Texas Independence Health Plan

“Medically Necessary” or “Medical Necessity” means health care services or supplies that a physician, exercising prudent judgement, would provide and/or order for a patient. The services must be:

Every Special Needs Plan (SNP) requires a Model of Care (MOC) to address enrollees’ unique needs through care management practices.

Texas Independence Health Plan covers most Part D vaccines at no cost, even before deductible payment.

The 2013 Jimmo vs. Sebelius settlement clarifies Medicare’s policy on skilled services for nursing facilities, home health, inpatient rehabilitation, and outpatient therapy.

Texas Independence Health Plan (TIHP) employs long-term care leaders with decades of experience managing facilities and programs, including skilled nursing, senior living, independent living, and home health services.

Texas Independence Health Plan partners with nursing homes, assisted living, and skilled nursing facilities to deliver integrated specialized care through operational and clinical coordination.

Congress established Medicare Advantage Plans (formerly Medicare+Choice) in 1997 to offer coordinated healthcare with additional benefits beyond traditional Medicare.

Texas Independence Health Plan is a Medicare Advantage plan designed for beneficiaries in long-term care and assisted living facilities, sponsored by experienced leaders collaborating with physicians and providers.

Texas Independence Health Plan provides links to additional Medicare information.

1908 N. Laurent, Suite 250 Victoria, TX 77901 Corporate Phone: (361) 576-0694

Texas Independence Health Plan’s Medicare Advantage I-SNP supports providers in delivering care while protecting financial outcomes.

Partnering with providers to deliver excellent, compassionate, and personalized health care for seniors.

Texas Independence Health Plan is a Medicare Advantage HMO plan for long-term care residents, offering coordinated care with local teams.

The Interoperability and Patient Access rule (CMS-9115-F) enables easier sharing of health information with third-party apps to improve coordinated care.

Commitment to Protecting Health Information

The Centers for Medicare & Medicaid Services (CMS) assigns **18 Medicare Advantage plans** the highest 5-star rating for 2026. These plans meet CMS’s quality benchmarks, including customer satisfaction, preventive care, and health outcomes. The ratings guide beneficiaries in selecting plans with top-tier performance.

Oct 2025Becker's Payer Issues | Payer NewsNews article