A Medicare plan for you.
Medicare Advantage Plans provide all of your Part A and Part B benefits, plus coverage for other services that Original Medicare does not cover.
Community First Medicare Advantage Plan (HMO) Benefits
Community First Medicare Advantage Alamo Plan and Dual Eligible Special Needs Plan (HMO) cover all of your Part A (hospital insurance) and Part B (medical insurance) services, and beyond that, we also offer extra coverage for vision, hearing, dental, and prescription drugs (Part D). Additional benefits include:
Protection against high-cost prescription drugs through our offering of various levels of cost coverage for different “tiers” of drugs.
Affordable coverage through the use of our trusted network of providers.
The same rights and protections that you would have under Original Medicare.
Learn more about the benefits our Medicare Advantage Plans have to offer! Click on Extra Benefits or browse our Member Resources, which include detailed plan documents.
Original medicare vs. medicare advantage
Community First Medicare Advantage plans are Medicare…plus so much more. Find out the differences between our plans and Original Medicare.
READY TO ENROLL?
Enrolling in a Community First Medicare Advantage plan is easy.
- Medicare beneficiaries can enroll in Community First’s Alamo Medicare Advantage plan through the CMS Medicare Online Enrollment Center at Medicare.gov.
- If you have Medicare and Medicaid, you can also enroll in Community First Medicare Advantage D-SNP at Medicare.gov.
Medicare Advantage FAQ
WHAT IS A Medicare Advantage Plan?
A Medicare Advantage Plan is a comprehensive Medicare plan from a private insurance company that covers Parts A (hospital insurance), Part B (medical insurance), and includes Part D, your prescription drug benefit, and often more services and benefits.
What Do Medicare Advantage Plans Cover?
Medicare Advantage Plans, including Community First Medicare Advantage HMO plans, cover health care services such as:
- Hospitalization
- Skilled Nursing Facilities, hospice, and home health care
- Medical services, including doctor visits and outpatient care
- Preventive services, including health screenings and vaccines
- Durable medical equipment like wheelchairs and walkers
- Prescription drugs
- Other medically necessary services
Community First also offers Medicare Advantage Members comprehensive coverage for things Original Medicare does not cover, including dental, vision, hearing, over-the-counter items, transportation to health care visits, fitness memberships, and more.
WHAT EXTRA BENEFITS ARE AVAILABLE TO Community First Medicare Advantage MEMBERS?
As a Community First Medicare Advantage Member, you will receive:
- Dental Coverage
- Vision Coverage
- Hearing Coverage
- Fitness Memberships
- Health & Wellness Programs
- 24/7 Nurse Advice Line
- Virtual Doctor Visits (Telehealth)
- Care Coordination (Organizing patient care and sharing information among the patient, family, doctors, and all concerned parties)
- Prepaid Card for Over-the-Counter Items
- Non-Emergency Transportation Services (NEMT)
- At-Home Meal Delivery Services
- Personal Emergency Response System
- Yearly Limit on Out-of-Pocket Costs
- Access to Nationally Recognized Specialists
- Access to a Level I Trauma Center
- Local, In-Person Member Services Support
Who Can Join a Medicare Advantage Plan?
Medicare Advantage Plans (Part C) is both Part A and Part B coverage (also known as Original Medicare).
If you want to enroll, you must:
- Be eligible for Medicare
- Be enrolled in both Medicare Part A and Part B (you can check this by referring to your red, white, and blue Medicare card)
- Live within the plan’s service area
Once you are enrolled, the company supporting your Medicare plan (like Community First) will set up your benefits. You do not lose your Original Medicare.
Who is Eligible for a Medicare Advantage Dual Eligible Special Needs Plan?
Dual Eligible Special Needs Plans (D-SNPs) enroll individuals who are entitled to both Medicare and medical assistance from a state plan (like Community First) under Medicaid. D-SNPs are required to provide greater coordination of Medicare and Medicaid benefits than other Medicare Advantage plans to improve coordination across programs and patient outcomes. D-SNPs often provide benefits not otherwise available in Original Medicare and generally do not charge a premium.
WHAT IS A MEDICARE BENEFICIARY?
A Medicare beneficiary is a person who has applied and been approved for Medicare benefits by the federal government.
WHEN IS MEDICARE OPEN ENROLLMENT?
Medicare Open Enrollment is from October 15 through December 7 every year for coverage beginning January 1. Learn more about the basics of Medicare and the ABCD options at a local, in-person Medicare Information Session before Open Enrollment ends.
During this enrollment period you can:
- Join, drop, or switch to another Medicare Advantage Plan
- Switch from Original Medicare to a Medicare Advantage Plan, like a Community First Medicare Advantage Plan
Where are Community First Medicare Advantage Plans Available?
Community First Medicare Advantage Alamo Plan is available to residents in Bexar County.
Community First Medicare Advantage Dual Eligible Special Needs Plan (D-SNP) is available to residents in Atascosa, Bandera, Bexar, Comal, Guadalupe, Kendall, Medina, and Wilson counties.
Where Can I Learn More About Community First Medicare Advantage Plans?
To learn more about Community First Medicare Advantage Alamo Plan, please click here.
To learn more about Community First Medicare Advantage D-SNP, please click here.
Can I Join a Community First Medicare Advantage Plan Outside of Open Enrollment?
Yes, if you are currently in a different Medicare Advantage Plan, you can switch plans to Community First from January 1 – March 31.
We Are Community First
Community First Health Plans was established in 1995 by University Health specifically to begin providing health care coverage to the citizens of Bexar and its seven surrounding counties. As the only locally owned and managed non-profit health plan in the area, our commitment to our Members is to provide great health care benefits backed by outstanding service, delivered by people who live right here in South Texas. Our goal is to help San Antonio and surrounding areas achieve more successful health outcomes by putting community first.