- Look for the notice saying “Action Required” in a yellow envelope from HHSC and respond quickly when you get it.
- Update your information as soon as possible, especially if your contact information has changed. You can do this by logging into your account at YourTexasBenefits.com or through the Your Texas Benefits mobile app.
- If you don’t have an account, you can create one on the website or mobile app. Or you can call 2-1-1 and choose option 2 to update your information.
In the event you are no longer eligible for Medicaid, we are here to help you. Contact the Eligibility Center at 817-702-1001 for assistance.
JPS Health Network and its affiliated facilities are contracted with the following insurance companies and provider networks to provide services to covered members at in-network benefit levels. We always recommend that you contact the insurance company to confirm eligibility and pre-certify services and procedures.
If you have questions about any of these plans, call the number listed on your Member ID Card or the general Member Services phone number listed by your Insurer below.
An important notice for JPS Connection members
Patients who qualify for insurance through the Affordable Care Act must sign up in order to be eligible for JPS Connection.
To be eligible for JPS Connection, you must first take full advantage of all other assistance available to you. If you qualify for insurance from the Marketplace, you must sign up.
You can read more about the new Marketplace at HealthCare.gov (CuidadoDeSalud.gov) or call the Marketplace Call Center at 1-800-318-2596. Information on JPS Connection is here.
November 1: Open Enrollment starts for health coverage for the next plan year — first day you can enroll in, re-enroll in, or change health plans through the Health Insurance Marketplace®. Coverage can start as soon as January 1.
December 15: Last day to enroll in or change plans for coverage to start January 1.
January 1: Coverage starts for those who enroll in or change plans by December 15 and pay their first premium.
January 15: Open Enrollment ends — last day to enroll in or change health plans for the year. After this date, you can enroll in or change plans only if you qualify for a Special Enrollment Period.
February 1: Coverage starts for those who enroll in or change plans December 16 through January 15 and pay their first premium.
Marketplace Exchange Insurance Plans accepted at JPS
If you are signing up for Affordable Care Act insurance and want to use your insurance at JPS, below is a list of Affordable Care Act insurance plans currently contracted with JPS Health Network.
Important: Not all physicians are contracted with these plans. It is recommended that you verify with the Affordable Care Act representative or your physician to determine if your physician is in-network with the plan you have chosen.
Aetna
Blue Advantage
Molina Healthcare
Ambetter Balanced
Ambetter Essential
Ambetter Secure
Ambetter Virtual Access
Cigna
Commercial Products
Medicare Products
Medicaid Products
Behavioral Health Products
Workers Compensation Products
Welcome to Medicare
As a JPS patient turning 65, we’d like to provide you with some information regarding Medicare enrollment and continued benefits offered at JPS.
Who is Eligible for Medicare?
Generally, Medicare is available for people 65 or older, younger people with disabilities and people with End Stage Renal Disease (permanent kidney failure requiring dialysis or transplant). Medicare has four parts:
- Part A (Hospital Insurance) helps pay for inpatient hospital stays, skilled nursing facility care, home healthcare, and hospice.
- Part B (Medicare Insurance) helps cover medically necessary services like doctor visits and outpatient care. Part B also covers many preventive services (including screening tests and shots), diagnostic tests, some therapies, and durable medical equipment like wheelchairs and walkers. Together Part A and Part B are also referred to as “Original Medicare”.
- Part C (Medicare Advantage Plan [MA]) is another way to get your Medicare benefits. I combines Part A, B, and sometimes D (prescription drug coverage). MA plans are managed by private insurance companies approved by Medicare. These plans cover medically necessary services. However, plans can charge different co-payments, co-insurance, or deductibles for these serves than Original Medicare.
- Part D (Medicare Prescription Drug Coverage) helps pay for outpatient prescription drugs. Part D may help lower your prescription drug costs and protect you against higher costs in the future.
Initial Enrollment Period
You can first enroll during your Initial Enrollment Period (IEP), which lasts seven months.
- Begins three months before your 65th birthday
- Includes the month of you turn 65
- Ends three months after you turn 65
- Your start date will be delayed
- To find out if you are eligible and your expected premium, go to Medicare.gov
General Enrollment Period (GEP)
People who did not sign up during the Initial Enrollment Period (IEP) can sign up during General Enrollment Period. There may be a penalty for signing up after your IEP.
- January 1 - March 31 annually
- Coverage starts July 1
Benefits offered at JPS
- Continue care with your trusted JPS doctors
- Personal one-on-one assistance with enrollment
- Welcome to Medicare Comprehensive visit
- Financial assistance to those who qualify to assist with out-of-pocket costs for hospital and pharmacy care
- Medicare hotline (for questions and enrollment assistance)
- Quarterly Medicare Education Sessions (in-person and online)
- What is Medicare?
- What are my coverage options?
- How to enroll?
- How do I use my Medicare?
Need Assistance?
JPS is here to help you with your Medicare questions.
- JPS Medicare Hotline: 817-702-5233 (Monday - Friday | 8 a.m. - 4:30 p.m.)
Other Available Resources
- Online: Medicare.gov
- 1-800-Medicare (1-800-633-4227)
- 24 hours a day, 7 days a week (except some federal holidays)
For Medicare plans accepted at JPS please see Accepted Insurance Plans above.
JPS Health Network and Acclaim Physician Group no longer accept Out of Network insurance. Patients with Out of Network insurance will be solely responsible for payment for all services starting January 1, 2024.
To find health insurance plans that JPS and Acclaim accept, please click https://www.jpshealthnet.org/financial-resources/insurance-plans. If you have questions or need assistance, please call 817-702-6704 or email PatientAccounts@jpshealth.org.