Eligibility Requirements

If numbers 1-4 below apply to you, you may be able to sign up for Superior HealthPlan STAR+PLUS Medicare-Medicaid Plan (MMP). If they do not, you are not able to join.

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

1. Age 21 or older at the time you join.
2. Get Medicare Part A, enrolled in Medicare Parts B and D, and get full Texas Medicaid benefits.
3. Are in the Medicaid STAR+PLUS program, which serves Texas Medicaid members who have disabilities or get STAR+PLUS Home and Community-based Services (HCBS) waiver services.
4. Live in one of these counties: Bexar, Dallas or Hidalgo.

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)

Contact the state enrollment broker at 1-877-782-6440, from 8 a.m. to 6 p.m. Monday through Friday. TTY users should call 711.

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: Bexar, 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)