CCA One Care (HMO D-SNP) Benefits
What you get with CCA One Care – all for $01
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$0 monthly plan payment1
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$0 prescription and prescribed over-the-counter drugs2
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$0 copay for routine vision exam and up to $75 every two years for routine eyewear
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Unlimited rides to non-emergent, medical appointments (50-mile radius)3
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Occupational, speech, and physical therapy3
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Durable medical equipment and supplies3
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24/7 Nurse Line to talk to a nurse or behavioral clinician anytime, day or night
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$0 copay for doctor visits, hospital stays, and urgent care3
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$0 copay for preventive and comprehensive services, including 4 cleanings per year, X-rays, dentures, crowns, and root canals3
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$0 routine hearing exam and one hearing aid per ear every 60 months, up to $500
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$0 behavioral health services and support (mental health and substance use disorders)3
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Teladoc Health: Virtual care for urgent conditions like colds, urinary tract infections, and sore throats, with 24/7 remote access to a large network of doctors
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$0 copay for lab services, diagnostic tests, and X-rays3
Benefit Plan Documents
CCA One Care (HMO D-SNP) (MA) – Annual Notice of Changes
CCA One Care (HMO D-SNP) (MA) – Annual Notice of Changes – Large Print
CCA One Care (HMO D-SNP) (MA) – Summary of Benefits
CCA One Care (HMO D-SNP) (MA) – Member Handbook
CCA One Care (HMO D-SNP) (MA) – Member Handbook – Large Print
1 You must continue to pay your Medicare Part B premium, unless it’s being paid on your behalf by MassHealth (Medicaid).
2 Drugs on the CCA formulary have $0 copays. This also includes over-the-counter drugs on the MassHealth Drug List.
3 Certain restrictions may apply. Contact the plan for more information.
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 One Care Member Handbook.