ذكذكتسئµ
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Ready to Enroll

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Ready to Enroll

Step 1: Check your eligibility.

  • To confirm your eligibility for ذكذكتسئµ (HMO D-SNP), please visit the eligibility page.

Step 2: Need more information?

Call Member Services to learn about our plan.

  • Call 1.833.276.8306
    (TTY users should call 711)
  • October 1 to March 31, 8:00 am to 8:00 pm, 7 days a week andج‎April 1 through September 30, Monday through Friday, 8:00 am to 8:00 pm.
  • On certain holidays your call will be handled by our automated phone system.

Step 4: Mail to us.

ATTN: Medicare Enrollment
ذكذكتسئµ
P.O. Box 301413ج‎
Houston, TX 77230-9920

Step 5: Confirmation of enrollment.

  • You will receive a confirmation of enrollment, if found eligible for the ذكذكتسئµ (HMO D-SNP) plan.
  • Questions about the application or enrollment process? Call Member Services toll-free atج‎1.833.276.8306ج‎or local atج‎713.295.5007.

H9826_IT_10045_092919_M Last updated October 20, 2025. 

Step 3: Complete an Application.

There are two ways to apply. Choose the way that works best for you!

  • Apply by phone
    Call us to speak with a licensed sales agent at 1.833.276.8306ج‎toll-free orج‎713.295.5007
  • Apply by mail
    No questions and ready to apply? You can apply by mail today! Please have your state Medicaid ID available.

Get your 2026 application form:

2026 Individual Enrollment Form

Version en ذكذكتسئµج‎

Get your 2025 application form:

Segment 001
(Austin, Matagorda, Waller and Wharton Counties)

Segment 002
(Brazoria, Chambers, Fort Bend, Galveston, Harris, Jefferson, Liberty and Montgomery Counties)

Segment 003
(Hardin, Jasper, Newton, Orange, Polk, San Jacinto, Tyler and Walker Counties)

Versiones en ذكذكتسئµج‎

Or apply online:

Segment 001
(Austin, Matagorda, Waller and Wharton Counties)

Segment 002
(Brazoria, Chambers, Fort Bend, Galveston, Harris, Jefferson, Liberty and Montgomery Counties)

Segment 003
(Hardin, Jasper, Newton, Orange, Polk, San Jacinto, Tyler and Walker Counties)

Versiones en ذكذكتسئµج‎

Why Choose ذكذكتسئµ?

As a local nonprofit health plan, ذكذكتسئµ gives you plenty of reasons to join our ذكذكتسئµ. From the benefits and special programs we offer to the way our Member Services team helps you make the most of them, ذكذكتسئµ is always working life forward for you and your family.

“ذكذكتسئµ is always there to answer my questions and help me and my family with our medical needs. I truly appreciate and value their customer support and service.â€‌

– Cecily
Member of ذكذكتسئµ

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