Below is a list of answers to frequently asked questions.
You are eligible for Choice (HMO) or Plus (HMO) if you meet these requirements:
- You have or are eligible for both Medicare Part A (hospital insurance) and Medicare Part B (medical insurance)
- You live in our Medicare plan service area, which includes San Joaquin County and Santa Clara County
The late enrollment penalty is an amount that is added to your Part D premium. You may owe a Part D late enrollment penalty if at any time after your initial enrollment period is over, there is a period of 63 days or more in a row when you did not have Part D or other creditable prescription drug coverage.
“Creditable prescription drug coverage” is coverage that meets Medicare’s minimum standards since it is expected to pay, on average, at least as much as Medicare’s standard prescription drug coverage.
The cost of the late enrollment penalty depends on how long you went without Part D or creditable prescription drug coverage. You will have to pay this penalty for as long as you have Part D coverage. The Part D late enrollment penalty is added to your monthly premium. When you first enroll in CCA Health, we let you know the amount of the penalty. Your Part D late enrollment penalty is considered part of your plan premium.
All of our plans cover emergency and urgent care ANYWHERE in the United States, and some plans even include worldwide coverage. See your plan document for more information.
To start service with MedImpact Direct Mail, you will need a 90-day supply prescription for your first custom delivery order. We will also need some other information, including your allergies, payment information, and shipping address. You have several options for getting your prescription to us: you can get it by phone, by mail, or have your provider send your prescription electronically via ePrescribe or by fax.
Some CCA Health plans have an over-the-counter (OTC) benefit every quarter. For more information about your OTC benefit, please call Member Services at 1-866-333-3530 (TTY 711).
Yes. Please call CCA Health Member Services for further assistance.
It’s important to have what you need to use your health plan. You deserve simple, straightforward plan details, no matter what language you speak.
Please call CCA Health Member Services at 1-866-333-3530 (TTY 711) for further assistance.
If you move out of the service area or are away from the service area for more than 6 months, you cannot remain a member of our plan. Please call CCA Health Member Services at 1-866-333-3530 (TTY 711) for further assistance.
Medicare beneficiaries can qualify for Extra Help with their Medicare prescription drug plan costs. Extra Help is estimated to be worth about $4,000 per year. To qualify for the Extra Help, a person must be receiving Medicare, have limited resources and income, and reside in one of the 50 states or the District of Columbia.
If you feel like your life is in danger or you have any other emergency, please call 911 or go to the nearest urgent care or emergency room. CCA Health also offers a 24-Hour Nurse Advice Line at 1-833-378-4406 (TTY 711). A registered nurse will assess your health concern.
The benefit information provided here is a brief summary, not a complete description of benefits. Benefits, formulary, and pharmacy and provider networks may change on January 1 of each year. Some extra benefits are special supplemental benefits, which not all members will qualify for. Limitations, copayments, and restrictions may apply. Contact CCA Health for more information.