25th anniversary lockup

YOUR LOCAL HEALTH PLAN.

COVID-19 Updates

Community First Health Plans remains committed to supporting you, just as we have for 25 years.

Become A Member

Learn about our different health plans for your family and see if you qualify.

Become A Provider

Learn how you can join our network of partners improving the health of our community.

YOUR LOCAL, NON-PROFIT HEALTH PLAN

For over 25 years, Community First Health Plans has been providing affordable health coverage for families, children, expectant mothers, and children with special needs in Bexar county and 7 surrounding counties.

For over 25 years, Community First Health Plans has been providing affordable health coverage for families, children, expectant mothers, and children with special needs in Bexar county and 7 surrounding counties.

Baby Shower Event

Find Us At These Events

Please note that during the COVID-19 crisis, Community First will not be at public events as we do our part to reduce the spread of this virus.

Please check back for future events.

Member Service Hotlines

Nurse Advice Line

1-800-434-2347
TTY (210) 358-6080

Community First Health Plans has a Nurse Advice Line available 24 hours a day, 7 days a week, 365 days a year – to help you get the care you need. Nurses can help you with medical advice, such as what to do for a common cold or how to care for a loved one released from the hospital.

For Emergency Services dial 9-1-1 or go to the nearest emergency room.

 

Behavioral Health & Substance Abuse Hotline:
1-877-221-2226

Call toll-free to talk to someone if you need help right away. You do not need a referral for mental health or substance abuse services.

24 hours a day, 7 days a week

For Emergency Services dial 9-1-1 or go to the nearest emergency room.

STAR Kids Members can speak to a Service Coordinator for help with benefits. We have dedicated Service Coordinators who can help you understand the STAR Kids program, covered services, and provider resources.

Member Services Hotline:

(210) 227–2347 or 1-800-434-2347

Monday-Friday 8 a.m. – 5 p.m.

TTY (210) 358-6080 or toll-free 1-800-390-1175
24 hours a day/7 days a week

For Emergency Services dial 9-1-1 or go to the nearest emergency room.

STAR Kids Members can speak to a Service Coordinator for help with benefits. We have dedicated Service Coordinators who can help you understand the STAR Kids program, covered services, and provider resources.

If you need to seek a specialty consultation or obtain a referral for specialty care and need assistance please contact Community First Health Plans, Inc. CFHP does not require a referral to see an in plan specialist. Some specialist offices require or prefer to have a “Referral” from the your PCP before they see you. You should ask your PCP to confirm with the specialist if a referral is needed from them for you to be seen. If the specialist is not an in plan provider, authorization for services from CFHP is required to see that specialist. The CFHP Population Health Management teams will assist you, the PCP and Specialist with the service authorization process. CFHP will also try to recruit the provider to our network of physicians.

Member Handbooks, Provider Directories, and CFHP Member Newsletters are all available in print, free of charge, and mailed within 5 business days. To request your copy simply call 1-800-434-2347 or make a request through your secure Member Portal.

CFHP provides free language services to people whose primary language is not English, such as:

  • Qualified interpreters
  • Information written in other languages
Vision Services

Vision services are provided by Envolve Benefit Options through Envolve Vision. Envolve Vision works to reduce member costs while still delivering the highest quality vision benefits available.

Contact Info

Toll Free: 1-800-334-3937

Envolve Benefit Options
5130 Sunforest Drive, Tampa, FL 33634

Website link: https://visionbenefits.envolvehealth.com/locateme.aspx

Pharmacy Benefits

Prescription drugs are a covered benefit of the Medicaid and CHIP Programs. Community First administers this benefit with the Texas Medicaid/CHIP Vendor Drug Program and our Pharmacy Benefit Manager, Navitus Health Solutions.

Contact Info

Toll Free: 1-866-333-2757

Navitus Health Solutions
361 Integrity Drive, Madison, WI 53717

Website link:
https://www.navitus.com/members

Provider Hotlines

Talk to a provider relations representative about the health plan and member benefits.

Provider Services Hotline Number: 

(210) 358-6294 and (210) 358-6030

Monday-Friday 8:30 a.m.-5 p.m.

For after hours assistance, please call 1-800-434-2347.

STAR Kids Provider Hotline:

(210) 358-6403 or toll-free 1-855-607-7827

(210) 358-6060 or toll-free 1-800-434-2347

Monday-Friday 8 a.m.-5 p.m.

STAR Program Help Line

Call to get information or ask questions about the program, benefits or to choose a health plan.

1-800-964-2777
TTY Line: 1-800-735-2889

Monday-Friday, 8 a.m.-6 p.m.

CHIP/CHIP Perinatal:

(210) 358-6300 or toll-free 1-800-434-2347
Monday-Friday 8 a.m.-5 p.m.

CHIP Program Help Line

Call to get information or ask questions about the program, benefits or to choose a health plan.

1-800-964-2777
TTY Line: 1-800-735-2889

Monday-Friday, 8 a.m.-6 p.m.

STAR Kids Members can speak to a Service Coordinator for help with benefits. We have dedicated Service Coordinators who can help you understand the STAR Kids program, covered services, and provider resources.

STAR Kids:

(210) 358-6403 or toll-free 1-855-607-7827 or Local: (210) 358-6403
Monday-Friday 8 a.m.-5 p.m.

STAR Kids Behavioral Health Hotline:

1-844-541-2347 or Local: 210-358-6403
Monday-Friday 8 a.m.-5 p.m.

STAR Kids Program Help Line

Call to get information or ask questions about the program, benefits or to choose a health plan.

1-877-782-6440
TTY Line: 1-800-267-5008

Monday-Friday, 8 a.m.-6 p.m. 

(210) 358-6080 or toll-free 1-800-390-1175
24 hours a day/7 days a week

Medicaid Managed Care Program Help Line

Health Plan Enrollment

Hearing Impaired (STAR): 1-800-735-2889

Hearing Impaired (STAR Kids): 1-800-267-5008

  

Fair Hearing

If you disagree with the health plan’s decision to cover something, you can ask your health plan for a fair hearing. You must ask for a fair hearing within 120 days of the date on the health plan’s letter with a decision.

STAR Program: 1-800-434-2347

STAR Kids Program: 1-855-607-7827

You have the right to keep getting any service the health plan denied or reduced until the final hearing decision is made if you ask for a fair hearing by the latter of:

  • 10 calendar days following Community First’s mailing of the notice of the action, or the day the health plan’s letter says your service will be reduced or end.

If you do not request a fair hearing by this date, the service the health plan denied will be stopped.