Learn more about your CCA One Care plan
When you join a new health plan, you have questions. We are here to help. These are some of the most common questions about CCA One Care (HMO D-SNP).
CCA One Care is an all-in-one health plan for people between the ages of 21 and 64 who have MassHealth Standard or MassHealth CommonHealth and Medicare.
When you join, you keep all the benefits you currently have through Medicare and MassHealth (Medicaid), AND you’ll have new ones—$0 cost to you.
Your new benefits include comprehensive dental and vision coverage, transportation to medical appointments, 24/7 Nurse Line, Teladoc Health, and more.
You may also work with a CCA Care Coordinator. Your CCA Care Coordinator is one main person for you to contact. This person helps to manage all your providers and services and makes sure you get what you need.
You will not pay any money to CCA for your health coverage.
However, you must continue to pay your Medicare Part B premium, unless it’s being paid on your behalf by MassHealth (Medicaid).
Please contact our Member Services team or log in to the CCA Member Portal to get a new ID card.
Commonwealth Care Alliance, Inc. has a large network of quality primary care providers and specialists, so there’s a good chance your current doctors are in our network and you won’t have to make a change.
When you become a CCA member, you must choose a provider in our network to be your primary care provider (PCP).
To see if your doctors and other providers are in the CCA network, search our Provider Directory.
You may also call our Member Services team at 866-610-2273 (TTY 711) for assistance.
Yes! You may change your PCP for any reason, at any time. You can choose one from the CCA network. To find a new doctor, click here to search our Provider Directory or call Member Services.
As a CCA member, you DO NOT have to pay any bills for the services we cover. If you receive a bill from a doctor or medical provider, please send or fax it to:
Commonwealth Care Alliance
Member Services Department
2 Avenue de Lafayette, 5th Floor
Boston, MA 02110
Fax: 617-426-1311
Please note: You must submit any medical bills you receive to us within 12 months of the date you received the service, item, or drug.
Once you receive your CCA member ID card, you or your care coordinator can schedule an appointment with a general dentist in our network. You can find a dentist by using our Provider Directory or by calling Member Services. Your general dentist can also refer you for special dental services that require pre-approval (“authorization”).
Your plan covers comprehensive dental services at no cost to you. Your dental benefits include:
- Exams, 4 cleanings per year, fluoride treatments, and X-rays
- Fillings, extractions, and gum disease treatment
- Dentures, crowns, and root canals
- Other services that are medically necessary
Certain restrictions may apply. For a complete list of benefits and requirements refer to the Member Handbook.
If you do not have access to transportation, we can help you with rides to and from medical appointments.
Talk to your care coordinator about your transportation needs. They can help you learn how to request a ride from our transportation vendor. You can also log in to the CCA Member Portal to schedule a ride.
Yes. As a CCA One Care member, you have no costs for your prescription drugs. We will cover the drugs listed in our formulary as long as they are medically necessary. We cover over-the-counter drugs with a prescription too.
Your CCA care team works together to direct and deliver the care and services you need. They work closely with your doctor, other care providers, and community resources. Your care team includes your CCA care coordinator and other specialists focused on your specific needs, like nursing care, behavioral health, housing, and food resources. You and your care team will make important decisions together according to your personal care plan.
Long-term services and supports (LTSS) are nonmedical services that help people live independently in the community. Such services may include personal care attendants, rehabilitation specialists, day habilitation, adult day health, adult foster care, peer support, assistive technology, and nonmedical transportation. You’ll need to work with your care coordinator to discuss your care needs and get the right services.