2023 CCA Senior Care Options Benefits
With CCA Senior Care Options—pay $0 and get MORE benefits!
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$0 monthly premium1
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$0 drug deductible for prescription and prescribed over-the-counter drugs
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Healthy Savings (OTC) card: $285 added every three months for approved health products and food items2
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$0 annual eye exam and up to $300 a year for eyewear, including contacts or frames
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$0 routine hearing exams and $500 per year for hearing aids two per year (1 per ear), including fittings, repairs, batteries, and replacements3
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$0 worldwide emergency services coverage, up to $100,000 per year
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Up to $250 annual fitness reimbursement, including weight management and fitness equipment
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$0 copays for doctor’s office and hospital visits and for telehealth
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$25 reward after your annual wellness visit
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Unlimited dental care coverage, including dentures, crowns, and two implants per arch per year3
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$0 unlimited rides to medical appointments and 8 one-way trips per month for non-medical services4
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$0 routine foot care (podiatry) for conditions affecting the lower limbs3
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6 visits offered by Medicare and 30 are available through Medicaid.3
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$0 medical equipment and supplies3
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24-hour nurse and behavioral health line
- Emergency/urgent care
- Outpatient health services
- Inpatient hospital care
- Inpatient skilled nursing facility care3
- Inpatient rehabilitative care3
- Outpatient surgery3
- Home health care
- Specialist care
- Behavioral health services3
- Prescriptions and pharmacy benefits (some prescription drugs may require authorization or have a maximum quantity limit)3
- Preventive care and screenings (includes HIV screening tests, bone mass measurements, colorectal screenings, mammography screenings, prostate cancer screening exams, cardiovascular screening blood tests, diabetes self-monitoring training and supplies, and more)
- End-of-life support (palliative and hospice care)
- Any services recommended by your primary care provider or care team
For detailed information on CCA Senior Care Options benefits, see Evidence of Coverage.
CCA Senior Care Options Benefit Documents
CCA Senior Care Options – Summary of Benefits (2023)
CCA Senior Care Options – Evidence of Coverage (2023)
CCA Senior Care Options Low Income Subsidy – Premium Summary (2023)
CCA Senior Care Options – Annual Notice of Changes (2023)
CCA Senior Care Options – Evidence of Coverage for MassHealth-Only Members (2023)
CCA Senior Care Options – Star Rating (2023)
1 You have to continue to pay your Medicare Part B Premium unless your Part B premium is paid for you by MassHealth.
2 The benefits mentioned are part of a special supplemental program for the chronically ill. Not all members qualify. Certain restrictions may apply. Only at participating locations. Contact the plan for more information. Benefits are per quarter and do not roll over.
3 Prior authorization may be required.
4 Trips not used within the month are not rolled over for future use. Trips must be booked at least 72 hours in advance, Monday through Friday, of the expected trip date. If you cannot go on a scheduled ride, you must cancel the ride at least 2 hours before the scheduled pick-up time. If you do not cancel your ride, and you either do not show up or cancel with less than 2 hours’ notice, the scheduled ride will count against your eight (8) one-way non-medical trips per month. Prior authorization is required for non-medical services.
The benefit information provided here is a brief summary, not a complete description of benefits. Benefits, formulary, and pharmacy and/or provider networks may change on January 1 of each year. Limitations, copayments, and restrictions may apply. You will be covered for all services listed above as long as they are approved and/or coordinated by your primary care provider, your care team, or Commonwealth Care Alliance (CCA). For more information, call CCA Member Services or review your CCA Senior Care Options Evidence of Coverage.
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