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All Plans

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Mail Order Form pdf icon

Medicare Part D Prescription Claim Form pdf icon

Learn More About Part D Coverage Determinations, Exception, Appeals and Grievances pdf icon

Multi Language Insert pdf icon

TexanPlus® HMO - Houston/Beaumont Area

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TexanPlus Value (HMO) Summary of Benefits pdf icon

TexanPlus Value (HMO) Summary of Benefits (Spanish) pdf icon

TexanPlus Classic (HMO) Summary of Benefits pdf icon

TexanPlus Classic (HMO) Summary of Benefits (Spanish) pdf icon

TexanPlus Value (HMO) Annual Notice of Change pdf icon

TexanPlus Value (HMO) Annual Notice of Change (Spanish) pdf icon

TexanPlus Classic (HMO) Annual Notice of Change pdf icon

TexanPlus Classic (HMO) Annual Notice of Change (Spanish) pdf icon

TexanPlus Value (HMO) Evidence of Coverage pdf icon

TexanPlus Value (HMO) Evidence of Coverage (Spanish) pdf icon

TexanPlus Classic (HMO) Evidence of Coverage pdf icon

TexanPlus Classic (HMO) Evidence of Coverage (Spanish) pdf icon

Comprehensive Formulary pdf icon

Comprehensive Formulary (Spanish) pdf icon

Coverage of a Non-Formulary Drug pdf icon

Quantity Limit Exception pdf icon

Step Therapy Exception pdf icon

Lower Co-Pay (Tiering Exception) pdf icon

Medicare Prescription Drug Coverage Determination Form pdf icon

Medicare Prescription Drug Appeal (Redetermination) Form pdf icon

TexanPlus® HMO-POS - Houston/Beaumont Area

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Find a Pharmacy

TexanPlus Choice (HMO) Summary of Benefits pdf icon

TexanPlus Choice (HMO) Summary of Benefits (Spanish) pdf icon

TexanPlus Choice (HMO-POS) Annual Notice of Change pdf icon

TexanPlus Choice (HMO-POS) Annual Notice of Change (Spanish) pdf icon

TexanPlus Choice (HMO-POS) Evidence of Coverage pdf icon

TexanPlus Choice (HMO-POS) Evidence of Coverage (Spanish) pdf icon

Comprehensive Formulary pdf icon

Comprehensive Formulary (Spanish) pdf icon

Coverage of a Non-Formulary Drug pdf icon

Quantity Limit Exception pdf icon

Step Therapy Exception pdf icon

Lower Co-Pay (Tiering Exception) pdf icon

Medicare Prescription Drug Coverage Determination Form pdf icon

Medicare Prescription Drug Appeal (Redetermination) Form pdf icon

TexanPlus® HMO-SNP – Southeast Texas Area

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TexanPlus Star (HMO SNP) Summary of Benefits pdf icon

TexanPlus Star (HMO SNP) Summary of Benefits (Spanish)pdf icon

TexanPlus Star (HMO SNP) Annual Notice of Change pdf icon

TexanPlus Star (HMO SNP) Annual Notice of Change (Spanish)pdf icon

TexanPlus Star (HMO SNP) Evidence of Coverage pdf icon

TexanPlus Star (HMO SNP) Evidence of Coverage (Spanish)pdf icon

Comprehensive Formulary pdf icon

Comprehensive Formulary (Spanish) pdf icon

Coverage of a Non-Formulary Drug pdf icon

Quantity Limit Exception pdf icon

Step Therapy Exception pdf icon

Lower Co-Pay (Tiering Exception) pdf icon

Medicare Prescription Drug Coverage Determination Form pdf icon

Medicare Prescription Drug Appeal (Redetermination) Form pdf icon

TexanPlus® HMO - Dallas/Fort Worth Area

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Find a Pharmacy

TexanPlus Classic (HMO) Summary of Benefits pdf icon

TexanPlus Classic (HMO) Summary of Benefits (Spanish) pdf icon

TexanPlus Classic (HMO) Annual Notice of Change pdf icon

TexanPlus Classic (HMO) Annual Notice of Change (Spanish) pdf icon

TexanPlus Classic (HMO) Evidence of Coverage pdf icon

TexanPlus Classic (HMO) Evidence of Coverage (Spanish) pdf icon

Comprehensive Formulary pdf icon

Comprehensive Formulary (Spanish) pdf icon

Coverage of a Non-Formulary Drug pdf icon

Quantity Limit Exception pdf icon

Step Therapy Exception pdf icon

Lower Co-Pay (Tiering Exception) pdf icon

Medicare Prescription Drug Coverage Determination Form pdf icon

Medicare Prescription Drug Appeal (Redetermination) Form pdf icon

Today’s Options® HMO

Find a provider

Find a Pharmacy

Today’s Options Classic (HMO) Summary of Benefits pdf icon

Today’s Options Classic (HMO) Evidence of Coverage pdf icon

Comprehensive Formulary pdf icon

Comprehensive Formulary (Spanish)pdf icon

Coverage of a Non-Formulary Drug pdf icon

Quantity Limit Exception pdf icon

Step Therapy Exception pdf icon

Lower Co-Pay (Tiering Exception) pdf icon

Medicare Prescription Drug Coverage Determination Form pdf icon

Medicare Prescription Drug Appeal (Redetermination) Form pdf icon

Today’s Options® PPO

Find a provider

Find a Pharmacy

Today’s Options Advantage 300 (PPO) Summary of Benefits pdf icon

Today’s Options Advantage Plus 150A (PPO) Summary of Benefits (082) pdf icon

Today’s Options Advantage Plus 150A (PPO) Summary of Benefits (083) pdf icon

Today’s Options Advantage Plus 450A (PPO) Summary of Benefits pdf icon

Today’s Options Advantage Plus 450A (PPO) Summary of Benefits (Spanish) pdf icon

Today’s Options Advantage Plus 550B (PPO) Summary of Benefits (088) pdf icon

Today’s Options Advantage Plus 550B (PPO) Summary of Benefits (089) pdf icon

Today’s Options Advantage Plus 750B (PPO) Summary of Benefits pdf icon

Today’s Options Advantage Plus 750B (PPO) Summary of Benefits (Spanish) pdf icon

Today’s Options Advantage 300 (PPO) Annual Notice of Change pdf icon

Today’s Options Advantage Plus 150A (PPO) Annual Notice of Change (082) pdf icon

Today’s Options Advantage Plus 150A (PPO) Annual Notice of Change (083) pdf icon

Today’s Options Advantage Plus 450A (PPO) Annual Notice of Change pdf icon

Today’s Options Advantage Plus 450A (PPO) Annual Notice of Change (Spanish)pdf icon

Today’s Options Advantage Plus 550B (PPO) Annual Notice of Change (088) pdf icon

Today’s Options Advantage Plus 550B (PPO) Annual Notice of Change (089) pdf icon

Today’s Options Advantage Plus 750B (PPO) Annual Notice of Change pdf icon

Today’s Options Advantage Plus 750B (PPO) Annual Notice of Change (Spanish) pdf icon

Today’s Options Advantage 300 (PPO) Evidence of Coverage

Today’s Options Advantage Plus 150A (PPO) Evidence of Coverage (082) pdf icon

Today’s Options Advantage Plus 150A (PPO) Evidence of Coverage (083) pdf icon

Today’s Options Advantage Plus 450A (PPO) Evidence of Coverage pdf icon

Today’s Options Advantage Plus 450A (PPO) Evidence of Coverage (Spanish)pdf icon

Today’s Options Advantage Plus 550B (PPO) Evidence of Coverage (088) pdf icon

Today’s Options Advantage Plus 550B (PPO) Evidence of Coverage (089) pdf icon

Today’s Options Advantage Plus 750B (PPO) Evidence of Coverage pdf icon

Today’s Options Advantage Plus 750B (PPO) Evidence of Coverage (Spanish)pdf icon

Comprehensive Formulary pdf icon

Comprehensive Formulary (Spanish) pdf icon

Coverage of a Non-Formulary Drug pdf icon

Quantity Limit Exception pdf icon

Step Therapy Exception pdf icon

Lower Co-Pay (Tiering Exception) pdf icon

Medicare Prescription Drug Coverage Determination Form pdf icon

Medicare Prescription Drug Appeal (Redetermination) Form pdf icon

Today’s Options® PFFS

Find a provider

Find a Pharmacy

Today’s Options Premier 200 (PFFS) Summary of Benefits (001) pdf icon

Today’s Options Premier 200 (PFFS) Summary of Benefits (002) pdf icon

Today’s Options Premier 300 (PFFS) Summary of Benefits (007) pdf icon

Today’s Options Premier 300 (PFFS) Summary of Benefits (008) pdf icon

Today’s Options Premier Plus 250A (PFFS) Summary of Benefits pdf icon

Today’s Options Premier Plus 650B (PFFS) Summary of Benefits pdf icon

Today’s Options Premier 200 (PFFS) Annual Notice of Change (001) pdf icon

Today’s Options Premier 200 (PFFS) Annual Notice of Change (002) pdf icon

Today’s Options Premier 300 (PFFS) Annual Notice of Change (007) pdf icon

Today’s Options Premier 300 (PFFS) Annual Notice of Change (008) pdf icon

Today’s Options Premier Plus 250A (PFFS) Annual Notice of Change pdf icon

Today’s Options Premier Plus 650B (PFFS) Annual Notice of Change pdf icon

Today’s Options Premier 200 (PFFS) Evidence of Coverage (001) pdf icon

Today’s Options Premier 200 (PFFS) Evidence of Coverage (002) pdf icon

Today’s Options Premier 300 (PFFS) Evidence of Coverage (007) pdf icon

Today’s Options Premier 300 (PFFS) Evidence of Coverage (008) pdf icon

Today’s Options Premier Plus 250A (PFFS) Evidence of Coverage pdf icon

Today’s Options Premier Plus 650B (PFFS) Evidence of Coverage pdf icon

Comprehensive Formulary pdf icon

Comprehensive Formulary (Spanish) pdf icon

Coverage of a Non-Formulary Drug pdf icon

Quantity Limit Exception pdf icon

Step Therapy Exception pdf icon

Lower Co-Pay (Tiering Exception) pdf icon

Medicare Prescription Drug Coverage Determination Form pdf icon

Medicare Prescription Drug Appeal (Redetermination) Form pdf icon

All Plans

Find a provider

Mail Order Form pdf icon

Medicare Part D Prescription Claim Form pdf icon

Learn More About Part D Coverage Determinations, Exception, Appeals and Grievances pdf icon

TexanPlus® HMO - Houston/Beaumont Area

Find a provider

Find a Pharmacy

TexanPlus Value (HMO) Summary of Benefits pdf icon

TexanPlus Value (HMO) Summary of Benefits (Spanish) pdf icon

TexanPlus Classic (HMO) Summary of Benefits pdf icon

TexanPlus Classic (HMO) Summary of Benefits (Spanish) pdf icon

TexanPlus Value (HMO) Annual Notice of Change pdf icon

TexanPlus Value (HMO) Annual Notice of Change (Spanish) pdf icon

TexanPlus Classic (HMO) Annual Notice of Change pdf icon

TexanPlus Classic (HMO) Annual Notice of Change (Spanish) pdf icon

TexanPlus Value (HMO) Evidence of Coverage pdf icon

TexanPlus Value (HMO) Evidence of Coverage (Spanish) pdf icon

TexanPlus Classic (HMO) Evidence of Coverage pdf icon

TexanPlus Classic (HMO) Evidence of Coverage (Spanish) pdf icon

Multi Language Insert pdf icon

Comprehensive Formulary pdf icon

Comprehensive Formulary (Spanish) pdf icon

Coverage of a Non-Formulary Drug pdf icon

Quantity Limit Exception pdf icon

Step Therapy Exception pdf icon

Lower Co-Pay (Tiering Exception) pdf icon

Medicare Prescription Drug Coverage Determination Form pdf icon

Medicare Prescription Drug Appeal (Redetermination) Form pdf icon

TexanPlus® HMO-POS - Houston/Beaumont Area

Find a provider

Find a Pharmacy

TexanPlus Choice (HMO) Summary of Benefits pdf icon

TexanPlus Choice (HMO) Summary of Benefits (Spanish) pdf icon

TexanPlus Choice (HMO-POS) Annual Notice of Change pdf icon

TexanPlus Choice (HMO-POS) Annual Notice of Change (Spanish) pdf icon

TexanPlus Choice (HMO-POS) Evidence of Coverage pdf icon

TexanPlus Choice (HMO-POS) Evidence of Coverage (Spanish) pdf icon

Multi Language Insert pdf icon

Comprehensive Formulary pdf icon

Comprehensive Formulary (Spanish) pdf icon

Coverage of a Non-Formulary Drug pdf icon

Quantity Limit Exception pdf icon

Step Therapy Exception pdf icon

Lower Co-Pay (Tiering Exception) pdf icon

Medicare Prescription Drug Coverage Determination Form pdf icon

Medicare Prescription Drug Appeal (Redetermination) Form pdf icon

TexanPlus® HMO-SNP – Southeast Texas Area

Find a provider

Find a Pharmacy

TexanPlus Star (HMO SNP) Summary of Benefits pdf icon

TexanPlus Star (HMO SNP) Annual Notice of Change pdf icon

TexanPlus Star (HMO SNP) Evidence of Coverage pdf icon

TexanPlus Star (HMO SNP) Evidence of Coverage (Spanish)pdf icon

Multi Language Insert pdf icon

Comprehensive Formulary pdf icon

Comprehensive Formulary (Spanish) pdf icon

Coverage of a Non-Formulary Drug pdf icon

Quantity Limit Exception pdf icon

Step Therapy Exception pdf icon

Lower Co-Pay (Tiering Exception) pdf icon

Medicare Prescription Drug Coverage Determination Form pdf icon

Medicare Prescription Drug Appeal (Redetermination) Form pdf icon

TexanPlus® HMO - Dallas/Fort Worth Area

Find a provider

Find a Pharmacy

TexanPlus Classic (HMO) Summary of Benefits pdf icon

TexanPlus Classic (HMO) Summary of Benefits (Spanish) pdf icon

TexanPlus Classic (HMO) Annual Notice of Change pdf icon

TexanPlus Classic (HMO) Annual Notice of Change (Spanish) pdf icon

TexanPlus Classic (HMO) Evidence of Coverage pdf icon

TexanPlus Classic (HMO) Evidence of Coverage (Spanish) pdf icon

Multi Language Insert pdf icon

Comprehensive Formulary pdf icon

Comprehensive Formulary (Spanish) pdf icon

Coverage of a Non-Formulary Drug pdf icon

Quantity Limit Exception pdf icon

Step Therapy Exception pdf icon

Lower Co-Pay (Tiering Exception) pdf icon

Medicare Prescription Drug Coverage Determination Form pdf icon

Medicare Prescription Drug Appeal (Redetermination) Form pdf icon

Today’s Options® PPO

Find a provider

Find a Pharmacy

Today’s Options Advantage 300 (PPO) Summary of Benefits pdf icon

Today’s Options Advantage Plus 150A (PPO) Summary of Benefits (082) pdf icon

Today’s Options Advantage Plus 150A (PPO) Summary of Benefits (083) pdf icon

Today’s Options Advantage Plus 450A (PPO) Summary of Benefits pdf icon

Today’s Options Advantage Plus 450A (PPO) Summary of Benefits (Spanish) pdf icon

Today’s Options Advantage Plus 550B (PPO) Summary of Benefits (088) pdf icon

Today’s Options Advantage Plus 550B (PPO) Summary of Benefits (089) pdf icon

Today’s Options Advantage Plus 750B (PPO) Summary of Benefits pdf icon

Today’s Options Advantage Plus 750B (PPO) Summary of Benefits (Spanish) pdf icon

Today’s Options Advantage 300 (PPO) Annual Notice of Change pdf icon

Today’s Options Advantage Plus 150A (PPO) Annual Notice of Change (082) pdf icon

Today’s Options Advantage Plus 150A (PPO) Annual Notice of Change (083) pdf icon

Today’s Options Advantage Plus 450A (PPO) Annual Notice of Change pdf icon

Today’s Options Advantage Plus 450A (PPO) Annual Notice of Change (Spanish)pdf icon

Today’s Options Advantage Plus 550B (PPO) Annual Notice of Change (088) pdf icon

Today’s Options Advantage Plus 550B (PPO) Annual Notice of Change (089) pdf icon

Today’s Options Advantage Plus 750B (PPO) Annual Notice of Change pdf icon

Today’s Options Advantage Plus 750B (PPO) Annual Notice of Change (Spanish) pdf icon

Today’s Options Advantage 300 (PPO) Evidence of Coverage

Today’s Options Advantage Plus 150A (PPO) Evidence of Coverage (082) pdf icon

Today’s Options Advantage Plus 150A (PPO) Evidence of Coverage (083) pdf icon

Today’s Options Advantage Plus 450A (PPO) Evidence of Coverage pdf icon

Today’s Options Advantage Plus 450A (PPO) Evidence of Coverage (Spanish)pdf icon

Today’s Options Advantage Plus 550B (PPO) Evidence of Coverage (088) pdf icon

Today’s Options Advantage Plus 550B (PPO) Evidence of Coverage (089) pdf icon

Today’s Options Advantage Plus 750B (PPO) Evidence of Coverage pdf icon

Today’s Options Advantage Plus 750B (PPO) Evidence of Coverage (Spanish)pdf icon

Multi Language Insert pdf icon

Comprehensive Formulary pdf icon

Comprehensive Formulary (Spanish) pdf icon

Coverage of a Non-Formulary Drug pdf icon

Quantity Limit Exception pdf icon

Step Therapy Exception pdf icon

Lower Co-Pay (Tiering Exception) pdf icon

Medicare Prescription Drug Coverage Determination Form pdf icon

Medicare Prescription Drug Appeal (Redetermination) Form pdf icon

Today’s Options® PFFS

Find a provider

Find a Pharmacy

Today’s Options Premier 200 (PFFS) Summary of Benefits (001) pdf icon

Today’s Options Premier 200 (PFFS) Summary of Benefits (002) pdf icon

Today’s Options Premier 300 (PFFS) Summary of Benefits (007) pdf icon

Today’s Options Premier 300 (PFFS) Summary of Benefits (008) pdf icon

Today’s Options Premier Plus 250A (PFFS) Summary of Benefits pdf icon

Today’s Options Premier Plus 650B (PFFS) Summary of Benefits pdf icon

Today’s Options Premier 200 (PFFS) Annual Notice of Change (001) pdf icon

Today’s Options Premier 200 (PFFS) Annual Notice of Change (002) pdf icon

Today’s Options Premier 300 (PFFS) Annual Notice of Change (007) pdf icon

Today’s Options Premier 300 (PFFS) Annual Notice of Change (008) pdf icon

Today’s Options Premier Plus 250A (PFFS) Annual Notice of Change pdf icon

Today’s Options Premier Plus 650B (PFFS) Annual Notice of Change pdf icon

Today’s Options Premier 200 (PFFS) Evidence of Coverage (001) pdf icon

Today’s Options Premier 200 (PFFS) Evidence of Coverage (002) pdf icon

Today’s Options Premier 300 (PFFS) Evidence of Coverage (007) pdf icon

Today’s Options Premier 300 (PFFS) Evidence of Coverage (008) pdf icon

Today’s Options Premier Plus 250A (PFFS) Evidence of Coverage pdf icon

Today’s Options Premier Plus 650B (PFFS) Evidence of Coverage pdf icon

Multi Language Insert pdf icon

Comprehensive Formulary pdf icon

Comprehensive Formulary (Spanish) pdf icon

Coverage of a Non-Formulary Drug pdf icon

Quantity Limit Exception pdf icon

Step Therapy Exception pdf icon

Lower Co-Pay (Tiering Exception) pdf icon

Medicare Prescription Drug Coverage Determination Form pdf icon

Medicare Prescription Drug Appeal (Redetermination) Form pdf icon


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Please note:

If you are a member of the City of Houston Employer Group enrolled in a TexanPlus HMO plan, click here to see your plan documents.

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