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

Medicare Brokers - Plans Overview

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

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
New for 2021 – Wallet Benefit
Your wallet includes benefits for gym memberships, comprehensive dental, 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
$35 for Specialist
Emergency & Urgent Care – Worldwide coverage$90 for Emergency Room - waived if admitted
$35 for Urgent Care
Outpatient Hospital$295 copay
Outpatient Rehab (such as Physical Therapy)$20 copay per visit
Outpatient Diagnostic Services$0-$100 copay, depending on the service
Inpatient Hospital$295 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 30-day Supply
Tier 1 - Preferred Generic$5 copay - * $0 copay for an extended day supply
Tier 2 - Generic$13 copay - * $0 copay for an extended day supply
Tier 3 - Preferred Brand Name$40 copay
Tier 4 - non-Preferred Drugs$95 copay
Tier 5 - Specialty Tier33% of the cost

* An extended day supply is 100 days or more – a great option for members who rely on maintenance drugs to manage ongoing health conditions. Extended day supply information.

We also have mail order through CVS or Walgreens where you can purchase a 90-day supply of available drugs for a reduced cost. Mail order information.

You can call our Medicare team (918) 594-5275 for more information on this plan or other options. We are available Monday through Friday from 8:00 to 6:00.

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