Learn more about CCA One Care
Below is a list of answers to frequently asked questions.
CCA One Care is an all-in-one health insurance plan for people between the ages of 21 and 64 who have MassHealth Standard or MassHealth CommonHealth and Medicare.
When you sign up for CCA One Care, you get all the benefits of MassHealth and Medicare and more. You’ll get your own custom care plan tailored to your individual needs.
With CCA One Care, you keep all the benefits you currently get through MassHealth and Medicare coverage, like $0 doctor visits, prescriptions, and hospital stays. And you’ll get extras at no cost to you.
Visit the CCA One Care Benefits page to find out more about everything you get as a CCA One Care member.
You’ll also work with a CCA Care Coordinator, who will be your main point of contact. This person talks to your care team and all your providers to help make sure you get the services you need.
All your services come free of charge as part of your MassHealth and Medicare benefits.
However, if you pay a premium to MassHealth for CommonHealth, you must continue to pay that premium to MassHealth to keep your coverage.
You’re eligible for CCA One Care if you meet all of these requirements:
- You are between the ages of 21 and 64.
- You have Medicare Parts A and B.
- You qualify for Medicare Part D.
- You have MassHealth Standard or MassHealth CommonHealth.
- You do not have private health insurance.
- You do not participate in a Home and Community Based Services (HCBS) waiver.
- You live in one of our service areas: Barnstable, Berkshire, Bristol, Essex, Franklin, Hampden, Hampshire, Middlesex, Norfolk, Plymouth, Suffolk, and Worcester counties.
If you turn 65 after you enroll in CCA One Care, and you continue to meet the other eligibility requirements, you can remain enrolled in your CCA One Care plan.
We have many doctors, hospitals, and other healthcare providers in the CCA One Care network. There’s a good chance your providers are already part of it, and you will not have to make a change.
If you do need to find a new doctor or other provider, our team will be happy to help you find the right match for you. Use our Find a Provider tool to search for an in-network provider near you.
Yes! CCA One Care offers $0 comprehensive dental coverage, including:
- Exams, cleanings, and X-rays
- Fillings, extractions, and gum disease treatment
- Crowns, bridges, and root canals
- Dentures, including two implants per arch when needed to support a complete denture
- Other services that are medically necessary
Dental coverage limitations apply. For a complete list of benefits and requirements, refer to the Member Handbook.
All of your prescription drugs will be covered at no cost to you. CCA One Care also covers over-the-counter drugs and healthcare supplies prescribed by your provider, free of charge.
Learn more about covered drugs or find a pharmacy.
No. When you join CCA One Care you will keep MassHealth and Medicare.
CCA works with MassHealth and Medicare plans to integrate the services we offer. That means you will only be adding MORE benefits or adding flexibility and coordination to your existing benefits. You will not lose services.
If you decide to go back to what you had before, you can do so at any time. Simply keep your MassHealth and Medicare cards in case you decide to disenroll. If that happens, you can go back to using your Medicare and MassHealth cards directly.
You can disenroll from CCA One Care at any time if you are not satisfied. Your disenrollment will be effective on the last day of the month in which you let us know you want to leave the plan.
We are happy to say that most members are very satisfied with their CCA One Care experience, and very few people leave the plan.
If you are eligible, you can enroll in CCA One Care at any time.
If you already have MassHealth and Medicare, you can enroll in One Care any one of the ways below:
- Online: Fill out the *One Care enrollment form on the Mass.gov website.
- By phone: Call the MassHealth Customer Servicer Center at 800-841-2900 (TTY 711) from 8 am to 5 pm, Monday to Friday.
Choose CCA One Care as your plan when you enroll in the One Care program.
If you have MassHealth but not Medicare, call MassHealth at 800-841-2900 (TTY 711), to find out if you may qualify for Medicare based on your health needs.
*When you click this link, you will leave the Commonwealth Care Alliance website.