STAR+PLUS

Get the assistance you need to be at your best — or to get better if you are injured or sick. That includes:

• Hospital Care. You pay nothing for care in a hospital.
• Medicines. Fill your prescriptions at local pharmacies.
• Lab and X-rays. Lab tests, x-rays and diagnostic imaging are covered.
• Service Coordinator. Someone to help you live on your own at home if necessary.
• Well Visits. Annual checkups can help keep you healthy or reach your potential.

If you have asthma, diabetes or another long-term condition, you can depend on us. Our STAR+PLUS plan makes sure you get the care, support and services you need. Benefits include:

• Case Management. Personal support from an experienced professional.
• Asthma Support. Individual care to help you manage asthma or COPD.
• Mental Health. Counseling and other treatments are available.

Help protect your sight, hearing and smile with these benefits:

• Vision. Includes exams and $105 toward frames or contact lenses.
• Hearing. Tests, checkups and hearing aids, if needed, are provided.
• Dental. Checkups, routine and emergency care are covered. 

Get the medical equipment, assistance and supplies you need to live safely at home. Benefits include:

• Personal Care. Someone to help with dressing, bathing and dining.
• Home Meal Delivery. If you can’t safely make meals, we’ll provide them.
• Equipment and Supplies. In-home medical and safety equipment are covered.
• Respite Care. In-home help to give your caregiver a rest. 

Sometimes you might need a little extra help using your health plan. For those times, you can rely on:

• Transportation. We pay for rides to and from medical visits or the pharmacy.
• NurseLine^SM. Call our nurses for advice 24/7.
• Interpreters. An interpreter can go with you to medical visits.
• Language Help. Translated medical materials are available at no cost.
• Member Services. Your benefit questions are answered 24/7.

Read about all the extras you could get when you become a STAR+PLUS member:

• Healthy Rewards. Earn rewards for completing important preventive services.
• Weight Control. Get 10 vouchers toward local Weight Watchers programs.
  
  View Value Added Services

If you're elderly, disabled or living with an illness, your health needs are unique. Our job is to make it as easy as possible for you to meet those needs. We make sure you get all your Medicaid benefits and more.

• Choice of Doctor. Find a primary doctor in your neighborhood. Your doctor can send you to thousands of specialists too.
• NurseLine^SM. Your caregiver can call our nurses for advice 24/7.
• Medicines. Get the medicine you need at a pharmacy near you.
• Vision and dental. Have regular eye and dental exams. We cover glasses and contact lenses too.
• Mental Health. Counseling and other treatments are covered.
• Service Coordinator. Someone to help you manage complex health conditions.
• Transportation. We pay for rides to and from medical visits or the pharmacy.
• Value-added benefits. Earn free gift cards when you take healthy steps. You'll get rewards for yearly wellness exams or completing a weight loss program.

Our STAR+PLUS Plan is for persons on the HCBS waivers CLASS, HCS, TxHML, DBMD and in ICF-IDD facilities.

Nursing facility residents who have STAR+PLUS may also be covered.

 Learn more here.