CCA One Care (Medicare-Medicaid Plan) Benefits
You’re connected to coverage that cares—at $0 cost to you
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$0 monthly premium1
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$0 drug deductible for prescriptions on the CCA formulary and prescribed over-the-counter drugs on the Medicaid formulary
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$0 dental coverage, including exams, X-rays, cleanings, fillings, root canals, crowns, and dentures2
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$0 annual eye exams and up to $125 a year for eyewear, including contacts or frames
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$0 behavioral health services and support2
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$0 routine hearing exams and up to $1,000 a year for hearing aids ($500 per ear)
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$0 copays for doctor’s office and hospital visits
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$25 reward after your annual wellness visit or physical exam3
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$0 unlimited rides to medical appointments2 and 8 one-way trips per month for non-medical services, scheduled by CCA4
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$0 durable medical equipment and supplies2
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$0 personal care assistance and home healthcare2
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$0 24-hour nurse line
For detailed information on CCA One Care benefits, see the Member Handbook: Benefits Chart.
CCA One Care Benefit Documents
CCA One Care (Medicare-Medicaid Plan) (MA) – Member Handbook (2024)
CCA One Care (Medicare-Medicaid Plan) (MA) – Annual Notice of Changes (2024)
CCA One Care (Medicare-Medicaid Plan) (MA) – Summary of Benefits (2024)
CCA One Care (Medicare-Medicaid Plan) (MA) – Low Income Subsidy Premium Summary (2024)
1 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 CCA 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).
2 Prior authorization may be required. Coverage limitations may apply.
3 After you’ve completed your qualifying exam, and the provider bills us (the health plan), we will mail you information about choosing your reward. It may take months for the claim to process.
4 Trips must be booked at least 72 hours in advance, Monday through Friday, of the expected trip date. There is a 50-mile limitation from the pick-up location. Non-medical trips not used within the month are not rolled over for future use.
Services, benefits, care, and treatment must be authorized by your primary care provider (PCP), your care team, or CCA. You are covered in full and will incur no costs for the services listed above provided they are approved and/or coordinated by your PCP, your care team, or CCA.
The benefit information is a brief summary, not a complete description of benefits. Limitations and restrictions may apply. For more information, call CCA Member Services or read the CCA Member Handbook. Benefits, List of Covered Drugs, and pharmacy and provider networks may change on January 1 of each year.
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