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Medicare Brokers - Plans Overview

Choose the Senior Health Plan tab, the INTEGRIS Health Partners+ tab, or the CommunityCare Options to view the common benefits & copays for these plans. Included are the links to the specific additional benefits pages.

Silver Plus

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
$4,700
Wallet Benefit
Your wallet includes benefits for gym memberships, home & bathroom safety devices and more.Learn more about your wallet benefit here!

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$0 for Primary Care ($0 for preventive screenings)
$35 for Specialist
Emergency & Urgent Care – Worldwide coverage$90 for Emergency Room - waived if admitted
$35 for Urgent Care
Outpatient Hospital$290 copay
Outpatient Rehab (such as Physical Therapy)$20 copay per visit
Outpatient Diagnostic Services$0-$100 copay, depending on the service
Inpatient Hospital$290 per day for days 1-5

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 30-day Supply
Tier 1 - Preferred Generic$5 copay
Tier 2 - Generic$10 copay
Select Insulin Tier$35 copay for covered insulin
Tier 3 - Preferred Brand Name$40 copay
Tier 4 - Non-Preferred Drugs$95 copay
Tier 5 - Specialty Tier33% of the cost

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 (918) 594-5275, 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.

Remember that Senior Health Plan is the only Medicare Advantage plan contracted in-network with both Ascension St. John and Saint Francis health systems. The Senior Health Plan service area is: Craig, Creek, Hughes, Mayes, McIntosh, Muskogee, Nowata, Okmulgee, Osage, Pawnee, Pittsburg, Rogers, Tulsa, Wagoner & Washington counties.

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