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Understanding Medicare

Which CCA Massachusetts Medicare Plan is right for me?

October 1, 2022
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Choosing a Medicare Advantage plan is not a decision you make lightly. It’s important to carefully consider your options and make a choice based on your needs and budget. We’d like to guide you through the decision-making process as we explore the three plan options offered by Commonwealth Care Alliance® (CCA).

Step 1: Determine your eligibility

If you are age 65 or older, have Medicare and MassHealth Standard together, or MassHealth only, you are eligible for CCA Senior Care Options (HMO D-SNP). This plan provides all the coverage of MassHealth Standard and Medicare, plus more benefits at no cost to you. See the chart below for benefit details.

If you are eligible for Medicare only, you qualify CCA Medicare Preferred (PPO), CCA Medicare Value (PPO), or CCA Medicare Premier (PPO). All of these plans provide “all-in-one” coverage at affordable monthly plan payments.

To qualify for CCA Medicare Preferred or CCA Medicare Value, you must live in the following Massachusetts counties:

To qualify for CCA Medicare Premier, you must live in the following Massachusetts counties:

Step 2: Consider your healthcare needs and budget

Our Medicare Advantage plans vary in price and in the benefits they offer. When choosing a plan, you should think about two factors: what it covers and what it costs.

CCA Medicare Preferred offers a wide range of benefits for $0 a month. When you sign up, you get all the coverage of Medicare. Plus, routine dental services, prescription drugs, help with over-the-counter products, and more.

CCA Medicare Value offers all the same benefits as CCA Medicare Preferred. But it also includes additional benefits and greater savings for some services. In exchange, you pay a low monthly plan payment of $20. If you qualify for the Extra Help program, you may even pay less.

CCA Medicare Premier offers all the same benefits as CCA Medicare Value, plus $0 cost to you for most professional services and specialists (including behavioral health services, substance use disorder services, telehealth visits, and more.) For CCA Medicare Premier, your monthly plan payment is $50.

If you qualify for an HMO Special Needs (D-SNP) plan, CCA Senior Care Options offers the most robust benefits of all our plans. Benefits include all the coverage of MassHealth Standard, Medicare, and more—for $0 a month.

We’ll look at the benefits of these plans in more detail in the next step.

Step 3: Review and compare plan benefits

CCA Senior Care Options

If you have Medicare and MassHealth Standard together, or MassHealth only, see how our CCA Senior Care Options plan provides extra benefits at no cost to you:

BenefitsCCA Senior Care Options
Monthly plan payment$0 a month
Primary care copay$0 and a $25 reward
after your annual wellness visit
Prescription drugs and over-the-counter drugs$0
Dental, vision,
and hearing
$0 for unlimited routine dental services,
plus annual hearing and eye
exams with up to $300 per year
for eyewear
Identity theft protectionCovered
Healthy $avings cardUp to $1,140 a year
for over-the-counter health
products and approved food1
Transportation$0 rides to medical appointments and 8 one-way non-medical rides per month
Fitness reimbursementUp to $250 a year reimbursement for fitness memberships and weight management programs

CCA Medicare Preferred and CCA Medicare Value

Each of our Medicare Advantage plans covers medical costs, prescription drugs, dental, vision, and hearing. But there are some differences. Keeping in mind your needs and budget, take a look at this chart for a handy side-by-side comparison of our Medicare Advantage plans:

BenefitsCCA Medicare
Preferred
CCA Medicare ValueCCA Medicare Premier
Monthly plan payment3$0 a month2$20 a month or less
if you qualify for Extra Help
$50 a month or less if you qualify for Extra Help
Primary care copay$0 and a $25 reward
after your annual wellness visit
$0 and a $25 reward
after your annual wellness visit
$0 and a $25 reward
after your annual wellness visit
Lab services copay$0$0$0
Specialist copay$40$40$0
Prescription drugs3$0 for Tier 1 and 2 up to 100 day prescription$0 for Tier 1 and 2 up to 100 day prescription$0 Tier 1 and 2  
Dental, vision,
and hearing
$0 for routine dental services,
plus annual hearing and eye
exams with up to $290 per year
for eyewear
$0 for routine dental services,
plus annual hearing and eye exams with up to $300 per year for eyewear
$0 for routine dental services,
plus annual hearing and eye exams with up to $200 per year for eyewear
Identity theft protection1Not covered$0$0
Healthy $avings cardUp to $660 a year
for over-the-counter health
products
Up to $1,140 a year
for over-the-counter health
products and approved food1
Up to $520 a year
for over-the-counter health
products and approved food1
TransportationNot covered24 one-way rides per year for medical appointments40 one-way trips, including medical and non-medical
In-home support
(non-medical)
Not coveredNot covered60 hours per year
Meals14 meals (7 days) covered after hospital discharge14 meals (7 days) covered after hospital discharge14 meals (7 days) covered after hospital discharge

Important Considerations

As we noted earlier, you should weigh cost vs. coverage and determine what is most important to you in a health plan. For instance, if you don’t want to pay a monthly premium, CCA Medicare Preferred is a wise choice. But if you’re looking for additional benefits, you may want to consider CCA Medicare Value or CCA Medicare Premier. These benefits include identity theft protection or transportation services. Also note: If you qualify for the Extra Help program, your monthly premium may be lower.

Step 4: Talk to us if you’d like more help

At CCA, we know that choosing the right health plan can make a big difference in your peace of mind as well as your financial well-being. We want you to know that we’re here to help you explore your options and make that important decision.

If you would like help in deciding which is the best CCA plan for you, call 888-537-5816 (TTY: 711) to speak to a CCA representative.

1 Certain restrictions may apply. Only at participating locations.
2 You may need to continue to pay your Medicare Part B premium.
3 If you qualify for Extra Help, your costs may be lower.

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