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Your benefits and services with
Senior Care Options

The amazing thing is, Senior Care Options actually offers you more benefits and services than you're getting with your current MassHealth and Medicare plans – at $0 cost to you!*
2018 Benefits and Services

Now offering a range of benefits for 2018!


See below for the full range of benefits that CCA will offer our Senior Care Options members in 2018.

 

$0 Monthly plan premium
 

$0/Day Hospital copays


 

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

 

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

 

$0 Routine hearing exams and
hearing aids, including fittings,
repairs, batteries, and replacements

 

$0 Personal emergency
alert device
 

$0 Podiatry services for all
conditions affecting the lower limbs

 

$0 Doctor office visit copays
 

$0 Prescription and
over-the-counter drugs
 

$0 for a savings card to purchase health-related items: up to $125 per quarter

 

$0 Annual eye exams up to $300 a year for eyewear, including contact lenses, lenses, and stylish frames


 

$0 24-hour phone access
to a clinician

 

$0 Acupuncture

 


$0 copay for Worldwide emergency services coverage up to $1,000 per year
 


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  • You'll also receive:
    • 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)
    • Healthy $avings card for health-related purchases
    • Specialists, specialty care
    • Behavioral health services
    • Prescriptions and pharmacy benefits (Senior Care Options 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're 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 Senior Care Options benefits, see chapter 4 of your Evidence of Coverage: Benefits Chart. 

Premiums and Cost Sharing

 

If you're eligible to enroll in our plan, you already qualify for 100% assistance from Medicare to help pay for your Medicare prescription drug plan costs and monthly plan premiums. The Senior Care Options premium includes coverage for both medical services and prescription drugs. The diagram below shows you what your monthly plan premium will be for our plan.

Level of Extra Help through Senior Care Options


 

Monthly Premium for Senior Care Options


 


Upcoming Informational Meetings

 



*This does not include any Medicare Part B premium you may have to pay if it is not being paid on your behalf by MassHealth.
 
The benefit information provided is a brief summary, not a complete description of benefits. For more information, contact the plan. Benefits, formulary, and/or pharmacy network may change on January 1 of each year. Limitations, copayments, and restrictions may apply.

To view the PDF files above, you may need to download a free copy of Adobe® Acrobat Reader* software on your computer. *When you click this link, you will leave Commonwealth Care Alliance’s website.

 
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