Community Health Choice: Everything You Need To Know

Community Health Choice: Everything You Need To Know

You’ve probably heard about Community Health Choice, but do you know what it entails? As a Texan, it’s a term that’s likely to come up often, especially when discussing affordable and quality healthcare. It’s a managed care organization at your doorstep, boasting a network of over 9,000 doctors and 70 hospitals. But there’s more to it than meets the eye. From registration procedures to eligibility criteria and benefits, there’s a lot to explore. So, are you ready to unravel the intricacies of Community Health Choice?

Understanding Community Health Choice

Community Health Choice is a managed care organization based in Houston. It delivers health benefits and long-term services to more than 400,000 Texans, including seniors and adults with disabilities.

Its mission is to offer affordable, coordinated, and high-quality health care services. One of its key efforts is improving health outcomes for Texans who are financially disadvantaged via their Medicaid program.

Community Health Choice has established a network of 9,000 doctors and 70 hospitals to ensure comprehensive care for its members. The organization is dedicated to serving Texas communities by providing health care solutions that meet their needs.

Registration Procedures Explained

To register for Community Health Choice, an essential first step is to fill out a profile form on their official website, with your tax number included. This process, although straightforward, is critical as it allows you to access the wide range of benefits and services provided by Community Health Choice.

It’s important to note that the registration process is primarily intended for providers, and as such, professional details are required. After successfully submitting your form, you should expect an email confirmation verifying your registration.

If you happen to misplace your login credentials, the system provides an option for a reset. For now, the main emphasis should be on accurately completing the registration process.

Navigating the Login Process

Once you have registered with Community Health Choice, the login process is straightforward. Initially, you need to go to the website and select the ‘Provider Login’ button. This button allows you to access your account and manage your provider profile.

Following this, you’re required to input your username and password. These details are crucial for accessing the portal and retrieving the necessary information.

In the case of submitting claims via the portal, it’s important to have your tax number readily available to ensure a seamless process.

Resetting Your Account Credentials

If you happen to forget your account credentials, you can reset them by following a straightforward procedure. Firstly, go to the Community Health Choice website.

You’ll find a link labeled ‘Forgot Username or Password’, which you need to click. The next step involves entering your registered email address. Once this is done, you’ll receive an email that contains either a password reset link or a username reminder.

You should adhere to the steps outlined in the email to either reset your password or find your username. When setting a new password, it’s advisable to ensure its strength by including a combination of letters, numbers, and special characters. This enhances its security.

In case you encounter any difficulties during the password reset process, reach out to Community Health Choice customer service for assistance.

Eligibility Criteria for Insurance

The eligibility criteria for Community Health Choice insurance are outlined as follows:

  • You must be enrolled in Medicare Part A and Part B. This is a fundamental requirement for qualifying for this insurance.

  • The Texas Medicaid eligibility requirements must be met. This is a state-specific criterion, which is integral to the insurance eligibility.

  • The applicant must reside within the service area of Community Health Choice. This is to ensure that the services offered by the insurance can be efficiently provided to the insured.

  • Dual beneficiaries, individuals who are covered by both Medicare and Medicaid, are eligible. This is an inclusive aspect of the eligibility criteria.

  • Verification of eligibility is possible either through the supplier portal or by reaching out to operator services. This provides a streamlined process for applicants to confirm their eligibility.

Adherence to these criteria is essential for availing of the comprehensive health care benefits and services provided by Community Health Choice in Texas.

Coverage and Services Overview

Community Health Choice provides coverage that extends beyond physical health benefits, encompassing long-term services for seniors and adults with disabilities.

As a member, you’re entitled to Medicaid programs facilitated by managed care organizations. The network comprises over 9,000 doctors and 70 hospitals, ensuring access to a broad range of health services.

The objective is to provide affordable, coordinated, and high-quality health care services with a focus on improving health outcomes, especially for underserved Texans.

As a member, you retain decision-making rights and the capacity to engage with relevant bodies about your care. Therefore, Community Health Choice isn’t solely about coverage but also about facilitating quality care.

Premium Payment Methods

Community Health Choice offers a variety of premium payment methods for greater flexibility and convenience. The options aren’t constrained to a single method, providing you with the liberty to select from multiple options.

These options are detailed below:

  • Virtual Card Services: This method allows for a swift and effective way to conduct your premium payments.

  • EFT/ACH: This option is suitable for those who wish to establish automatic premium payments. It eliminates the need for manual transactions and guarantees punctual payments.

  • EFT through Settlement Advocate: This is an alternative choice for those who are considering EFT.

  • Payment partners: Community Health Choice collaborates with Change Healthcare and ECHO Health, Inc., to ensure secure transactions.

  • Flexible Payment for Texas STAR Plan: This option allows you to select your preferred payment method for your Medicaid premiums.

Available Plans and Options

Community Health Choice provides Medicaid plans such as the Texas STAR Plan and Medicare D-SNP for qualifying individuals. A variety of services are available to choose from, encompassing medical care, prescriptions, and long-term services.

The organization emphasizes affordable and coordinated healthcare of high quality. Their network consists of over 9,000 doctors and 70 hospitals, ensuring accessible care for members.

Serving over 400,000 individuals in Houston, Community Health Choice is committed to providing Texans in need with dependable healthcare. This isn’t merely an insurance plan, but a dedication to the health and well-being of its members.

Benefits of CHC Portal Registration

Registering on the CHC portal offers various practical benefits, facilitating your interactions with Community Health Choice by providing essential resources and tools. It’s more than just a registration; it’s a means to enhance efficiency, improve control, and facilitate communication.

Here are the key advantages:

  • The portal provides access to necessary resources and tools, simplifying your work with Community Health Choice.

  • It enables you to confirm member eligibility, submit claims, and monitor claim status.

  • The portal optimizes your administrative tasks process, thereby minimizing paperwork.

  • It ensures secure communication with Community Health Choice and allows access to the latest policies and procedures.

  • Through these functionalities, the portal aids in enhancing the overall experience and patient care quality.


So, you’re now equipped with all the essential info about Community Health Choice. From registration to navigating the portal, understanding their services, and exploring plan options, you have the knowledge you need.

Remember, CHC is committed to providing you with quality, affordable healthcare. So, take full advantage of their portal for efficient communication and improved patient care.

Good health is your right, and CHC is here to help you achieve it.