trips involve $0 copayment for doctors within the network, $15 copayment for Medicare urgent care trips, and $15 copayment for specialist appointments.
For the TexanPlus Value plan there is a $0 premium payment each month on top of the Part B premium. The maximum amount that you can pay out of your own pocket is $3000 for Medicare-covered health care. You must seek treatment from our network’s providers, and might also need to receive referrals to see some specialists. You are accountable for paying the $0 copay for primary care physician appointment, $25 copay for urgent care trips, and $25 copay for specialist appointments all within the network. There is no drug benefit included with this plan.