Important Notifications

Superior HealthPlan STAR+PLUS Medicare-Medicaid Plan (MMP) is partnering with Tomorrow Health. They work with your doctor and suppliers to make sure you get what you need to stay healthy at home.

Tomorrow Health matches your order for Durable Medical Equipment, Prosthetics, Orthotics, and Medical Supplies (DME-POS) with the right suppliers. They make sure suppliers have these products on hand and can deliver them to you quickly.

What do they do?

Your doctor sends an order to Tomorrow Health for Durable Medical Equipment, Prosthetics, Orthotics, and Medical Supplies (DME-POS). Tomorrow Health then:

Works directly with suppliers.
Helps with your insurance details.
Provides Care Advocates who answer your questions.

Who can get these services?

All Superior STAR+PLUS MMP members in the Bexar service delivery area can use this easy process. Members must have doctor-ordered medical equipment and supplies.

Have any questions?

You can reach Tomorrow Health by calling 1-844-402-4344 TTY: 711 or emailing them at support@tomorrowhealth.com.

Material ID: H6870_WEBSITE_2023_O Approved 10302023

Chronic Obstructive Pulmonary Disease (COPD) is used to describe chronic lung diseases like emphysema and chronic bronchitis. Breathlessness, tiredness and chronic coughs are the most common symptoms.

Let’s break down what COPD really is:

Chronic. COPD is a disease that is present for a long time.
Obstructive. The ability to move air in and out of your lungs is blocked or obstructed.
Pulmonary. This disease affects your lungs.
Disease. Your lungs have been damaged in some way due to illness or disease.

COPD is not curable but can be treated. There are several types of COPD, and which type you have will determine what treatment options are best for you. Medication, pulmonary rehabilitation and surgery are all possible treatment options for someone with COPD.

Superior HealthPlan STAR+PLUS Medicare-Medicaid Plan (MMP) members have access to our COPD Service Coordination program. The program can help manage any ongoing condition by connecting members with a Service Coordinator or health coach. Learn more about this program by visiting Superior STAR+PLUS MMP's Contact Us webpage.

Find out if you are at risk of developing COPD by taking the COPD Foundation’s short screening quiz.

For more information about COPD and treatment options, visit the resources below:

Material ID: H6870_WEBSITE_2023_P Approved 11032023

Superior HealthPlan STAR+PLUS Medicare-Medicaid Plan (MMP) will soon be mailing out your new ID card.

We are sending you a new card because we updated the pharmacy information on the front of your card. The information has been updated because the Pharmacy Benefit Manager (PBM) is changing from CVS to Express Scripts.

WHAT YOU SHOULD DO NOW:

Keep using your current ID card through December 31, 2023. Do not use your new card yet – it won’t work before January 1, 2024.

WHAT YOU SHOULD DO ON JANUARY 1, 2024:

Start using your new card on January 1, 2024. You will need the new card to get your prescription drugs.
Make sure your pharmacy is still in our network. You can check this on our website: https://findaprovider.superiorhealthplan.com/. Or you can call Member Services at 1-866-896-1844 (TTY: 711). Hours are from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you may be asked to leave a message. Your call will be returned within the next business day.

Please keep your ID card with you at all times.

If you need to update your contact information, please call 2-1-1.

Material ID: H6870_WEBSITE_2023_L_Approved_08212023

You Might Be Impacted by a COVID-19 Policy Update

We, as your Superior HealthPlan STAR+PLUS Medicare-Medicaid Plan (MMP), need you to know that a temporary COVID-19 flexibility has been updated. Your Superior STAR+PLUS MMP Medicaid benefits may be affected.

Due to COVID-19, Texas Health and Human Services Commission (HHSC) Changed How You Can Join Superior STAR+PLUS MMP Home and Community Based Services (HCBS).

The federal government declared a public health emergency (PHE) in January 2020 in response to COVID-19. Due to the PHE, HHSC extended a flexibility to Superior STAR+PLUS MMP members like you. Using this flexibility, you could apply for the Superior STAR+PLUS MMP HCBS program even if you already moved from a nursing facility into the community due to COVID-19. This flexibility has been extended to August 31, 2024.

Beginning on September 1, 2024, if you are living in a nursing facility, you must apply for the Superior STAR+PLUS MMP HCBS program and have services in place before leaving the nursing facility.

You Can Still Apply for Superior STAR+PLUS MMP HCBS

If you reside in a nursing facility and wish to get services in the community, contact your
Superior STAR+PLUS MMP Service Coordinator and ask about applying for Superior STAR+PLUS MMP HCBS. Make sure to apply for Superior STAR+PLUS MMP HCBS before leaving the nursing facility.

Beginning on September 1, 2024, if you leave the nursing facility without Superior STAR+PLUS MMP HCBS in place:

You won’t be able to join Superior STAR+PLUS MMP HCBS after you leave the nursing facility, and you may lose your Medicaid coverage.
You can still be added to the STAR+PLUS HCBS interest list. Once you are at the top of the interest list, you can apply for STAR+PLUS HCBS. If you are determined eligible for STAR+PLUS HCBS, you will regain your Medicaid coverage.

If you don’t live in a nursing facility but started the Superior STAR+PLUS MMP HCBS application process on or before August 31, 2024, your application for Superior STAR+PLUS MMP HCBS will still be reviewed. If you are approved, you’ll be enrolled into Superior STAR+PLUS MMP HCBS.

If you already have Superior STAR+PLUS MMP HCBS, this policy change will not affect you if you continue to meet the program’s eligibility requirements.

Need Help?

If you have questions or want to learn more about applying for Superior STAR+PLUS MMP HCBS, call your Superior STAR+PLUS MMP Service Coordinator.

If you don’t know your Service Coordinator, you can call us at 1-855-772-7075 (TTY: 711). Hours are from 8 a.m. to 5 p.m., Monday through Friday. After hours, on weekends and on holidays, you may be asked to leave a message. Your call will be returned within the next business day.

We’ll connect you with your Service Coordinator and help answer any questions you have.

Material ID: H6870_WEBSITE_2023_N_APPROVED_09132023

Superior HealthPlan STAR+PLUS Medicare-Medicaid Plan (MMP) extends our deepest condolences to those affected by the tragic events in Allen and Brownsville. If you are a Superior STAR+PLUS MMP member and were impacted in any way, we want to support you.

Call our free 24/7 Nurse Advice Call Line at 1-866-896-1844 (TTY: 711) if you need to:

Get help dealing with stress or depression.
Speak with a certified, licensed mental health clinician.

Additional Trauma Resources
The National Child Traumatic Stress Network (NCTSN) has developed resources to help children, families and communities navigate what they are seeing and hearing, acknowledge their feelings, and find ways to cope together. These resources include:

Psychological First Aid

The NCTSN also has resources for responders on Psychological First Aid (PFA). PFA is an early intervention to support children, adolescents, adults, and families impacted by these types of events. The PFA Wallet Card provides a quick reminder of the core actions. PFA Handouts include:

For any other assistance, you can call Superior STAR+PLUS MMP Member Services:

Superior STAR+PLUS MMP: 1-866-896-1844 (TTY: 711)

Hours are from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you may be asked to leave a message. Your call will be returned within the next business day.

Material ID: H6870_WEBSITE_2023_I_Approved_05102023

In January 2020, the federal government declared a public health emergency (PHE) in response to COVID-19. Under the PHE, the Texas Health and Human Services Commission (HHSC) provided certain flexibilities, including allowing Medicaid members more time to request a fair hearing. Instead of 120 days to request a fair hearing after the internal MCO appeal, members were given up to 150 days to request a fair hearing with HHSC during the PHE.

HHSC will be ending this flexibility on May 11, 2023.

Starting on May 12, 2023, if you receive a “Member Notice of MCO Internal Appeal Decision” and want to appeal it, you must file your request for a fair hearing with or without an external medical review no more than 120 calendar days from the date the notice is mailed. State fair hearing requests filed past this deadline may not be reviewed.

If you have any questions, please reach out to your health plan representative. You can also call Superior STAR+PLUS MMP’s Member Services at 1-866-896-1844 (TTY: 711). Hours are from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you may be asked to leave a message. Your call will be returned the next business day.

Línea del asunto: Una política de flexibilidad de la Comisión de Salud y Servicios Humanos (HHSC) para las audiencias imparciales estatales de los miembros finaliza el 11 de mayo de 2023

En enero de 2020, el gobierno federal declaró una emergencia de salud pública (PHE) en respuesta a COVID-19. Bajo la PHE, la Comisión de Salud y Servicios Humanos de Texas (HHSC) proporcionó ciertas flexibilidades, por ejemplo, brindarle a los miembros de Medicaid más tiempo para solicitar una audiencia imparcial. En lugar de tener 120 días para solicitar una audiencia imparcial después de la apelación interna de la organización de atención médica (MCO), a los miembros se les otorgó hasta 150 días para presentar una solicitud de audiencia imparcial ante la HHSC durante la PHE.

La HHSC finalizará esta flexibilidad el 11 de mayo de 2023.

A partir del 12 de mayo de 2023, si recibe una "Aviso para miembros de la decisión de apelación interna de la organización de atención médica (MCO)" y desea apelarla, deberá presentar su solicitud de audiencia imparcial con o sin revisión médica externa en un plazo máximo de 120 días corridos a partir de la fecha de envío por correo del aviso. Es posible que no se revisen las solicitudes de audiencia imparcial presentadas fuera de la fecha límite.

Si tiene cualquier duda, comuníquese con el representante de su plan médico. También puede llamar a los Servicios para miembros de Superior STAR+PLUS MMP al 1-866-896-1844 (TTY: 711). El horario de atención es de 8 a. m. a 8 p. m., lunes a viernes. Después de horas hábiles, los fines de semana y los días festivos, es posible que se le pida que deje un mensaje. Le devolveremos la llamada el próximo día hábil.

Material ID:H6870_WEBSITE_2023_H

In response to the COVID-19 pandemic, the federal government declared a public health emergency (PHE) and passed a law that allowed you to automatically keep your Medicaid coverage since March 2020. Based on new federal law, continuous Medicaid coverage will end on March 31, 2023. The Texas Health and Human Services Commission (HHSC) will reach out to you when it’s time to renew your coverage.

Your Superior HealthPlan Medicaid coverage may expire soon.

Supeior HealthPlan STAR+PLUS Medicare-Medicaid Plan (MMP) wants to help you get well and stay well. That’s why it’s important to know how and when you need to complete your Texas Medicaid renewal to ensure continued coverage.

Actions You Can Take Now

1. Sign up for an account at YourTexasBenefits.com or the Your Texas Benefits mobile app.

2. Report changes in contact information to ensure you receive important notices.

3. Return renewal packets or requests for information as soon as possible.

Click here for some common questions about the renewal process and a list of resources that are available to help you get the care you need.

No se arriesgue a perder sus beneficios de Medicaid

En respuesta a la pandemia del COVID-19, el gobierno federal declaró una emergencia de salud pública (PHE) y aprobó una ley que le ha permitido a usted mantener automáticamente su cobertura de Medicaid desde marzo de 2020. De acuerdo con la nueva ley federal, la cobertura continua de Medicaid terminará el 31 de marzo de 2023. La Comisión de Salud y Servicios Humanos (HHSC) se comunicará con usted cuando sea el momento de renovar su cobertura.

Es posible que su cobertura de Medicaid de Superior HealthPlan caducará pronto.

En Superior HealthPlan, queremos brindarle ayuda para recuperarse y mantenerse saludable. Por eso es importante saber cómo y cuándo necesita realizar la renovación de Texas Medicaid para garantizar la continuidad de la cobertura.

Acciones que puede tomar ahora

Inscribirse para una cuenta en YourTexasBenefits.com o bien en la aplicación para celular de Your Texas Benefits.
Avisar sobre cambios en la información de contacto para asegurarse de recibir avisos importantes.
Enviar los paquetes de renovación o responder a las solicitudes de información lo antes posible.

Haga clic aquí para ver algunas preguntas comunes sobre el proceso de renovación y una lista de recursos disponibles para conseguir ayuda a fin de obtener la atención que necesita.

Material ID: H6870_WEBSITE_2023_F_Approved_03152023

In January 2020, the federal government declared a public health emergency (PHE) in response to COVID-19. Under the PHE, the Texas Health and Human Services Commission (HHSC) has provided certain flexibilities, including allowing managed care members more time to request an appeal. Instead of the required 60 days, members were given 90 days to request an appeal during the PHE.

HHSC will be ending this flexibility on March 31, 2023.

Starting April 1, 2023, if you receive an “Adverse Benefit Determination” notice and want to appeal it, you must file your appeal within 60 days of the date the notice is mailed. Appeals filed past this deadline may not be reviewed. If you have any questions, please reach out to your health plan representative. You can also call Superior STAR+PLUS MMP’s Member Services at 1-866-896-1844 (TTY: 711). Hours are from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you may be asked to leave a message. Your call will be returned the next business day.

Una política de flexibilidad de la Comisión de Salud y Servicios Humanos (HHSC) para las apelaciones de los miembros finaliza el 31 de marzo.

En enero de 2020, el gobierno federal declaró una emergencia de salud pública (PHE) en respuesta al COVID-19. Bajo la PHE, la Comisión de Salud y Servicios Humanos de Texas (HHSC) ha proporcionado ciertas flexibilidades, incluido permitir a los miembros de la atención médica administrada más tiempo para solicitar una apelación. En lugar de los 60 días obligatorios, los miembros dispusieron de 90 días para solicitar una apelación durante la PHE.

La Comisión de Salud y Servicios Humanos (HHSC) finalizará esta flexibilidad el 31 de marzo de 2023.

A partir del 1 de abril de 2023, si recibe un aviso de "Decisión adversa sobre los beneficios" y desea apelarlo, deberá presentar su apelación en un plazo de 60 días a partir de la fecha de envío del aviso por correo. Es posible que no se revisen las apelaciones presentadas fuera de la fecha límite. Si tiene cualquier duda, comuníquese con el representante de su plan médico.

También puede llamar a los Servicios para miembros de Superior STAR+PLUS MMP al 1-866-896-1844 (TTY: 711). El horario de atención es de 8 a. m. a 8 p. m., lunes a viernes. Después de horas hábiles, los fines de semana y los días festivos, es posible que se le pida que deje un mensaje. Le devolveremos la llamada el próximo día hábil.

Material ID: H6870_WEBSITE_2023_B_Approved_12212022

The National Suicide Prevention Lifeline now has a 3-digit dialing code. Individuals needing support can now dial 988. For TTY users use your preferred relay service or dial 711 then 988.

This new dialing code became available nationwide on July 16, 2022. When people call, text, or chat 988, they will be connected to trained counselors that are part of the existing National Suicide Prevention Lifeline network. These trained counselors will listen, understand how their problems are affecting them, provide support, and connect them to resources if necessary.

This new dial code does not replace the previous phone number, 1-800-273-8255 (TTY 711). Both will connect callers to 24/7 help.

For more information, visit:

NUEVO: Código de marcación de 3 dígitos para la Línea Nacional de Prevención del Suicidio

La Línea Nacional de Prevención del Suicidio tiene ahora un código de marcación de 3 dígitos. Ahora, las personas que necesiten apoyo pueden marcar el 988. Para los usuarios de teletipo (TTY), utilice su servicio de retransmisión preferido o marque 711 y luego 988.

Este nuevo código de marcación está disponible en todo el país desde el 16 de julio de 2022. Cuando las personas llamen, envíen un mensaje de texto o escriban por chat al 988, se pondrán en contacto con orientadores capacitados que forman parte de la red existente de la Línea Nacional de Prevención del Suicidio. Los orientadores capacitados los escucharán, comprenderán cómo les afectan sus problemas, les brindarán apoyo y los pondrán en contacto con recursos si es necesario.

Este nuevo código de marcación no sustituye al número de teléfono anterior, 1-800-273-8255 (TTY 711). Ambos conectarán a las personas que llamen con la ayuda durante las 24 horas, los 7 días de la semana.

Para obtener más información, visite:

Material ID: H6870_WEBSITE_2023_D_Approved_01102023

On January 1, 2023, Superior HealthPlan STAR+PLUS Medicare-Medicaid Plan (MMP) members will get over-the-counter (OTC) items through CVS and OTC Health Solutions® (OTCHS).

The OTC benefit offers you three new easy ways to get generic over-the-counter health and wellness items. No prescription is needed, and items are mailed to your home. As a reminder:

Superior STAR+PLUS MMP members can order up to $35 per calendar month in OTC items.

There are three easy ways to get your OTC items:

Online:

The fastest and easiest way to order 24/7 is to visit: www.cvs.com/otchs/SuperiorHealthPlan
Orders must be placed by 11:59 PM ET of the last day of the month.

By Phone:

Orders can be placed by calling 1-888-628-2770 (TTY: 711).
You can talk to an agent Monday to Friday, from 9 AM to 8 PM local time, or use the Interactive Voice Response (IVR) system 24/7.

In Store:

You can pick up your OTC items at any OTCHS-enabled CVS store. To find the closest location, go to www.cvs.com/otchs/SuperiorHealthPlan.
IMPORTANT: Not all CVS stores participate in this benefit. To find the closest location, go to www.cvs.com/otchs/SuperiorHealthPlan or call OTCHS at 1-888-628-2770 (TTY: 711).

Please note: If you previously ordered OTC items through the Envolve OTC mobile app, you will need to create a new account with CVS by visiting www.cvs.com/otchs/SuperiorHealthPlan.

For more information and a full listing of OTC items available to order, please visit mmp.SuperiorHealthPlan.com/resources.

For any questions, call Superior STAR+PLUS MMP Member Services at 1-866-896-1844 (TTY: 711). Hours are from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you may be asked to leave a message. Your call will be returned within the next business day.

H6870_WEBSITE_2022_Approved_10202021

NUEVO 1/1/23: Pida artículos de venta libre a través de CVS

A partir del 1.º de enero de 2023, los miembros de Superior HealthPlan STAR+PLUS Medicare-Medicaid Plan (MMP) obtendrán artículos de venta libre (OTC) a través de CVS y OTC Health Solutions® (OTCHS).

El beneficio de artículos de venta libre le ofrece tres nuevas y sencillas formas de obtener artículos de venta libre genéricos para la salud y el bienestar. No se necesita receta médica y los artículos se envían por correo a su casa. Recordatorio:

Los miembros de Superior STAR+PLUS MMP pueden pedir hasta $35 de artículos de venta libre por mes calendario.

Hay tres formas sencillas de conseguir sus artículos de venta libre:

Por Internet:

La forma más rápida y fácil de hacer un pedido las 24 horas del día y los 7 días de la semana es visitar: www.cvs.com/otchs/SuperiorHealthPlan
Los pedidos deben realizarse antes de las 11:59 p.m., hora del este, del último día del mes.

Por teléfono:

Los pedidos pueden realizarse llamando al 1-888-628-2770 (TTY: 711).
Puede hablar con un agente de lunes a viernes, de 9:00 a.m. a 8:00 p.m., hora local, o utilizar el sistema de respuesta de voz interactiva (IVR) las 24 horas del día, los 7 días de la semana.

En la tienda:

Puede recoger sus artículos de venta libre en cualquier tienda CVS habilitada por OTCHS. Para encontrar la ubicación más cercana, visite www.cvs.com/otchs/SuperiorHealthPlan.
IMPORTANTE: No todas las tiendas CVS están incluidas en este beneficio. Para encontrar la ubicación más cercana, visite www.cvs.com/otchs/SuperiorHealthPlan o llame al OTCHS al 1-888-628-2770 (TTY: 711).

Tenga en cuenta lo siguiente: Si anteriormente pidió artículos de venta libre a través de la aplicación móvil Envolve OTC, tendrá que crear una nueva cuenta en CVS visitando www.cvs.com/otchs/SuperiorHealthPlan.

Para obtener más información y un listado completo de los artículos de venta libre disponibles para pedir, visite mmp.SuperiorHealthPlan.com/resources.

Si tiene alguna pregunta, llame a los Servicios para miembros de Superior STAR+PLUS MMP al 1-866-896-1844 (TTY: 711). El horario de atención es de 8 a. m. a 8 p. m., lunes a viernes. Después de horas hábiles, los fines de semana y los días festivos, es posible que se le pida que deje un mensaje. Le devolveremos la llamada el próximo día hábil.

H6870_WEBSITE_2022_Approved_10202021

Choice Health, a provider of insurance brokerage services, recently experienced a data security incident involving one of its customer relationship systems, after a service provider, Boru, Inc. (“Boru”), failed to properly configure the security settings for the database. This may have resulted in unauthorized access to the personal information of certain policy holders.

On May 14, 2022, Choice Health learned an unauthorized actor, unaffiliated with Choice Health, had accessed and obtained data from one of its online databases on May 7, 2022. Although the information varied from individual-to-individual, the unauthorized actor may have been able to access policy holder: first and last name, Social Security number; Medicare beneficiary identification number; date of birth; address and contact information; and health insurance information.

Choice Health investigated the unauthorized access and determined that the unauthorized actor was able to gain access to the database in question because Boru had failed to properly configure the security settings for the database. Choice Health is in the process of notifying the affected individuals of this incident.

In response to this incident, Choice Health worked with Boru to reconfigure the security settings on the database. Choice Health has also taken additional steps to enhance its data security measures to prevent the occurrence of a similar event in the future, including by requiring multi-factor authentication for all access to database files.

Choice Health encourages affected individuals to remain vigilant for identity theft by regularly reviewing their account statements, explanations of benefits from their health insurer, and to monitor other accounts closely.

For additional information, please contact: media@choicehealthins.com or call 1-800-941-2227.

Thank you,

Superior HealthPlan STAR+PLUS Medicare-Medicaid Plan (MMP)

SPANISH

Aviso de incidente de datos en Choice Health (un proveedor del Medicare-Medicaid Plan (MMP) de Superior HealthPlan STAR+PLUS)

Choice Health, un proveedor de servicios de correduría de seguros, tuvo hace poco un incidente de seguridad de datos que afectó a uno de sus sistemas de atención al cliente, después de que un proveedor de servicios, Boru, Inc. ("Boru"), no configurara correctamente los parámetros de seguridad de la base de datos. Esta situación puede suponer un acceso no autorizado a la información personal de algunos titulares de pólizas.

El 14 de mayo de 2022, Choice Health se enteró de que una persona no autorizada y no afiliada a Choice Health, accedió y obtuvo datos de una de sus bases de datos por Internet el 7 de mayo de 2022. Aunque la información varía según la persona, la persona no autorizada pudo acceder al nombre y los apellidos, el número de Seguro Social, el número de identificación de beneficiario de Medicare, la fecha de nacimiento, la dirección y los datos de contacto y la información sobre el seguro médico de los titulares de pólizas.

Choice Health investigó el acceso no autorizado y determinó que la persona no autorizada pudo acceder a la base de datos en cuestión porque Boru no había configurado correctamente la configuración de seguridad de la base de datos. Choice Health está en proceso de notificar este incidente a las personas afectadas.

Ante este incidente, Choice Health trabajó con Boru para reconfigurar la configuración de seguridad de la base de datos. Choice Health también ha tomado precauciones adicionales para mejorar sus medidas de seguridad de los datos con el fin de evitar que se produzca un suceso similar en el futuro, incluido requerir la autenticación multifactor para todos los accesos a los archivos de la base de datos.

Choice Health recomienda a las personas afectadas que se mantengan atentos a los robos de identidad revisando regularmente los extractos de sus cuentas, las explicaciones de los beneficios de su aseguradora médica, y que controlen otras cuentas con atención.

Para obtener más información, comuníquese con: media@choicehealthins.com o llame al 1‑800-941-2227.

Muchas gracias.

Superior HealthPlan STAR+PLUS Medicare-Medicaid Plan (MMP)

Material id: H6870_WEBSITE_2022_I_Approved_10052022

The management of Case Management for Children and Pregnant Women (CPW) services will change from the Department of State Health Services (DSHS) to Superior HealthPlan STAR+PLUS Medicare-Medicaid Plan (MMP)’s Medicaid managed care health care delivery system on September 1, 2022. CPW Case Management is a Medicaid benefit for Superior STAR+PLUS MMP pregnant women.

If you are currently receiving CPW Case Management services, you can continue to receive authorized CPW services for service dates on and after September 1, 2022 through your current CPW Case Manager for up to 90 days. If you are receiving Case Management services through DSHS, your DSHS regional case manager may need to transfer your case files to Superior STAR+PLUS MMP.

Superior STAR+PLUS MMP pregnant women who have health problems or are at high risk for health problems may be eligible for CPW Case Management. CPW Case Managers can help you:

Work on school or education issues.
Get medical, mental and dental services, medical supplies or equipment.
Manage your health condition.
Work on other problems.

Superior STAR+PLUS MMP has nurses, behavioral health clinicians and social workers to provide case management for you. You may receive services from a CPW provider contracted with Superior STAR+PLUS MMP or Superior STAR+PLUS MMP’s Care Management staff. Superior STAR+PLUS MMP will help decide who will provide you with case management. If you want to learn more about CPW Case Management services, call Superior STAR+PLUS MMP Member Services at 1-866-896-1844 (TTY: 711). Hours are from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you may be asked to leave a message. Your call will be returned within the next business day.

Material ID H6870_WEBSITE_2022_Approved_10202021

ENGLISH

SUPPORT FOR MEMBERS IN UVALDE

Date: 05/25/2022

Superior HealthPlan STAR+PLUS Medicare-Medicaid Plan (MMP) extends our deepest condolences to those affected by the tragic events in Uvalde. If you are a Superior STAR+PLUS MMP member and were impacted in any way, we want to support you.

Call our free 24-hour Crisis Hotline, offered by Magellan, at 1-800-327-7451 (TTY 711) if you need to:

Get help dealing with stress or depression.
Speak with a certified, licensed mental health clinician.

Additional Trauma Resources
The National Child Traumatic Stress Network (NCTSN) has developed resources to help children, families and communities navigate what they are seeing and hearing, acknowledge their feelings, and find ways to cope together. These resources include:

Psychological First Aid

The NCTSN also has resources for responders on Psychological First Aid (PFA). PFA is an early intervention to support children, adolescents, adults, and families impacted by these types of events. The PFA Wallet Card provides a quick reminder of the core actions. PFA Handouts include:

For any other assistance, you can call Superior Member Services:

Superior STAR+PLUS MMP: 1-866-896-1844 (TTY: 711)

Hours are from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you may be asked to leave a message. Your call will be returned within the next business day.

SPANISH

APOYO A MIEMBROS EN UVALDE

Fecha: 05/25/2022

Superior HealthPlan STAR+PLUS Medicare-Medicaid Plan (MMP) les da el más sentido pésame a todos los afectados por los eventos trágicos de Uvalde. Si es afiliado de Superior STAR+PLUS MMP y fue impactado en cualquier manera, queremos apoyarle.

Si necesita ayuda con lo siguiente, llame a nuestra línea de ayuda gratuita para casos de crisis, brindada por Magellan y disponible las 24 horas, al 1-800-327-7451 (TTY: 711):

Obtener ayuda para tratar el estrés o la depresión.
Hablar con un especialista (clínico) en salud mental, habilitado y matriculado.

Recursos adicionales sobre el trauma
La Red Nacional para el Estrés Traumático Infantil (NCTSN) ha elaborado recursos para ayudar a los niños, a las familias y a las comunidades a lidiar con lo que ven y escuchan (experiencias), a identificar sus sentimientos y a encontrar formas de afrontarlo juntos. Estos recursos incluyen lo siguiente:

Primeros auxilios psicológicos

La NCTSN también cuenta con recursos para los equipos de primeros auxilios psicológicos (PFA). Estos son una forma de intervención temprana para apoyar a niños, adolescentes, adultos y familias afectados por este tipo de acontecimientos. La tarjeta de billetera de PFA sirve de recordatorio rápido de las acciones principales. Los folletos de PFA incluyen lo siguiente:

Para obtener ayuda con otros temas, puede llamar a Servicios para miembros de Superior

Superior STAR+PLUS MMP: 1-866-896-1844 (TTY: 711)
Nuestro horario de atención es de 8:00 a.m. a 8:00 p.m., de lunes a viernes. Si llama fuera del horario habitual, los fines de semana y los días festivos, es posible que tenga que dejar un mensaje. Le devolveremos la llamada en el transcurso del siguiente día hábil.

Material ID: H6870_WEBSITE_2022_Approved_10202021

If you are a member of Superior HealthPlan STAR+PLUS Medicare-Medicaid Plan (MMP) and are located in an area with a storm or flood warning, there are services available to help you.

Call Member Services if you need to:

Get an emergency prescription refill.
Replace necessary medical equipment, services or supplies.
Get a new copy of your Member ID card.
Speak with a registered nurse, 24 hours a day, 7 days a week.
Speak with a medical doctor via our Telehealth program.
Find a doctor in your area.
Get help dealing with stress or depression.

All Superior STAR+PLUS MMP members who live in the official disaster designated counties and who may need to replace necessary medical equipment, services, or supplies can get a replacement through any available supplier. If you cannot find a supplier, call Member Services to find one for you. Your supplies will be replaced even if you are temporarily outside of the county in which you live.

All Superior STAR+PLUS MMP members who live within the official disaster designated counties may also see out-of-network Medicare or Medicaid providers without prior authorization (approval in advance) if an in-network provider is not available. Medical necessity rules apply. For more information, contact Member Services.

Member Services:

Superior STAR+PLUS MMP: 1-866-896-1844 (TTY: 711)
Hours are from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you may be asked to leave a message. Your call will be returned within the next business day.

Other Resources:

For information on evacuations, shelters and recovery resources, call 2-1-1.
To check on loved ones and neighbors affected by the flood, visit the Red Cross Safe and Well website, https://safeandwell.communityos.org/cms/index.php.

SHP_20206869B

Superior HealthPlan STAR+PLUS Medicare-Medicaid Plan (MMP) is committed to protecting the privacy and security of our members’ information. On January 25, 2021, one of our vendors, Accellion, informed us that it was the victim of a cyber-attack that compromised its file transfer platform, and allowed a malicious party to view or download data files from January 7 to January 20, 2021. On April 2, 2021, our investigation identified that the personal information of Superior HealthPlan members was involved in this incident. We have mailed a letter and provided resources to all members whose information was involved in this incident.

The personal information involved in this incident includes name, and one or more of following: address, date of birth, insurance ID number, health information such as medical condition(s) and treatment information.

We have no indications of inappropriate use of members’ information. However, out of an abundance of caution we recommend that potentially affected members take reasonable steps to ensure the security of their information.

We are providing members affected by this incident with one-year of free credit monitoring and identity theft protection services. Instructions on how to enroll in this service were included in the letter sent to affected individuals.

We have also shared a reference guide of recommendations from the Federal Trade Commission regarding identity theft including information on how to request free credit reports, security freezes and fraud alerts.

Upon discovering this incident, we took the following actions to correct this issue and prevent it from reoccurring:

We immediately conducted an investigation into the incident and ceased using Accellion’s services.
We have reviewed our file transfer processes and tools to ensure that they are not at risk of a similar attack.
We have removed all of our data files from Accellion’s systems.

Accellion is coordinating their response with the appropriate law enforcement authorities.

Superior STAR+PLUS MMP takes the responsibility of protecting our members’ personal information very seriously. We sincerely regret any concern or inconvenience this incident may have caused our members and their families. If you have any questions, or would like additional information, please call Superior STAR+PLUS MMP Member Services at 1-866-896-1844 (TTY: 711). Hours are from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you may be asked to leave a message. Your call will be returned within the next business day.

H6870_WEBNOTEPHI_I

We are counting on you to protect your loved ones and yourself. Let us know your COVID vaccination status . We may share this information with your provider.

Your family and friends are counting on you to get a COVID vaccination. If you haven’t been vaccinated, please call your doctor to schedule an appointment today. Or go to Vaccines.gov for more information about the safety and availability of the COVID vaccine.

And now through July 4^th, Uber and Lyft are offering free rides to and from vaccination appointments. Download the Uber or Lyft app on your smartphone to schedule your trip. Thank you for making sure those closest to you know they can count on you.

On July 23, 2020, HHS Secretary Alex Azar renewed the COVID-19 Public Health Emergency (PHE). This extends flexibilities and funding tied to the PHE to continue for another 90 days.

With this renewal the various testing, screening, billing, and telehealth coverages that were implemented in response to the COVID-19 PHE earlier this year will be extended to our members. This extension will go through late October, until the PHE is either terminated or extended again. This extension does not affect coverages that had already been made effective through December 31, 2020.

Do you have any questions about this extension or the covered benefits impacted by it? Please contact Member Services or visit mmp.SuperiorHealthPlan.com for more information.

H6870_20_20847WEB_I_08202020

Update To Your Covered Benefits (PDF)

Our lives and routines have changed because of COVID-19. Gyms are closed, parks are closed, shopping trips are limited, and personal hygiene is more important than ever. How can we stay healthy with our habits broken? Here are some tips to help you.

Creating Social Distancing Habits

Tip #1: Make an oath

Write and sign an oath that says “I will stay home!” If you can do it, commit now to only going out when you have to. Even better, write an oath on a piece of paper and sign it.

Why is this important?
People like to live up to their promises. Making an oath makes you that much more likely to stick to your guns when the going gets tough.

Tip #2: Play a game

Make a fun game out of staying safe. When you have to go out, pretend you have a secret force field around yourself. If anyone gets inside, you lose! Remember playing “the floor is hot lava” as a kid? It’s like that, but you might save a life.

Why is this important?
Doing things that are good for you is so much easier when they’re also fun. Turning a chore into a game means you don’t have to choose between safety and having a good time.

For more information about social distancing visit https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/social-distancing.html.

How to Connect with Loved Ones, Even When You're Apart

Tip #1: Set aside real time to talk

Call or text a friend to schedule a date and time to talk. Video chat is great to feel like you’re really together.

How can I do that?
If you’re new to video chat, Skype and Google Hangouts are both free and easy to use.

Tip #2: Talk about the important things

People get closer when they talk about the things that matter. Don't just chat. Really connect about your joys, dreams, and worries.

How can I do that?
Use questions to get to know a friend even better than before. Try asking about their favorite memories, what they are most grateful for, a funny embarrassing story – or something else that allows the two of you to learn more about each other dig deeper into what makes you unique.

Tip #3: Give the support they need

When someone comes to you with their problems, it's natural to try to solve them. But what people really want is just a listening ear.

How can I do that?
Try not to give people advice they didn't ask for. Instead, focus on showing them you care about how they feel.

Tip #4: Don't forget to have fun!

Relationships don't rely on just the big moments. Doing fun things together is a great way to stay close, too.

How can I do that?
Whatever you're into, there's a way to do it online with other people! You can watch shows together, game together, or draw and write together.

No matter what you do, the idea is the same. Put in the effort to keep up with your loved ones. Just because we're physically apart in person doesn't mean we have to be apart in our hearts.

For more information about managing mental health during COVID-19 visit https://www.cdc.gov/coronavirus/2019-ncov/daily-life-coping/managing-stress-anxiety.html.

Creating Habits to Avoid Face Touching

Tip #1: Scented Soap

Cover your hands in something that smells nice! Scented soap or hand lotion means you’ll notice when your hands get too close to your face.

Why is this important?
We touch our faces on auto-pilot. Adding a new smell helps jolt us out of our familiar routines.

Tip #2: Text a Friend

Commit to texting a friend every time you catch yourself touching your face. Find a buddy who will help keep your hands where they belong.

Why is this important?
We don’t want to look bad in front of our friends. Knowing we’ll have to admit we’ve messed up makes us a lot more careful.

Tip #3: Use Sticky Notes

Write "Don't touch your face" on sticky notes. Put the notes around the house where you’re likely to see them. Sticky notes serve as a great reminder if you see them throughout your day.

Why is this important?
This is another way to stop an automatic habit in its tracks. The note will make you think about touching your face instead of just acting.

Tip #4: Fidget Spinning

Keep your hands busy. Buy a fidget spinner or twirl a pen! You can’t touch your face if you’re using your hands for something else.

Why is this important?
Sometimes it’s easiest to just replace a bad habit with a better one.

For more information on what you can do visit https://www.cdc.gov/coronavirus/2019-ncov/need-extra-precautions/what-you-can-do.html.

Creating Handwashing Habits

Tip #1: Practice three times

Go wash your hands with warm water and soap for 20 seconds. Time yourself with your phone. Make sure to clean the backs, fronts, between the fingers, and fingertips each twice. This is how long you need to wash every time! Do this three times.

Why is this important?
You may already wash your hands but it might not be thorough enough. Practice the right method to undo this habit and replace it with a better one.

Tip #2: Use feelings of disgust (“cooties effect”)

Place stickers of germs on door handles or signs above handles that make it clear that they’re dirty.

Why is this important?
Disgust is a strong feeling. Making germs visible can cause strong feelings of disgust. That might keep people from directly touching handles or make them properly wash their hands.

Tip #3: Use posters

Post posters on bathroom mirrors that show a step-by-step outline of how to wash hands. Posters can be found on the CDC website: https://www.cdc.gov/handwashing/posters.html.

Why is this important?
Washing your hands is just a series of steps. People might think they know how to do it, but the data shows otherwise. A poster can help make sure people don’t miss any steps!

Tip #4: Reward hand-washing with nice soap

Put nice-smelling soap in the bathrooms to reward people for washing their hands.

Why is this important?
It might seem silly, but people care about the small things. Leaving the bathroom smelling nice makes washing your hands a treat.

Tip #5: Learn the “Scrub Your Palms” song

Sing to the tune of Brother John (Frère Jacques):

Scrub your palms / Between the fingers
Wash the back / Wash the back
Twirl the tips around / Scrub them upside down
Thumb attack / Thumb attack

Why is this important?
Let’s face it: We don’t really do all the right steps while washing hands! Even if we try, we don’t wash for 20 seconds! To get it right, you just need to hum the “Scrub Your Palms” song to yourself.

For more information about handwashing visit https://www.cdc.gov/handwashing/when-how-handwashing.html.

Keeping Your Phone Clean and Safe

Tip #1: Clean your phone right now

Drop what you’re doing! Clean your phone and case right now using disinfecting wipes or spray.

Why is this important?
It’s easy to say “I can always clean my phone later.” If you do it right now, you won’t forget!

Tip #2: Use an alarm

Set an alarm on your phone called “clean phone” once per day. When it goes off, clean your phone right then and there!

Why is this important?
Even if you just cleaned your phone right now, you’re going to forget later! That’s why reminders are so important.

For more information about cleaning and disinfecting visit https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/disinfecting-your-home.html.

How to Stay Positive in Tough Times

Tip #1: Be mindful about social media use

Use social media to keep up with loved ones. But stay away from news that might be untrue or upset you.

How do I do it?
Spend more time on direct messages to your friends and family and less time just reading your feed. Don’t scroll – connect!

Tip #2: Maximize self-care

We’re better at handling stress when we take time out to care for ourselves.

How do I do it?
Plan and create a list of things that make you happy. For example, you could relax outside, dance, or read a good book.

Tip #3: Look for the silver lining

It sounds like a cliché, but when you're feeling bad, finding a good side to your situation can help.

How do I do it?
When you feel upset, really think through what’s bothering you. In many cases, you’ll see the problem in a new light. For example, instead of saying “I am tired of sitting home” say instead “I am happy to be home and safe.” By viewing a stressful situation in a positive light you are thinking about it in a way that makes you feel less stressed.

Tip #4: Establish a daily routine

Creating a routine helps us feel safe and secure. We know what to expect out of life when we organize our days.

How do I do it?
Make a list of what you do every day. Plan your most important tasks first. You can slip in the others after. Don’t block out your whole day, though. Life is unpredictable! Leave wiggle room in your schedule to keep things running smoothly.

If you need more help, you’re not alone. Please call the Disaster Distress Helpline at 800-985-5990. You can also text MHFA to 741741 to talk to a Crisis Text Line counselor today.

For more information about managing mental health during COVID-19 visit https://www.cdc.gov/coronavirus/2019-ncov/daily-life-coping/managing-stress-anxiety.html.

How to Stay Staying Grounded

Even when the world around us is scary, we can thrive in our day-to-day lives. The key is staying grounded. Being grounded means taking charge of our own thoughts and feelings.

Tip #1: Express gratitude

Take a moment to think of something you’re grateful for. Then put that feeling into words.

How do I do it? Try gratitude journaling. Writing helps to organize and process your thoughts. Doing so means you will have a calm and clear mind because you are choosing to focus on the positive in your life and less on the negative. There are so many ways that you can do it. For example, write down a few people who you are thankful for and why. Share it out loud with them if you like.
When do I do it? There’s no right or wrong time to journal. Regardless of when you journal, the goal is to be consistent. If you find that journaling in the morning works best for you, commit to do it at that time.
How often do I do it? You don’t have to journal every day, but try to do so at least one to three times a week.

Tip #2: Practice self-compassion

When bad things happen to others, we feel sorry for them and do what we can to help. Treat yourself the same way! This means to stop criticizing yourself for normal mistakes. Instead, try being kind and forgiving.

How do I do it? There are many ways to practice self-compassion. One way is by learning how to view negative events in a self-compassionate manner. First, think of an event that resulted in evaluating yourself in a negative manner. Next, write down ways in which others have experienced a similar event that you went through and how you would express compassion to that friend if they have experienced the event.
When do I do it? There’s no wrong way of when to do it. You can do it right at the moment when you recognize you’re being overly harsh on yourself or at a later time. The goal is to do what works for you!
How often do I do it? Having self-compassion for yourself takes time. The more you practice the better you can quiet your inner critic.

Tip #3: Practice mindfulness

Mindfulness is about living in the now, not thinking about the past or worrying about the future. Being mindful lets us focus our attention on what matters.

How do I do it? There are many ways to be mindful in our everyday lives. One way to do so is by mindful breathing. To get a guided sense of mindfulness, try free apps such as Smiling Mind or UCLA Mindfulful.
When do I do it? You can practice mindful breathing anywhere! Do so by incorporating it in your everyday activities like showering or walking. If you feel yourself having negative thoughts, sit down and take slow deep breaths. Focus on your breath as it moves in and out of your body. Sitting and breathing for even just a minute can help to give you a peace of mind.
How often do I do it? Mindfulness takes practice so try to do it on a daily basis. The more that you do it, the better you get at it. Take at least five minutes each day to practice mindful breathing.

We don’t have to let the world decide how we feel. Ground yourself so that you can choose your own path. For more information about managing mental health during COVID-19 visit https://www.cdc.gov/coronavirus/2019-ncov/daily-life-coping/managing-stress-anxiety.html.

Creating Exercising Habits

Tip #1: Try online exercise classes

Each morning, try a virtual class. The YMCA and YouTube are both good places to look.

Why is this important?
There are so many classes out there and many are free! You may not need equipment or much space, so it’s easy to incorporate these into your home.

Tip #2: Bundle exercise with fun

Pick something you look forward to and pair it with your workout. For example, you could save your favorite podcast for when you run or listen to your favorite playlist while doing living room aerobics.

Why is this important?
Research shows that bundling things you want to do with things you should do helps you stick to your routine.

Tip #3: Use extra time

If you’re working from home, use the time you used to spend commuting to try a new exercise routine.

Why is this important?
You’re used to getting up early already. You might as well use that time to get a head start on fitness! You’ll have a bigger block of free time after work, too.

Tip #4: Plan 30 minutes

Pick a time that works for you every day. Then go for a half-hour walk, run, or bike ride. You can even split it between morning and night! Just make sure you stay six feet away from others.

Why is this important?
Planning helps us follow through on our goals. Say when, where, and what you’re going to do for exercise. That makes you much more likely to do it! Exercising at the same time every day also makes it easier to start a habit.

Tip #5: Play active games

Things like musical chairs make exercise seem fun! Grab the kitchen chairs, some tunes, and your family for a fun-filled game that will get your blood pumping. In between the laughter, you’ll find out who’s the most competitive too!

Why is this important?
Making exercise a game can turn a chore into the highlight of your day. Doing it with your family adds quality time too!

For more information about exercising visit https://www.cdc.gov/physicalactivity/basics/index.htm.

Creating Healthy Eating Habits

Tip #1: Shop less often

Plan meals for at least the next two weeks. Before you make a list, check what you’ve got on hand. Then you can stock up on everything with just one trip.

Why is this important?
Limiting store runs means less exposure to COVID-19. It also gives structure to your shopping routine. Going in with a clear list helps you make healthy home-cooked meals. You’ll buy less junk food too! For more information about shopping, visit the CDC website: https://www.cdc.gov/coronavirus/2019-ncov/daily-life-coping/essential-goods-services.html.

Tip #2: Prep fruit and vegetables

Find cooking hard? You can cut up your fruits and vegetables for cooking ahead of time. To save money and time, try frozen fruits and veggies. They provide the same nutritional benefits, but last longer and are available no matter the season.

Why is this important?
Everything you can do to make healthy eating easier helps. If cooking takes one less step, you’re that much more likely to do it!

Tip #3: Drink water

After breakfast, put a full bottle of water where you can see it. Continue to fill it throughout the day.

Why is this important?
Your water bottle can be a reminder to drink more water throughout the day. For more information about drinking water visit the CDC website: https://www.cdc.gov/healthywater/drinking/nutrition/index.html.

Tip #4: Limit caffeine

Choose a specific cut-off time in the afternoon that after, you won’t drink anything with caffeine. Try replacing afternoon coffee or tea with decaf.

Why is this important?
We all know not to drink coffee at night if we want to sleep. Caffeine in the afternoon also can make it hard to fall asleep. But habits are hard to break. It’s easier to replace your afternoon coffee than to stop drinking it cold turkey.

Tip #5 Have dinner together

Set the table each evening for a family dinner. Don’t turn on the TV!

Why is this important?
Turning off the TV lets you pay more attention to your dinner. This means quality time with your family. But it also means you’re less likely to overeat! Focusing on your food stops mindless eating. Your food might even taste better too!

For more information about nutrition visit https://www.cdc.gov/nutrition/index.html.

What you need to know about COVID-19

Coronavirus Disease 2019 (COVID-19) is a new disease that causes respiratory illness in people and can spread from person to person. People of all ages can be infected. Older adults and people with pre-existing medical conditions like asthma, diabetes and heart disease may be more likely to become severely ill if infected. Many details about this disease are still unknown, such as treatment options, how the virus works, and the total impact of the illness.

What is the coronavirus?

COVID-19 is a respiratory disease that is caused by a new virus called a coronavirus, which has become a public health emergency. The number of cases continue to increase nationally and globally.

What are the symptoms?

The symptoms of coronavirus include mild to severe respiratory symptoms. Symptoms include fever, cough, and shortness of breath, and lower respiratory illness. COVID-19 can be contagious before a person begins showing symptoms.

What else causes similar symptoms?

Influenza (the flu), a contagious respiratory illness caused by the influenza viruses (Type A and Type B), has high activity in the United States at this time. Everyone 6 months of age and older should get a flu vaccine.

I may have symptoms. What do I do?

If you have been exposed or begin showing symptoms of the virus or flu, contact your healthcare provider or health department immediately.

How else can I get healthcare services?

Teladoc is a convenient way for Superior HealthPlan STAR+PLUS Medicare-Medicaid Plan (MMP) members to obtain telehealth services. You will receive 24-hour access to in-network healthcare providers for non-emergency medical issues. Get medical advice, a diagnosis or a prescription by video or phone. For more information about Superior STAR+PLUS MMP services, please visit/call https://member.teladoc.com/superior and/or 1-800-835-2362 (TTY: 711).

Protect yourself and your community.

We all have a role to play in protecting our communities and families from the spread of coronavirus. It is similar to other communicable viruses. You can also follow these tips to prevent infection:

Wash your hands thoroughly and frequently. Use soap and water for at least 20 seconds.
Use an alcohol-based hand sanitizing rub (must contain at least 60 percent alcohol).
Cover your mouth when you cough or sneeze by coughing/sneezing into your elbow.
Promptly dispose of tissues in a wastebasket after use.
Clean public surfaces thoroughly.
Stay home when you are sick.
Avoid shaking hands.
Avoid close contact with people who are sick.
Get a flu vaccine.

Does my plan cover COVID-19 testing and screening?

Yes. When medically necessary diagnostic testing and medical screening services is ordered and/or referred by a licensed healthcare provider, we will cover the cost of medically necessary COVID-19 tests, screenings, associated physician’s visit(s) and/or treatment. If applicable, your plan’s copayment, coinsurance and/or deductible cost-sharing will be waived for medically necessary COVID-19 diagnostic testing, medical screening services.

Is prior authorization required for COVID-19 testing and screening services under my plan coverage?

No. We will not require prior authorization, prior certification, prior notification and/or step therapy protocols for medically necessary COVID-19 diagnostic testing and medical screening services when medically necessary services are ordered and/or referred by a licensed healthcare provider.

Where may I receive COVID-19 testing/screening/treatment services under my plan coverage?

Medically necessary COVID-19 diagnostic testing, medical screening services and/or treatment and the associated physician’s visit will be covered when ordered, referred and/or performed in the following In-Network locations:

Physician’s/Practitioner’s Office
Independent Laboratory/Diagnostic Facility
Urgent Care Facility
Emergency Department Facility

Are you unsure if you have been exposed to or at-risk of being infected with COVID-19? Schedule a virtual care visit with a provider. It is a good option for non-urgent care to limit potential exposure in a physician’s office or other healthcare facility.

Will I be responsible for any out-of-pocket costs for COVID-19 testing and screening services?

No. We will cover medically necessary COVID-19 diagnostic testing and medical screening services at no charge to you, when such services are ordered and/or referred by a licensed healthcare provider. If applicable, your plan’s copayment, coinsurance and/or deductible cost-sharing will be waived for medically necessary COVID-19 diagnostic testing and medical screening services along with the associated physician’s visit.

If I need treatment for coronavirus, is that covered by my plan?

Any medically necessary treatment related to COVID-19 would be considered a covered benefit. We are committed to ensuring access to COVID-19 treatment services in accordance with federal and state law.

Will I be able to refill my prescriptions before the refill date?

Yes, members will be able to refill prescriptions prior to the refill date.

Are there strategies for coping with the COVID-19 outbreak?

Worry and anxiety can rise about the spread of COVID-19. Concern for friends and family who live in places where COVID-19 is spreading or the progression of the disease is natural.

Take care of your body. Take deep breaths, stretch or meditate.
Connect with others. Share your concerns and how you are feeling with a friend or family member. Maintain healthy relationships and a sense of hope and positive thinking.
Share the facts about COVID-19 and the actual risk to others. People who have returned from areas of ongoing spread more than 14 days ago and do not have symptoms of COVID-19 do not put others at risk.
For more information, see the CDC’s suggestions for mental health and coping during COVID-19.

For more information, including travel advisories, please visit cdc.gov.

The National Alliance on Mental Illness (NAMI)

NAMI: COVID-19 Resource and Information Guide

Substance Abuse and Mental Health Services Administration (SAMHSA)

SAMHSA: Coping with Stress During Infectious Diseases and Outbreaks (PDF)

UMU – Online Learning (UMU)

UMU: Using Motivational Interviewing to Help People in Isolation; OARS Active Listening Techniques - This course will help build trust by understanding and using the OARS (Open-ended questions, Affirmations, Reflective listening techniques, and Summary reflections) techniques to future conversations.
UMU: COVID-19 Overview - The goals for this course are to help you understand the basics about COVID-19. To also help you identify the symptoms of COVID-19 and learn how to protect yourself and others.
UMU: Effective Communication - This course explains the importance of effective communication and offers tips to improve communication.
UMU: De-Escalation Techniques - This video shows how to help individuals manage their emotions with de-escalation tips.
UMU: Anxiety and PTSD - This course will provide a brief overview of the signs and symptoms of anxiety and Post-Traumatic Stress Disorder (PTSD).
UMU: Helping the Helper - This training provides tips for caregivers to take better care of themselves.

TX_MMP_20_COVID19WebNotice_R2_05202020

Unemployment/Financial Assistance

Department of Labor

Internal Revenue Service

Coronavirus (COVID-19) Small Business Administration Guidance & Resources

Other Related Resources

Volunteer Income Tax Assistance (VITA)

House Relief

Food and Lunch Assistance

Healthcare

Resources Across Topic Areas

Benefits.Gov
United Way 211
Aunt Bertha
- FindHelp (developed by Aunt Bertha to assist individuals with finding food assistance, help paying bills, and other free or reduced cost programs, including new programs for the COVID-19 pandemic): https://findhelp.org/
US Department of Health and Human Services Office of Family Assistance

TX_MMP_20_COVID19WebMbrRes_04292020

The coronavirus (COVID-19) has caused some common OTC items from Superior HealthPlan STAR+PLUS Medicare-Medicaid Plan (MMP) to have longer wait times to get to members. Some of these items may also become unavailable. Superior STAR+PLUS MMP will continue to work hard to get all orders to members as soon as possible.

To place an order for OTC items, you can call 1-866-768-8490 (TTY: 711) from 7 a.m. to 7 p.m. CT, Monday through Friday. Call volumes are higher than normal. Wait times may also be longer than usual.

For questions about item availability, delays or any other concerns, please call 1-866-768-8490(TTY: 711).

TX_MMP_20_COVID19OTCWebUpdate_04132020

Coronavirus disease 2019 (COVID-19) is an emerging illness. Many details about this disease are still unknown, such as treatment options, how the virus works, the total impact of the illness, and many other factors.

If you have been exposed to COVID-19 or begin showing symptoms of the virus or flu, contact your healthcare provider immediately.

Signs and symptoms of COVID-19 include:

Fever
Cough
Shortness of breath

You do not have to leave your home to visit with a doctor. You can have a video visit using your phone or computer with a Superior HealthPlan STAR+PLUS Medicare-Medicaid Plan (MMP) provider that offers telehealth services. This will help to prevent your illness from spreading to people in your community.

Telehealth visits with a doctor in the Superior STAR+PLUS MMP network are available at no cost and no cost sharing for members. Additionally, COVID-19 testing per CDC guidelines is available at no cost or cost sharing for members.

While a doctor will not be able to make a COVID-19 diagnosis during a telehealth visit, the doctor will be able to assess your condition and make recommendations for recuperating at home or visiting a clinic or hospital.

To schedule a telehealth visit, you can:

Call your primary care provider’s (PCP) office to find out if they can schedule a telehealth visit with you. Make sure your provider is in the Superior STAR+PLUS MMP network.
Contact Teladoc for 24-hour access to health-care providers in Superior’s STAR+PLUS MMP network. You can get medical advice, a diagnosis or a prescription by video or phone for non-emergency medical issues. Call 1-800-835-2362 (TTY: 711) 24 hours a day, 7 days a week.

For any questions or help scheduling a telehealth visit, contact Member Services at 1-866-896-1844 (TTY: 711). Hours are from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you may be asked to leave a message. Your call will be returned within the next business day.

H6870_Website_2020_H_Approved_03192020

In its first such rating measuring member satisfaction, Superior HealthPlan finished in the top five nationally for its STAR+PLUS Medicare-Medicaid Plan (MMP). The company earned a score of 89 out of 100 in an annual member survey, the fifth highest score in the country and only two points away from the top-place finisher.

“We are proud of the work we do each day to support all of our members,” said Cindy Adams, Plan Product President of Complex Care Programs. “This is especially true for those with complex care needs. This rating, which is based on overall member satisfaction, confirms our commitment to providing quality, holistic healthcare to those who need it most.”

The rating is based on the Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey, which is part of the Centers for Medicare and Medicaid Services (CMS) annual measurement of consumer experience. A portion of Superior’s roughly 10,000 STAR+PLUS MMP members participated in the survey.

Superior STAR+PLUS MMP is a product for members who qualify for both Medicare and Medicaid. The product is offered in three counties in Texas: Bexar, Dallas and Hidalgo. Superior first began offering the product on March 1, 2015.

“This is a direct reflection on the role our employees play in ensuring our members receive the healthcare they deserve,” explained Anna Velasquez, Vice President of STAR+PLUS MMP. “Each one of our members in this program works directly with a Service Coordinator at Superior, who can help them navigate the complex healthcare system. We believe this demonstrates our dedication to recognizing that each member has a very distinct set of needs that require individualized attention.”

For more details about the CAHPS survey, visit https://www.ma-pdpcahps.org/.

H6870_18_WebCAHPS_Approved_04192018

Join the millions of people who get their yearly flu shot. Talk to your doctor or a pharmacist near you and get your flu shot today.
Click to find out more about flu shots and locate a provider.

Superior HealthPlan STAR+PLUS Medicare-Medicaid Plan (MMP) received a notice from our vendor, TTEC Healthcare Solutions, Inc. (“TTEC”), that it had a cyber incident. This incident involved member information. We take the privacy and security of your information very seriously. We sincerely regret any concern this may cause you.

Why Does TTEC Have Member Information

Superior STAR+PLUS MMP used TTEC to call members and support our operations.

What Happened

On Oct. 27, 2021, TTEC informed Superior STAR+PLUS MMP that some of our member information was involved in a cyber incident. TTEC had the incident between March 4, 2021 and Sept. 12, 2021. During that time, an unauthorized actor viewed or downloaded our data files stored on TTEC’s systems. Upon learning of the cyber incident, TTEC instantly took measures to contain the incident. They began an investigation. They engaged cyber security firms with experience in these matters. Law enforcement was notified, and TTEC worked to support its investigation.

What Information Was Involved

If your information was involved, a letter would have been sent to you with more information. The member information involved in this incident included member name and one or more of the following types of information:

Name
Address
Date of Birth
Medicare ID Number
Social Security Number

What TTEC Is Doing

TTEC has taken the following actions in response to this incident:

Upon learning of this incident, TTEC promptly activated their incident response plan. TTEC analyzed the files involved in the incident so they could notify the members involved as quickly as possible.
TTEC is working with law enforcement authorities, including the United States Federal Bureau of Investigation (FBI).

TTEC is providing members affected by this incident with credit monitoring services at no charge, and information about identity theft protection.

The security of your information is important to us. We sincerely regret any inconvenience this incident may have caused you. For more information, or if you have any questions about this incident, please call Superior STAR+PLUS MMP Member Services at 1-866-896-1844 (TTY: 711). Hours are from 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you may be asked to leave a message. Your call will be returned within the next business day.

SHP_20218551C

H6870_WEBSITE_2022_l_12202021

Important Notifications

Stay Healthy at Home with Tomorrow Health

What is Chronic Obstructive Pulmonary Disease?

IMPORTANT NOTICE: NEW ID CARD EFFECTIVE JANUARY 1, 2024

You Might Be Impacted by a COVID-19 Policy Update

SUPPORT FOR MEMBERS IN ALLEN AND BROWNSVILLE

An HHSC Policy Flexibility For Member State Fair Hearings Ends on May 11, 2023

Don't Risk Losing Your Medicaid Benefits

An HHSC Policy Flexibility For Member Appeals Is Ending March 31, 2023

NEW: 3-Digit Dialing Code For National Suicide Prevention Lifeline

NEW 1/1/23: Order Over-The-Counter Items Through CVS

Notice Of Data Incident At Choice Health (A Superior HealthPlan STAR+PLUS Medicare-Medicaid Plan (MMP) Vendor)

Case Management For Children And Pregnant Women (CPW) Service Changes Effective September 1, 2022

Support For Members In Uvalde

Support For Superior Star+Plus Members Affected By Recent Storms

Information Regarding A HIPAA Breach With Business Partner

Let Us Know Your COVID Vaccination Status

COVID-19 Public Health Emergency Extended By Federal Government

Update to Your Covered Benefits

How To Create Positive New Habits In Our New World