ÐßÐßÊÓÆµ

Service Area

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Service Area

The ÐßÐßÊÓÆµ Service Area

ÐßÐßÊÓÆµâ€™s Member service area consists of 20 counties in Texas. Our teams live and work here. We understand the challenges our residents and Members face. And because we take the health and well-being of our entire region to heart, we proudly share a wealth of knowledge, special programs, care management, and valuable community resources like no one else can.Ìý

The ÐßÐßÊÓÆµ Service Area

The Texas counties in the service areas covered by ÐßÐßÊÓÆµ DualCare Access (HMO D-SNP) in 2027

Plan 004: Chambers, Hardin, Jasper, Jefferson, Liberty, Newton, Orange, Polk, San Jacinto, Tyler, and Walker

Plan 006: Harris

Plan 007: Austin, Brazoria, Fort Bend, Galveston, Matagorda, Montgomery, Waller, and Wharton

The Texas counties in the service areas covered by ÐßÐßÊÓÆµ DualCare Aligned (HMO D-SNP) in 2027

Plan 003: Austin, Brazoria, Fort Bend, Galveston,Ìý Matagorda, Montgomery, Waller, and Wharton

Plan 005: Harris

The Texas counties in the service areas covered by ÐßÐßÊÓÆµ DualCare Access (HMO D-SNP) in 2026

Chambers, Hardin, Jasper, Jefferson, Liberty, Newton, Orange, Polk, San Jacinto, Tyler, and Walker.

The Texas counties in the service areas covered by ÐßÐßÊÓÆµ DualCare Aligned (HMO D-SNP) in 2026

Austin, Brazoria, Fort Bend, Galveston, Harris, Matagorda, Montgomery, Waller, and Wharton.

Out of Network Coverage Rules

If Covered Services are not available through Participating (in network) Physicians or Participating Providers, you or your doctor may request prior authorization for Covered Services by a doctor or other provider outside the contracted network. If Covered Services are approved as described above, then you are only responsible for your share of the cost, if any, that you may have paid if you could obtain services from ÐßÐßÊÓÆµâ€™s network of Participating Providers. If you receive a bill from an out-of-network provider, contact Member Services for assistance.Ìý

Please verify network participation status of all providers prior to receiving all non-emergency services. You should verify network participation status only from us, either by calling Member Services at 1.833.276.8306 (TTY users should call 711) or by accessing our 

H9826_IT_10045_092919_M Last updated September 30, 2026Ìý

Why Choose ÐßÐßÊÓÆµ?

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

“ÐßÐßÊÓÆµ 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 ÐßÐßÊÓÆµ

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