Eligibility Requirements

Superior HealthPlan STAR+PLUS Medicare-Medicaid Plan (MMP) will be open to individuals that meet all of these rules:

• Age 21 or older at the time you join.
• Live in one of these counties: Dallas or Hidalgo.
• Have both Medicare Part A and Medicare Part B, and
• Are a United States Citizen or are lawfully present in the US, and
• You are eligible for Medicaid and at least one of the following:
  • Have a physical disability or a mental disability and qualify for Supplemental Security Income (SSI), or
  • Qualify for Medicaid because you receive Home and Community Based Services (HCBS) waiver services.

You are not eligible to participate if you are:

• Under the age of 21;
• Signed up for both Medicare and Texas Medicaid and have other insurance;
• Living in an Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF/IID) and related conditions; and
• An individual with developmental disabilities who gets services through one of these waivers:
  • Community Living Assistance and Support Services (CLASS)
  • Deaf Blind with Multiple Disabilities Program (DBMD)
  • Home and Community-based Services (HCBS)
  • Texas Home Living Program (TxHmL)