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2022 Benefits | 2021 Benefits

You now have MORE benefits—at $0 cost to you

  • $0 monthly premium*

  • $0 prescription and over-the-counter drugs

  • $0 dental coverage, including exams, X-rays, cleanings, fillings, root canals, crowns, and dentures

  • $0 rides to medical appointments and non-medical services, scheduled by CCA

  • $0 behavioral health services and support

  • $0 copays for doctor office visits and hospital stays

  • $0 annual eye exams, plus $125 a year for eyewear

  • $0 medical equipment and supplies

  • $0 personal care assistance and home healthcare

  • $0 routine hearing exams and hearing aids

The information above is based on in-network costs. For detailed information on CCA One Care benefits, see Chapter 4 of the Member Handbook: Benefits Chart.

Learn More About Your Health Plan Benefits

One Care Member Handbook (2021)

A detailed document to explain how your CCA One Care plan works and what care and services are covered.

One Care Annual Notice of Change (2021)

Information about any changes to your CCA One Care benefits that took effect on January 1, 2021.

One Care Summary of Benefits (2021)

A brief summary of the benefits and services covered by your CCA One Care plan.

*CommonHealth members may pay a premium to MassHealth. The premium amount is determined by the member’s family income. Members must continue to pay this premium after they enroll in One Care. The payment is made directly to MassHealth. If members have questions regarding their premium or would like to set up a payment plan or apply for a hardship waiver, they should contact MassHealth at 800-841-2900 (TTY 800-497-4648).

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 read the CCA One Care Member Handbook.

You can get these documents for free in other formats, such as large print, braille, or audio. Call 866-610-2273 (TTY 711), 8 am to 8 pm, 7 days a week from October 1 to March 31 (April 1 to September 30: 8 am to 8 pm, Monday to Friday, and 8 am to 6 pm, Saturday and Sunday). The call is free.

We’re Here to Support You

866-610-2273 (TTY 711)
8:00 am to 8:00 pm, 7 days a week