Enrolling & Renewing My Plan
Set up your Sendero Member Account in the Member Portal at https://members.senderohealth.com/ to select or change your PCP, view, print, and order new ID Cards, and view and print the Explanation of Benefits (EOB).
Call us at 1-844-800-4693 M – F 8AM – 5PM to speak with an enrollment expert. Or get a fast and easy quote at enroll.senderohealth.com 24 hours day. We’re here to help you find the right plan for your needs.
You can order, view, and print temporary ID Cards through the member portal at https://members.senderohealth.com. Or call us at 1-844-800-4693 and we will have one mailed to you. Your new cards will arrive within 7 – 10 business days after you enroll or order new cards.
Call us at 1-844-800-4693 or email us at customersupport@senderohealth.com. Our licensed agents and enrollment experts are ready to help you update your account.
To select or change your PCP, log in to your Sendero Member Account at https://members.senderohealth.com. Or call Customer Service at 1-844-800-4693 if you need assistance.
Using my Sendero Benefits
You can review the Summary of Benefits and Coverage (SBC) for your specific plan by logging into your member portal at https://members.senderohealth.com or call us at 1-844-800-4693 to speak with an agent.
You can review the Summary of Benefits and Coverage (SBC) for your specific plan by logging into your member portal at https://members.senderohealth.com or call us at 1-844-800-4693 to speak with an agent.
An EOB is a statement that explains what medical treatment and/or services a provider is billing for, the payment Sendero made, and your financial responsibility.
You can review the Summary of Benefits and Coverage (SBC) for your specific plan by logging into your member portal at https://members.senderohealth.com or call us at 1-844-800-4693 to speak with an agent.
You can review the Summary of Benefits and Coverage (SBC) for your specific plan by logging into your member portal at https://members.senderohealth.com or call us at 1-844-800-4693 to speak with an agent.
You can review the Summary of Benefits and Coverage (SBC) for your specific plan by logging into your member portal at https://members.senderohealth.com or call us at 1-844-800-4693 to speak with an agent.
ACCESS 24/7 ON-DEMAND VIRTUAL URGENT CARE – Connect to a doctor within minutes anywhere in Texas: https://care.normanmd.com/en/#/security/login
Emergency care services are covered anywhere, in-network and out-of-network, 24-hours a day. If an emergency occurs, you should go to the nearest emergency medical facility or dial 911.
Our Representatives speak English and Spanish. We also offer interpreters in other languages. If you need face-to-face interpreter assistance for your provider’s appointments, please call Customer Service at 1-844-800-4693 at least 48 hours in advance of your appointment.
Premium, Billing, & Claims
When your account is past due, you enter into a Grace Period which is a span of time that allows you to make payments before your account terminates. Please contact Customer Service at 1-844-800-4693, for specific information about your grace period and plan benefits.
If you receive a bill for medical services you feel is inaccurate, please contact Customer Service at 1-844-800-4693
Each claim can be unique. Please contact Customer Service at 1-844-800-4693 to review the claim with a Sendero representative.
Yes, you may be liable for services received from an out of network provider.
Please contact Customer Service at 1-844-800-4693 to request a refund of overpaid premiums.
Prescriptions and Pharmacy Benefits
You can use any in-network pharmacy to fill your prescriptions. Click here to locate pharmacy in your area. You can also contact our pharmacy team at 1-866-333-2757 If you have any additional questions.
You can review the Summary of Benefits and Coverage (SBC) for your specific plan by logging into your member portal at https://members.senderohealth.com or call us at 1-844-800-4693 to speak with an agent.
Visit the Sendero formulary for a list of covered medications or call us at 1-844-800-4693.
Mail-order is available for all non-specialty prescriptions
3-Month (90 day) supply for medications listed on tiers 1 – 4 in the Sendero formulary
It can be found on your member ID card or call our pharmacy team at 1-866-333-2757.
If you are prescribed a medication that is not covered or not listed on Sendero’s formulary, please contact our pharmacy team at 1-866-333-2757 or have your provider fill out the Exception to Coverage form (link)
In-Network Providers, Specialists, & Facilities
If your PCP determines that your condition requires treatment by a specialist, he or she will provide a referral. You can also see a list of In-network specialists by visiting https://senderohealth.com/find-a-doctor/
Prior Authroization is used to determine if a prescribed medication or medical procedure will be covered. Before a provider can proceed, they must obtain approval from Sendero to ensure the treatment or procedure is deemed medically necessary.
Go to https://senderohealth.com/physician_search/ for a listing of all in-network providers or call us at 1-844-800-4693 M – F from 8AM – 5PM for assistance.
To select or change your PCP, log in to your Sendero Member Account at https://members.senderohealth.com. Or call Customer Service at 1-844-800-4693 if you need assistance.
Yes, you may be liable for services received from an out of network provider.
If you are inside or outside of the Sendero service area and experience an emergency, go to the nearest hospital emergency room or dial 911.
Go to https://senderohealth.com/hospital_search/ for a listing of all in-network hospitals or call us at 1-844-800-4693 M – F from 8AM – 5PM for assistance.
