Full Answer
Does Amerigroup Star+Plus MMP cover Medicare and Texas Medicaid?
Amerigroup STAR+PLUS MMP (Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and Texas Medicaid to provide benefits of both programs to enrollees. This is not a complete list.
What are the benefits of Amerigroup Medicaid?
Other benefits, like prescriptions, vision, and dental care, may be covered, depending on where you live and your age. Enrollment in Medicaid is year-round. You can apply for Medicaid at any time. If you qualify, you will be able to start receiving benefits right away. Amerigroup is a health insurance plan that serves people who receive Medicaid.
How do I contact my Star+Plus MMP service coordinator?
You can reach your service coordinator by calling Member Services at 1-855-878-1784 (TTY: 711). The call is free. Learn more about Amerigroup STAR+PLUS MMP benefits and how to use them in your Member Handbook.
Who is eligible for Star+Plus benefits?
Amerigroup is proud to offer STAR+PLUS benefits to people who live in our service area, are approved for Medicaid, and meet at least one of the following: Age 21 or older and get Supplemental Security Income (SSI) benefits Don’t get SSI, but are able to get STAR+PLUS Home and Community-Based Waiver Services
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What is Amerigroup Star Plus?
Amerigroup STAR+PLUS MMP integrates care and reimbursement for Texas members who have Medicare Part A, Medicare Part B, Medicare Part D and Medicaid benefits (dual-eligible members) and consolidates their care through one Medicare-Medicaid Plan for full access to both their Medicaid and Medicare benefits.
What is Texas Star Plus MMP?
The Texas STAR+PLUS Medicare-Medicaid Plan (MMP), a collaborative program sponsored by the state of Texas and the Centers for Medicare & Medicaid Services (CMS), is available for consumers who are receiving both Medicare and full Medicaid services.
Is MMP a Medicare Advantage Plan?
A Medicare Advantage MMP is a private health plan that provides coordinated Medicare and Medicaid benefits for dually eligible individuals. MMPs simplify the processes for dual eligible individuals to access the care they are entitled to under Medicare and Medicaid programs.
What is the difference between D SNP and MMP?
A D SNP is commonly confused with a Medicare Advantage Medicare-Medicaid Plan (MMP). Unlike a D SNP, MMPs only serve full benefit dual (Medicare/Medicaid) eligible beneficiaries and some additional limitations may apply (such as state-specific requirements).
What does MMP mean for insurance?
Medicare-Medicaid Coordination Office. Information and Guidance for Plans. Medicare-Medicaid Plan (MMP) Enrollment.
What is Texas Medicaid MMP?
o A single managed care entity called a Medicare-Medicaid Plan (MMP) is responsible for contracting and credentialing providers of Medicare and Medicaid services. Additionally, the MMP is responsible for all Medicare and Medicaid claims processing, provider payment, and appeals.
Can you have Medicare and Medicaid at the same time?
Yes. A person can be eligible for both Medicaid and Medicare and receive benefits from both programs at the same time.
Is Mmai better than Medicare?
MMAI plans should have more benefits, meaning they cover more services than traditional Medicare/Medicaid. However, they may not cover the same prescriptions that Medicare/Medicaid covered. In order to understand the coverage differences, you may contact any MMAI plan for details.
What are the three types of Medicare special needs plans?
There are three different types of SNPs:Chronic Condition SNP (C-SNP)Dual Eligible SNP (D-SNP)Institutional SNP (I-SNP)
How do I qualify for dual Medicare and Medicaid?
Persons who are eligible for both Medicare and Medicaid are called “dual eligibles”, or sometimes, Medicare-Medicaid enrollees. To be considered dually eligible, persons must be enrolled in Medicare Part A (hospital insurance), and / or Medicare Part B (medical insurance).
Is D SNP a Medicare Advantage plan?
Dual Eligible Special Needs Plans (D-SNPs) are Medicare Advantage (MA) health plans which provide specialized care and wrap-around services for dual eligible beneficiaries (eligible for both Medicare and Medicaid).
What levels of Medicaid dual eligibility usually qualify for a D SNP select all that apply?
Dual-eligibles, individuals of any age who are eligible for both Medicare and Medicaid, qualify for D-SNPs. To be eligible for Medicare, individuals must be 65 years old or older or have a qualifying disability....Who Qualifies for D-SNPs?Type of D-SNPWho's Eligible to EnrollAll-DualAny dual-eligible beneficiary4 more rows
What is a NEMT ride?
Nonemergency medical transportation (NEMT) services. You can get no-cost rides to your health-care services. Amerigroup will provide rides to the doctor, dentist, hospital, pharmacy, and any other place you receive Medicaid services. Call us at least two working days before you need a ride.
What is the number to call for vision care in Texas?
To find an eye doctor and learn about covered services, call Superior Vision of Texas at 1-800-428-8789 or go to the Superior Vision website. If you have both Medicare and Medicaid, contact your Medicare plan for your vision benefits.
What age can I get SSI?
Age 21 or older and get Supplemental Security Income (SSI) benefits. Don’t get SSI, but are able to get STAR+PLUS Home and Community-Based Waiver Services. Age 21 or older and get Medicaid through Social Security Exclusion programs. Age 21 or older and live in a nursing home. Get services through the Medicaid Breast and Cervical Cancer (MBCC) ...
How much is Texas Health Steps 2020?
Healthy Rewards are available beginning September 1st, 2020. $20 each year for completing Texas Health Steps checkups, for members ages 18 to 20.
When will Amerigroup give free doctor visits?
Extra benefits just for Amerigroup members. We are here to help you with more than just doctor visits. Starting September 1, 2020 , you can receive these free extra benefits designed to help support you: Earn Healthy Rewards dollars by doing healthy activities like completing certain checkups or treatments.
What is consumer directed services?
Consumer directed services means that you, or someone you choose, coordinate (or direct) your health-care services, not the insurance company. Learn more about consumer directed services.
How to speak with a service coordinator?
To speak with a service coordinator, call Member Services at 1-800-600-4441 (TTY 711) . Service coordination.
Nursing Facility Resources
Nursing Facilities are required to notify Amerigroup within one business day of:
Interested in becoming a provider in the Amerigroup network?
We look forward to working with you to provide quality services to our members.
Plus, we provide extra benefits just for our members
Get up to $51 every three months to buy over-the-counter (OTC) medicines and health-related items from our 2021 Over-the-Counter Health Products Catalog. You can also use your Amerigroup Member Rewards dollars for catalog purchases.
Your service coordination team
Your service coordinator will help make sure all your care and services work together. He or she is part of your service coordination team and works with you to create a Plan of Care to meet your health needs and goals. Your service coordination team will also help you get approvals for needed care and services.
Member resources
Learn more about Amerigroup STAR+PLUS MMP benefits and how to use them in your Member Handbook. A brief summary of your covered services is found in the Summary of Benefits.
What is an appeal?
If we make a coverage decision — a decision about care or services you requested — and you’re not satisfied with our decision, you can file an appeal. An appeal is a formal way of asking us to review and change a coverage decision we made.
Appointed representative
You can ask someone to represent you when you submit a grievance or ask for an appeal. An appointed representative can be:
More information
For more information on how to submit a complaint about your health plan or Medicaid services and what to expect after you submit a complaint, review How to Submit A Complaint in English or Spanish .