Plans Overview
Enroll Now

Senior Health Plan - Plans Overview

CommunityCare is proud to offer Senior Health Plan, a program created especially for Medicare beneficiaries. Senior Health Plan has seven Medicare Advantage Plans to fit the varying needs of Medicare beneficiaries.

2026 Plan Year
2025 Plan Year

2026 Plans

Medical & Prescription Plans
Medical Only Plans
Medicare & Medicaid Dual Eligibility Plan

Silver

Medical Benefits Only

Premium

$0 per month

Maximum Out-of-Pocket

$3,400

Primary Care Physician

$0 copay per visit

Specialist

$5 copay per visit

Emergency Room

$90 copay per visit. Waived if admitted.

Urgent Care

$5 copay per visit

Outpatient Hospital

$25 copay

Outpatient Rehabilitation

$0 copay per visit

Outpatient Diagnostic Services

$0-$125 copay, depending on the service

Hospital

$25 per day for days 1-7

DME

0% for most; 15% for wheelchairs, etc.

Silver Savings

Medical Benefits Only

Premium

$0 per month

Maximum Out-of-Pocket

$4,200

Primary Care Physician

$0 copay per visit

Specialist

$35 copay per visit

Emergency Room

$90 copay per visit. Waived if admitted.

Urgent Care

$35 copay per visit

Outpatient Hospital

$25 copay

Outpatient Rehabilitation

$0 copay per visit

Outpatient Diagnostic Services

$0-$100 copay, depending on the service

Hospital

$265 per day for days 1-5

DME

0% for most; 15% for wheelchairs, etc.

Extra Benefits

Dental

$1,000 allowance; $0 copay for covered preventive and comprehensive services; 50% copay for Prosthetics/Endodontics/Dentures

Eyewear

$0 copay for eyewear up to $200 per year

OTC

$30 per quarter

Hearing Aids

Up to $500 every 2 years

Fitness Plus Benefit

Fitness Plus Benefit benefit maximum is $200 per year. Wearable fitness devices are limited to $100.

Transportation

$0 copay up to 12 one-way trips. 60 mile one-way limit.

Dental

$1,000 allowance; $0 copay for covered preventive and comprehensive services; 50% copay for Prosthetics/Endodontics/Dentures

Eyewear

$0 copay for eyewear up to $300 per year

OTC

$30 per quarter

Hearing Aids

Up to $500 every 2 years

Fitness Plus Benefit

Fitness Plus Benefits maximum is $200 per year. Wearable fitness devices are limited to $100.

Transportation

$0 copay up to 12 one-way trips. 60 mile one-way limit.

Part D

Deductible

N/A

Tier 1 - Preferred Generic

N/A

Tier 2 - Generic

N/A

Tier 3 - Preferred Brand Name

N/A

Insulin Tier

N/A

Tier 4 - Non-Preferred Drugs

N/A

Tier 5 - Specialty Tier

N/A

Deductible

N/A

Tier 1 - Preferred Generic

N/A

Tier 2 - Generic

N/A

Tier 3 - Preferred Brand Name

N/A

Insulin Tier

N/A

Tier 4 - Non-Preferred Drugs

N/A

Tier 5 - Specialty Tier

N/A

Documents

Summary of Benefits
Individual Election Form
Senior Health Plan Star Ratingcoming soon
Evidence of Coverage
Notice of Availability (Language and Auxiliary Aids and Services)

Summary of Benefits
Individual Election Form
Senior Health Plan Star Ratingcoming soon
Evidence of Coverage
Notice of Availability (Language and Auxiliary Aids and Services)

Service Area

Craig, Creek, Delaware, Hughes, Mayes, Mcintosh, Muskogee, Nowata, Okmulgee, Osage, Ottawa, Pawnee, Pittsburg, Rogers, Tulsa, Wagoner, and Washington

Service Area

Adair, Canadian, Cherokee, Cleveland, Comanche, Craig, Creek, Delaware, Garvin, Grady, Haskell, Hughes, Kingfisher, Latimer, LeFlore, Lincoln, Logan, Mayes, McClain, McIntosh, Muskogee, Nowata, Okfuskee, Oklahoma, Okmulgee, Osage, Ottawa, Pawnee, Pittsburg, Pottawatomie, Pushmataha, Rogers, Seminole, Sequoyah, Stephens, Tulsa, Wagoner, and Washington