Welcome to El Paso Health +
We are pleased to offer you a plan that is specially design to meet your needs. Here you can find important information on the benefits you can get from El Paso Health Medicare Advantage.
El Paso Health Medicare Advantage covers everything that Original Medicare covers – and more! Extra benefits can be found under Services, to your right.
We are a plan only for those with full Medicaid benefits and who are part of the Qualified Medicare Beneficiary (QMB) program. We service El Paso and Hudspeth counties.
How to Contact El Paso Health Medicare Advantage
Members can call toll free 1-833-742-3125
TTY Users: 711
We are available:
• October 1 – March 31, 8 a.m. to 8 p.m. Mountain Time (MT) daily.
• April 1 – September 30, 8 a.m. to 8 p.m. Mountain Time (MT) Monday through Friday.
How to Obtain Care in a Disaster
The EPH Continuity of Member Care Emergency Response (COMCER) Plan provides procedures for sustaining essential care of EPH Members in response to a Federal Emergency Management Agency (FEMA) or Governor declared disaster, or during recovery from a service disruption.
Affected Members will be granted access to out-of-network Providers if they are unable to access covered services from an in-network Provider. Affected Members will also be granted access to formulary drugs dispensed at out-of-network pharmacies when formulary drugs at a network pharmacy cannot be obtained. Prior authorization requirements and “refill-too-soon” edits at the pharmacy will be lifted during the declared disaster. Utilization management staff will accept prior authorization for extensions or transfers to new Providers without additional requirements.
You may contact Member Services for more information.
If you have a complaint, you can visit the Medicare complaint website at: www.medicare.gov/MedicareComplaintForm/home.aspx. Here an enrollee can enter a complaint in lieu of calling 1-800-Medicare.
This information is available for free in other languages. Please contact our Member Services number at 833-742-3125 (TTY 711) for additional information.
ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-833-742-3125, TTY 711.
El Paso Health Medicare Advantage Dual (HMO D-SNP) is an HMO SNP plan and
Prescription Drug Plan with a Medicare contract. Enrollment in El Paso Health Medicare Advantage Dual (HMO D-SNP) depends on contract renewal.