Community Health Choice DualCare's 2027 Upgrades
Up to a $220 monthly Combined Wallet, $4,500 in dental, a new Harris County FIDE plan, and up to $245 a year in member rewards
Your dual-eligible clients judge a plan by what shows up in their everyday lives: groceries, the electric bill, a ride to the doctor, a new pair of glasses. For 2027, Community Health Choice's Community DualCare plans put more into exactly those things.
Flex and OTC spending are now one Combined Wallet, several benefit categories have increased, Harris County has a new fully integrated plan, and a new Rewards & Incentives Program gives members another reason to stay on top of preventive care.
What's New Across Community DualCare for 2027
These benefits apply across Community DualCare Aligned and Access (HMO D-SNP) plans:
Combined Wallet: Up to $220/month (up to $210/month on select Access plans) toward groceries, rent, utilities, and eligible OTC items
Dental: $4,500/year, including dentures, crowns, and root canals
Vision: $350/year toward glasses or contact lenses
Hearing aids: $3,000/year (both ears combined)
Transportation: 44 one-way trips/year to plan-approved medical locations
In-home support: 60 hours/year through Papa for light housekeeping, shopping, and technology help
Post-discharge meals: 2 meals/day for 7 days after a hospital stay
Annual physical: $0 copay
Acupuncture and chiropractic: Up to 24 visits/year each
Telehealth: PCP virtual visits through Teladoc
Prescriptions: $0 copay on Tiers 1, 2, and 6
Where the Plans Are Available
Community DualCare Aligned and Access (HMO D-SNP) cover Austin, Brazoria, Fort Bend, Galveston, Harris, Matagorda, Montgomery, Waller, and Wharton counties. Access also covers Chambers, Hardin, Jasper, Jefferson, Liberty, Newton, Orange, Polk, San Jacinto, Tyler, and Walker counties.
New in Harris County: a Fully Integrated (FIDE) plan. It combines Medicare and Medicaid into one card with one customer service number, which makes coverage simpler for clients who are juggling both.
Match Each Client to the Right Plan
Review the updated 2027 fact sheets in the Broker Portal to match each client's county and eligibility category (QMB+, SLMB+, FBDE, or QMB) to the right plan. The portal also has enrollment materials, plan information, forms, and marketing materials, so log in regularly for updates.
New: DualCare Rewards & Incentives Program
Starting in 2027, eligible Community DualCare members can earn up to $245 per year for staying engaged with their own health. It gives members a reason to keep up with preventive care, and it gives you one more benefit to talk about in the DualCare conversation.
Annual physical or wellness visit: Up to $25
Enhanced wellness visit activities: $25/year (bladder control, fall prevention, mental health check, or physical activity)
Health Risk Assessments: Up to $25
PCP follow-up within 7 days of an ER visit or overnight hospital stay: $25 per event, up to 2 per year
Social or community engagement activities: $5 per activity, up to $10/month
Special supplemental benefits, including rewards, are for qualifying chronically ill Members. Eligibility is not guaranteed and other requirements may apply. Combined Wallet and reward funds do not roll over month to month.
Questions?
For questions about selling Community Health Choice through The Brokerage Inc., email our Medicare team at [email protected].
