Commonwealth Care Alliance
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Your One Care Benefits and Services from Commonweath Care Alliance

The amazing thing is, this plan actually offers you more benefits and services than you're getting with MassHealth and Medicare plans – at $0 cost to you!*
Benefits and Services

Here’s an overview of your no-cost benefits:


 

$0 Monthly plan premium
 

$0/Day Hospital copays


 

$0 Approved transportation to
medical appointments,
coordinated and scheduled by 
Commonwealth Care Alliance
 

$0  Behavioral health services
and support (mental health
and substance abuse)
 

$0 Medical equipment and supplies

$0 Doctor office visit copays
 

$0 Prescription and
over-the-counter drugs
 

$0 Complete dental services, including exams, X-rays, cleanings, fillings, root canals, crowns, and dentures


 

$0 Long-term services and
supports (home health, personal
care assistance, and more)
 

$0 Annual eye exams, eyeglasses 
(up to $125/year), contacts
 

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  • You'll also receive the following services:
    • Emergency/urgent care
    • Outpatient health services
    • Inpatient hospital care
    • Skilled nursing facility, inpatient rehabilitative care
    • Outpatient surgery
    • Home health care
    • Health-related services (including transportation, homemaker/chore services, personal care attendant services, respite care, dementia and social day care, environmental accessibility adaptations, personal emergency response systems, and companion services)
    • Specialists, specialty care
    • Behavioral health services
    • Prescriptions and pharmacy benefits (One Care covers outpatient prescription medications. There are no costs for covered drugs, although some prescription drugs may require authorization and some drugs may have a maximum quantity limit.)
    • Preventive care and screenings (including but not limited to HIV screening tests, bone mass measurements, colorectal screenings, mammography screenings, prostate cancer screening exams, cardiovascular screening blood tests, and diabetes self-monitoring training and supplies)
    • End-of-life support (palliative care and hospice services)
    • Any additional services recommended by your primary care provider or care team
 

You are covered in full for the services listed above provided they are approved and /or coordinated by your primary care provider, your care team, or Commonwealth Care Alliance. You will have no costs for services authorized by your primary care provider, your care team, or Commonwealth Care Alliance.

For detailed information on One Care benefits, see Chapter 4 of the Evidence of Coverage: Benefits Chart.

 


Upcoming Informational Meetings


 


*CommonHealth members who pay a premium to MassHealth must continue to pay their MassHealth premium if they switch to Commonwealth Care Alliance. Services, benefits, care, and treatment must be authorized by your primary care provider (PCP), your care team or CCA.
             
This is not a complete list. The benefit information is a brief summary, not a complete description of benefits. For more information contact the plan or read the Member Handbook. Limitations and restrictions may apply. For more information, call Commonwealth Care Alliance Member Services or read the Commonwealth Care Alliance  Member Handbook. Benefits, List of Covered Drugs, pharmacy and provider networks may change on January 1 of each year.

 

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If you have any questions, call us:
866-610-2273 
(TTY 711),
7 days a week,
8 a.m. to 8 p.m.