CCA Senior Care Options (HMO D-SNP) Benefits
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$0 monthly premium1
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$0 drug deductible and $0 copay for prescription drugs and prescribed over-the-counter drugs2
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Healthy Savings card: Up to $420 quarterly to purchase plan-covered over-the-counter products3
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$0 copay for a routine eye exam and up to $300 combined yearly allowance for routine eyewear including frames and contacts
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$0 copay for routine hearing exam and hearing aid coverage including one hearing aid per ear every 60 months, up to $500
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$0 Silver&Fit® membership4
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$25 annual wellness visit reward5 added to your Healthy Savings card after your physical exam or wellness visit
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$0 copay for doctors office visits and hospital stays3
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Teladoc Health: $0 copay for 24/7 urgent, general medical services
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$0 copay for preventive and comprehensive dental services, including dentures, crowns, and implants3
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Unlimited rides to non-emergent, medical appointments (50-mile radius)3
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24-hour nurse line to speak with a Registered Nurse (RN)
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For members with certain active, chronic conditions, the quarterly value on the Healthy Savings card can be used to purchase plan-covered food and pay for utilities. They also may qualify for 10 one-way, non-emergent, non-medical rides per month (50-mile radius)6
CCA Senior Care Options Benefits
CCA Senior Care Options (HMO D-SNP) (MA) – Summary of Benefits
CCA Senior Care Options (HMO D-SNP) (MA) – Member Handbook
CCA Senior Care Options (HMO D-SNP) (MA) – Member Handbook – Large Print
CCA Senior Care Options (HMO D-SNP) (MA) – Annual Notice of Changes
CCA Senior Care Options (HMO D-SNP) (MA) – Star Rating
1 You must continue to pay your Medicare Part B premium, unless it’s being paid on your behalf by MassHealth (Medicaid).
2 Drugs on the CCA formulary have $0 copays. This also includes over-the-counter drugs on the MassHealth list.
3 Certain restrictions may apply. Contact the plan for more information.
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 It may take several months for your reward to be processed and added to your Healthy Savings card.
6 The food, utilities, and non-emergent, non-medical transportation 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 these 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 Member Handbook.