COVID-19 Update view more

CommunityCare is here for you. We are dedicated to taking care of our members and ensuring you have access to health care services.

Attention: CommunityCare will be performing systems maintenance Friday, October 7th starting at 5 p.m. through midnight on Saturday, October 8th. Some online documents, tools and resources may be unavailable during this time. Thank you for your patience.

INTEGRIS Health Partners+ Deluxe

Medical and Medicare Part D (Outpatient Prescription Drug) Benefits

Plan Premium Medical Maximum out of pocketAdditional Benefits (these are benefits not covered by Medicare)
$0
You must continue to pay your Medicare Part B premium
$5,300

Common Medical benefits and your copays - remember that if you reach your Medical Maximum Out of Pocket limit, the rest of your Medicare-covered medical services are paid by CommunityCare

Doctors Visits provider search$0 for Primary Care
$40 for Specialist
Emergency & Urgent Care – Worldwide coverage$90 for Emergency Room - waived if admitted
$0 - $40 copay for Urgent Care
Outpatient Hospital$300 copay
Outpatient Rehab (such as Physical Therapy)$20 copay per visit
Outpatient Diagnostic Services$15 - $150 copay, depending on the service
Inpatient Hospital$300 copay each day for days 1-7

This plan includes Part D (outpatient prescription drug coverage) - your copay will depend on what Tier level your prescription is. Copays can change if you move out of the Initial Coverage level.

Initial Coverage Level Copays formulary search30-day Supply
Tier 1 - Preferred Generic$5 copay
Tier 2 - Generic$12 copay
Insulin Tier$35 copay for covered insulin
Tier 3 - Preferred Brand Name$40 copay - * $100 deductible applies
Tier 4 - Non-Preferred Drugs$95 copay - * $100 deductible applies
Tier 5 - Specialty Tier31% of the cost - * $100 deductible applies

You can save money by using your mail order benefit. You can purchase a 100 day supply of available drugs for a reduced cost. Mail order information.

You can call our Medicare team at 405-810-2012, TTY/TDD (800) 722-0353, for more information on this plan or other options. We are available Monday through Friday from 8:00 to 6:00.

Directories and Searches

Enrollment Options

If you are not sure which plan best suits you, give us a call at 405-810-2012. One of our representatives will help you select the right plan for you. Or you can join us at one of our seminars where we go through your plan options. Our Sales team is available by phone 8:00 to 6:00 Monday through Friday.

Plan Documents

Coronavirus Self-CheckerX