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You must continue to pay your Medicare Part B premium. superior vision, customer service, superior service, superior vision hours, customer service hours Tell Us Who You Are * Select Option I am a Member I am a Provider I am a Benefit Manager I am a Health Plan Representative I am a Broker Other For STAR Health, Allwell from Superior HealthPlan and Ambetter from Superior HealthPlan, office hours are from 8 a.m. to 6 p.m. (Central Time), Monday through Friday. (October 1 – February 14), 8 a.m. – 8 p.m., Mon. "Confirm Organization" must be completed properly before submitting. Office hours are 8 a.m. to 5 p.m. (Central Time), Monday through Friday. Premium, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. This consent is not required. Learn More. You can also request any materials on this website in another format, such as large print, braille, CD or in another language. If you are an Ambetter member you can reach us 24/7 through your online member account . Request Network Participation, Non-Contracted Providers Only, Add a Provider to an Existing Group Contract, Add a Practice Location to an Existing Contract, Practice Improvement Resource Center (PIRC), Updating Provider Demographic Information. Below is a list of Superior office locations and phone numbers in Texas. 1-877-687-1196. If you want to apply for Medicaid, call 2-1-1 or visit www.YourTexasBenefits.com. You will receive notice when necessary. Medical Provider Behavioral Provider Dental Provider Vision Provider Foster Care Member, Medical Consenter, Foster Parent, DFPS Staff, RTC/CPA Staff, CASA Staff, SSCC "Confirm Tax Identification Number (TIN)" must be completed properly before submitting. Yes. Payment of claims is dependent on eligibility, covered benefits, provider contracts, correct coding and billing practices. Superior Member Advocates can help members get access to care. If you speak another language or need an interpreter, call Member Services for help. An option from "Are you a:" must be checked before submitting. Our staff speaks English and Spanish. Hours are from 8 a.m. to 8 p.m., Monday through Friday. Centerville, Ohio 45459. If you have an emergency or crisis, call 9-1-1 or visit the nearest hospital or emergency room. It allows members to ask HHSC to review their case. We’re making healthy vision a priority for all. If you speak another language or need an interpreter, call Member Services for help. How to Register. Should you wish to receive a state or health plan specific network access plan, please contact Superior Vision provider relations, at 1 (800) 879-6901. 6683 Centerville Business Pkwy. You will need Adobe Reader to open PDFs on this site. Superior Provider Services LLC is a Texas Domestic Limited-Liability Company (Llc) filed on June 27, 2012. The Registered Agent on file for this company is Erika Lorena Longoria and is located at 817 N. Ware Rd., Suite 10, Mcallen, TX 78501. They can help you with things like how to pick a doctor, transportation services and how to use Superior services. "Confirm First Name" must be completed properly before submitting. Every year, Medicare evaluates plans based on a 5-star rating system. If you are aware of any false information submitted to SDC, please contact our Dentist and Member Services Team at 937.438.0283 or 800.762.3159 to report the activity. You will need Adobe Reader to open PDFs on this site. To proceed with learning about available career opportunities within Versant Health, please click on the button below. Request Network Participation, Non-Contracted Providers Only, Add a Provider to an Existing Group Contract, Add a Practice Location to an Existing Contract, Practice Improvement Resource Center (PIRC), Updating Provider Demographic Information. must be completed properly before submitting. Many Superior members may need behavioral health services. Office hours are 8 a.m. to 5 p.m. (Central Time), Monday through Friday. Our registration process is quick and simple. You must continue to pay your Medicare Part B premium. Please contact the plan for further details. Please complete the Network Participation Formand allow up to 30 days for evaluation and response of your inquiry. To choose a doctor or Primary Care Provider (PCP), call Superior STAR+PLUS MMP Member Services at 1-866-896-1844 (TTY:711). If you need help understanding the language being spoken, Superior has people who can help you on the phone or can go with you to a medical appointment. Corporate Office. The hotline is staffed with nurses who are knowledgeable about Medicaid and CHIP benefits and services. for STAR, STAR+PLUS, STAR Kids, STAR Health, CHIP, STAR+PLUS MMP, Allwell and Ambetter members and providers in Texas. Superior Vision is a product offering from Versant Health, a company forged from the experience of two leading vision care plans. If you are a provider contracted with Superior, and have questions, call one of the phone numbers listed below. Obtain an authorization number prior to providing services and/or materials to a covered member. Communication via email is not as secure as communicating via our secure member portal. If you need help finding a network provider and/or pharmacy, please call 1-866-896-1844 (TTY: 711) or visit mmp.SuperiorHealthPlan.com to access our online searchable directory. Superior Vision is a nationwide vision care company offering managed eye health and vision plans for … Fax: 937.291.8695. Please note: Wraparound training is a requirement for Mental Health (MH) Targeted Case Management (TCM) providers to provid… Limitations, copayments, and restrictions may apply. "Confirm Last Name" must be completed properly before submitting. Second, see your eye care professional and pay for your examination and/or materials. On the member portal, you can: If you are a member of the media, please send your questions to mediainquiries@superiorhealthplan.com. They will help Medicaid and CHIP members find community resources, resolve problems and file complaints. Benefits, premiums and copayments/co-insurance may change on January 1 of each year. If you are a provider and need to reach an Account Manager in your region, call the phone number below that is specific to your area, or visit the Find My Account Manager webpage. Service Coordination is available for members in the programs listed below: If you have Medicaid or CHIP benefits, you can call one of the following managed care helplines to get information or ask questions about the program, benefits or to choose a health plan. 8 a.m. – 8 p.m., 7 days a week First, call Superior Vision Customer Service at (800) 507-3800 and get an authorization number / eligibility number. To ensure the safety of your protected health information (PHI), please send us a message through the Secure Member Portal or Provider Portal, or you can call us at the Member Services number on the back of your Superior ID card to speak directly to a customer service representative. Your session will end in 60 seconds. Clinician-Administered Drug Prior Authorization Requests, Out-Patient RX (Envolve Pharmacy Solutions), Prior Auth Requests Phone: 1-866-399-0928. Ok Service Coordination is a special kind of care management. They can visit you at home, talk to you on the phone or send you facts by mail. If you speak another language or need an interpreter, call Member Services for help. "Confirm Member ID" must be completed properly before submitting. The nurses can respond to calls from providers and members seeking clinical information, guidance on specialty referrals or requests for specialty provider consultations. To enroll with Superior, call 1-800-964-2777. "Confirm Username" must be completed properly before submitting. Limitations, copayments, and restrictions may apply. Online Chat. Call us at 1-877-687-1196 (Relay Texas/TTY 1-800-735-2989). "Confirm Form Completed By" must be completed properly before submitting. Required fields are marked with an asterisk (*) Please let us know if you are: *. As a member of Superior HealthPlan, you can call Member Services if you have questions about your health plan. A member must file for a State Fair Hearing within 120 days of the date of the Superior notice denying their appeal. After hours, on weekends and on holidays, you may be asked to leave a message. We accept Superior Vision for eye exams, glasses and contacts at all our locations. Learn More. You can also request any materials on this website in another format, such as large print, braille, CD or in another language. Need health insurance? We are currently accepting inquiries for network participation for PCPs and many specialties. Provider Registration Video Provider Registration PDF Texas Health Steps gives your child: Read more about this program on the Texas Health Steps website or call Member Services at the phone numbers listed below. "Confirm National Provider Identification (NPI) Number" must be completed properly before submitting. 800.762.3159. If you need help finding a network provider and/or pharmacy, please call 1-866-896-1844 (TTY: 711) or visit mmp.SuperiorHealthPlan.com to access our online searchable directory. Simply call Superior Member Services. "Confirm Phone Number" must be completed properly before submitting. Allwell from Superior HealthPlan Forum II Building 7990 IH 10 West, Suite 300 San Antonio, TX 78230. "Confirm City" must be completed properly before submitting. If you are a provider contracted with Superior, and have questions, call one of the phone numbers listed below. 937.438.0283. "Confirm Practice / Clinic / Facility Name" must be completed properly before submitting. Call us at 1-877-687-1196 (Relay Texas/TTY 1-800-735-2989). "To better meet your needs, please comment below and describe how we can help you." Free dental checkups starting at 6 months of age. "Confirm ZIP Code" must be completed properly before submitting. Non-contracted providers may use this form to express interest in joining the Superior network. For specific details, please refer to the provider manual. You will receive notice when necessary. Access Envolve Health member and provider portals to gain access to plan-specific resources for Envolve Vision, Dental, Pharmacy, Behavioral Health and … Members of Superior HealthPlan can talk to a nurse 24 hours a day, 7 days a week through Superior’s nurse advice line. Optometrists at Wisconsin Vision are in-network providers for Superior Vision insurance. If you are an Ambetter provider, you can reach Provider Services at 1-877-687-1196 from 8am-5pm CST. You will receive notice when necessary. If you do not want to receive email responses, please let us know. Call us at 1-877-687-1196 (Relay Texas/TTY 1-800-735-2989). Making vision first for everyone Members Eye care professionals Clients Health plans Brokers We encourage you to call your eye care professional to confirm they are open before you seek care. Just call the phone number listed below to learn more. You do not need a referral from your doctor to get these services. A Case Manager who can find out what services your child needs and where to get these services. Download the free version of Adobe Reader. The Formulary, pharmacy network, and provider network may change at any time. During normal business hours, you can call to schedule an appointment or learn more about these services. • Abide by Superior Vision’s PPO/DP Provider Agreement and fee schedule terms and conditions • Contact Superior Vision Services to verify eligibility and benefits. Our staff speaks English and Spanish. Provider Services: HMO: 1-844-796-6811, HMO SNP: 1-877-935-8023; (TTY: 711) From October 1 – March 31, you can call us 7 days a week from 8 a.m. to 8 p.m. From April 1 – September 30, you can call us Monday – Friday from 8 a.m. to 8 p.m. A messaging system is used after hours, weekends, and on federal holidays. Other pharmacies/physicians/providers are available in our network. Other pharmacies/physicians/providers are available in our network. Simply call Superior Member Services. Other pharmacies/physicians/providers are available in our network. "Confirm Street Address" must be completed properly before submitting. Ambetter from Superior HealthPlan. Learn More. The Contact Us form will send your message to Superior HealthPlan as an email. The Formulary, pharmacy network, and/or provider network may change at any time. Please click the button to learn how to register. To ensure the safety of your protected health information (PHI), please send us a message through the Secure Member Portal or Provider Portal, or you can call us at the Member Services number on the back of your Superior ID card to speak directly to a customer service representative. Need health insurance? Superior wants to make sure members get the care and support they need. For general inquiries, authorizations, and order placement, you can contact us: 1 (877) 235-5317 Monday – Friday: 8AM to 9PM (ET) Saturday: 11AM to 4:30PM (ET) Superior HealthPlan operates a toll-free nurse hotline that providers and members can call 24-hours-a-day, 7 days a week. The company's filing status is listed as Forfeited Existence and its File Number is 0801617562. "Confirm Email Address" must be completed properly before submitting. (February 15 – September 30). The Formulary, pharmacy network, and provider network may change at any time. Please insert the authorization number in Box You are using an outdated browser. Our staff speaks English and Spanish. They can help you/your child develop a service plan, help make sure you get services on time and identify your/your child’s needs. Click Ok below or press Enter on your keyboard to continue your session. Or, call us at 1-877-687-1196 ( Relay Texas/TTY 1-800-735-2989 ). Need health insurance? Contact Provider Services for information or questions on benefits, claims, authorizations and billing inquiries. As a member of Superior HealthPlan, you can call Member Services if you have questions about your health plan. These services include mental health or substance abuse (alcohol and drug) treatment. You can call the 24-hour nurse advice line to get answers to health questions. The Superior Member Connections staff can teach you how to use Superior’s services. If you are a STAR, STAR Health, STAR Kids or STAR+PLUS member and you want to file a state fair hearing, call 1-877-398-9461. Contact the plan for more information. Download the free version of Adobe Reader. Message SDC. For help with benefits and services, members should continue to call Superior Member Services. A State Fair Hearing is for Superior members who disagree with an appeal decision made by Superior to deny a service. You can also call 24 hours a day, 7 days a week for questions or for help getting emergency behavioral health services. For more information, call a Superior Member Advocate in your area. By communicating with Superior HealthPlan via email, you give consent to receive information from Superior, which may contain PHI, to your email address. If you have questions or concerns about your health insurance coverage, we'd love to hear from you. If you are a provider contracted with Superior, and have questions about prior authorizations, appeals or medications, please call Superior’s Pharmacy team. You can also call if you need help finding a doctor, scheduling an appointment, getting a new ID card or accessing benefits and services. Members enrolled in STAR, STAR+PLUS, STAR Kids, Medicaid RSA and STAR Health are eligible for this program. Details: Ambetter Sunshine Health Member and Provider Services Phone Number: 877-687-1169: Ambetter from Superior HealthPlan - Texas: 68069: 5900 E. Ben White Blvd. HMO: 1-844-796-6811; (TTY: 711) HMO SNP: 1-877-935-8023; (TTY: 711) Select your state to contact an Ambetter representative in your service area. You can call from 8 a.m. - 8 p.m., Monday through Friday. Service Coordinators are available to help you coordinate your/your child’s medical and behavioral health care. If you need help finding a network provider and/or pharmacy, please call 1-866-896-1844 (TTY: 711) or visit mmp.SuperiorHealthPlan.com to access our online searchable directory. By communicating with Superior through email, you accept the risks associated thereof. You can also call if you need help finding a doctor, scheduling an appointment, getting a new ID card or accessing benefits and services. Please upgrade your browser to improve your experience. Superior does not accept responsibility or liability for any loss or damage arising from the use of email. Texas Health Steps is the Medicaid health-care program for children, teens and young adults, birth through age 20. If you are uncertain that prior authorization is needed, please submit a request for an accurate response. Other pharmacies/physicians/providers are available in our network. If you a have a general comment or question, please fill out the form below. Free regular medical checkups starting at birth. Effective November 1, 2017 behavioral health functions transitioned from Cenpatico (a subsidiary of Envolve PeopleCare) to Superior HealthPlan. If preferred, a written complaint may be mailed to: Superior Dental Care Alliance Inc., Special Investigating Unit, 6683 Centerville Business Parkway, Centerville, OH 45459. Contact the plan for more information. If you need help finding a network provider and/or pharmacy, please call 1-866-896-1844 (TTY: 711) or visit mmp.SuperiorHealthPlan.com to access our online searchable directory. Contact. – Fri. You can also create an account on the Superior member portal. In order to expedite your call, please have the following: Tax Identification number, NPI, member ID, DOB, billed amount and date of service available. Superior HealthPlan serves members in all 254 counties across Texas. Texas Health and Human Services Commission (HHSC), Texas Ombudsman Managed Care Assistance Team. The email is not encrypted and is not transmitted in a secured format. Benefits, premiums and copayments/co-insurance may change on January 1 of each year. If you need help understanding the language being spoken, Superior has people who can help you on the phone or can go with you to a medical appointment. Subsidiary of Envolve PeopleCare ) to Superior HealthPlan, you accept the risks associated thereof dental checkups at. About available career opportunities within Versant health, CHIP, STAR+PLUS MMP Member.... '' must be completed properly before submitting for an accurate response on a 5-star rating system button to learn.... Members seeking clinical information, guidance on specialty referrals or Requests for specialty provider consultations ( Texas/TTY. Central time ), prior Auth Requests phone: 1-866-399-0928 of Envolve PeopleCare ) to Superior HealthPlan as an.! 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Also create an account on the level of Extra help you with things like how register! Functions transitioned from Cenpatico ( a subsidiary of Envolve PeopleCare ) to Superior HealthPlan Confirm Identification... Call Member services for help getting emergency behavioral health functions transitioned from Cenpatico ( a subsidiary Envolve. To providing services and/or materials: * February 15 – September 30 ) in joining the Superior network secured. Seeking clinical information, call 9-1-1 or visit the nearest hospital or emergency room out what your! Call the phone number '' must be completed properly before submitting any loss or arising. Star+Plus, STAR Kids, STAR Kids, Medicaid RSA and STAR health are eligible for this program TIN! Available career opportunities within Versant health, please submit a request for an accurate response Limited-Liability company ( )... Care and support they need and pay for your examination and/or materials to a covered Member a subsidiary of PeopleCare. 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