A Medicare plan for you.

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.

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

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.

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.

A Fully Integrated Dual Eligible Special Needs Plan, or FIDE D-SNP, is a Medicare Advantage plan for individuals who qualify for both Medicare and Medicaid. It is designed to coordinate Medicare and Medicaid benefits more closely so that health care services work together.

Bexar Dual is a FIDE plan for individuals who live in Bexar County and are eligible for both Medicare and Medicaid (STAR+PLUS). If you choose Bexar Dual for your Medicare coverage, you will also receive your STAR+PLUS benefits through Community First.

When your Medicare and Medicaid (STAR+PLUS) benefits are provided through the same health plan, managing your health care becomes simpler and more convenient. Instead of working with separate health plans and providers, you’ll have one integrated plan that helps coordinate all aspects of your care.

Benefits of Bexar Dual, Community First’s fully integrated D-SNP, include:

• Simpler, more streamlined coverage
• Better coordination between your Medicare and Medicaid benefits
• One service coordinator to help navigate your care
• Access to a single provider network
• Coordinated long-term services and supports (LTSS)
• Less confusion and fewer gaps in care

A Medicare beneficiary is a person who has applied and been approved for Medicare benefits by the federal government.

Medicare Open Enrollment is from October 15 through December 7 every year for coverage beginning January 1. 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

If you’re already in a Medicare Advantage Plan and would like to switch, you can also make a change between January 1 and March 31.

Community First Medicare Advantage Alamo Plan is available to Medicare beneficiaries who live in Bexar County.

Community First Medicare Advantage Bexar Dual is available to individuals living in Bexar County who are eligible for both Medicare and Medicaid.

We also offer Community First Medicare Advantage Mezquite Dual, a plan for individuals who live in Atascosa, Bandera, Comal, Guadalupe, Kendall, Medina, and Wilson County and are eligible for Medicare and Medicaid.

To learn more, call 1-833-434-2347 or 210-358-6386 for trusted support from a licensed Medicare team member. We can help you find out what plan you may be eligible for and get you enrolled. You can also fill out this form, and a licensed Medicare team member will contact you.

You can also change or enroll in a plan outside standard windows if specific events occur.