CCA Senior Care Options (HMO D-SNP) Benefits

¹ You must continue to pay your Medicare Part B premium, unless it’s being paid on your behalf by MassHealth.

² Certain restrictions apply. Contact the plan for more information.

³ Some services require prior authorization.

⁴ The Silver&Fit^® program is provided by American Specialty Health Fitness, Inc. (ASH Fitness), a subsidiary of American Specialty (ASH). Silver&Fit are trademarks of ASH and used with permission herein. Restrictions may apply. Only at participating locations.

⁵ Some services require prior authorization. Coverage limitations apply. 

⁶ It may take several months for your reward to be processed and added to your Healthy Savings card.

⁷ The food and utilities benefits mentioned are part of a special supplemental program for the chronically ill. Members with chronic heart failure, cardiovascular disorders, chronic lung disorders, and diabetes may be eligible for these additional benefits. Not all members with those conditions will qualify. Certain restrictions may apply. Only at participating locations. 

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.

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 food benefit mentioned is 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. Coverage limitations may apply.

⁴ The Silver&Fit^® program is provided by American Specialty Health Fitness, Inc. (ASH Fitness), a subsidiary of American Specialty Health Incorporated (ASH). Silver&Fit are trademarks of ASH and used with permission herein. Restrictions may apply. Only at participating in-network locations.

⁵ It may take several months for your reward to be processed and added to your Healthy Savings card. Certain restrictions may apply. Only at participating locations. Contact the plan for more information.

⁶ 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.

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.