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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 Plans

Silver Plus

Medical and Prescription
Service Area
Premium
$0 per month
Maximum Out-of-Pocket
$5,400
Primary Care Physician
$0 copay per visit
Specialist
$35 copay per visit
Emergency Room
$120 copay per visit. Waived if admitted.
Urgent Care
$35 copay per visit
Outpatient Hospital
$300 copay
Outpatient Rehabilitation
$25 copay per visit
Outpatient Diagnostic Services
$0-$150 copay, depending on the service
Hospital
$300 per day for days 1-7
DME
0% for most; 15% for wheelchairs, etc.

Platinum

Medical and Prescription
Service Area
Premium
$24 per month
Maximum Out-of-Pocket
$4,200
Primary Care Physician
$0 copay per visit
Specialist
$30 copay per visit
Emergency Room
$120 copay per visit. Waived if admitted.
Urgent Care
$30 copay per visit
Outpatient Hospital
$270 copay
Outpatient Rehabilitation
$20 copay per visit
Outpatient Diagnostic Services
$0-$100 copay, depending on the service
Hospital
$270 per day for days 1-7
DME
0% for most; 15% for wheelchairs, etc.

Platinum Plus

Medical and Prescription
Service Area
Premium
$97 per month
Maximum Out-of-Pocket
$5,000
Primary Care Physician
$0 copay per visit
Specialist
$25 copay per visit
Emergency Room
$120 copay per visit. Waived if admitted.
Urgent Care
$25 copay per visit
Outpatient Hospital
$225 copay
Outpatient Rehabilitation
$20 copay per visit
Outpatient Diagnostic Services
$0-$155 copay, depending on the service
Hospital
$225 per day for days 1-7
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 $400 per year
OTC
$30 per quarter
Hearing Aids
Covered in Fitness Plus Benefit
Fitness Plus Benefit
Fitness Plus 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 $400 per year
OTC
$40 per quarter
Hearing Aids
Up to $500 every 2 years
Fitness Plus Benefit
Fitness Plus Benefit maximum is $250 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 $200 per year
OTC
$40 per quarter
Hearing Aids
Up to $500 every 2 years
Fitness Plus Benefit
Fitness Plus Benefit maximum is $250 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 - Tiers 3,4,5
$615
Tier 1 - Preferred Generic
$0 copay
Tier 2 - Generic
$5 copay
Tier 3 - Preferred Brand Name
20% Coinsurance
Insulin Tier
$35
Tier 4 - Non-Preferred Drugs
25% Coinsurance
Tier 5 - Specialty Tier
25% Coinsurance
Deductible - Tiers 3,4,5
$200
Tier 1 - Preferred Generic
$0 copay
Tier 2 - Generic
$5 copay
Tier 3 - Preferred Brand Name
20% Coinsurance
Insulin Tier
$35
Tier 4 - Non-Preferred Drugs
25% Coinsurance
Tier 5 - Specialty Tier
30% Coinsurance
Deductible - Tiers 3,4,5
$200
Tier 1 - Preferred Generic
$0 copay
Tier 2 - Generic
$5 copay
Tier 3 - Preferred Brand Name
20% Coinsurance
Insulin Tier
$35
Tier 4 - Non-Preferred Drugs
25% Coinsurance
Tier 5 - Specialty Tier
30% Coinsurance

Documents

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
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
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

Senior Health Plan is an HMO plan and a D-SNP plan with a Medicare & Medicaid contract. Enrollment in Senior Health Plan depends on contract renewal.

We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact www.medicare.gov or 1-800-MEDICARE (1-800-633-4227) to get information on all of your options. Medicare customer service representatives are available 24 hours a day, 7 days a week. TTY/TDD users should call 1-877-486-2048.

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