When you join a new health plan, you have questions. We are here to help. These are some of the most common questions about Commonwealth Care Alliance (CCA) One Care (Medicare-Medicaid Plan).
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, AND you’ll have new ones—$0 cost to you.
Your new benefits include comprehensive dental care, transportation to medical appointments and non-medical services scheduled by CCA, medical visits and personal assistance in your home, transitional assistance from a hospital stay, and more.
Click here to see the full list of CCA One Care benefits. Some services, items, and drugs may require pre-approval (“authorization”).
You will not pay any money to CCA for your health coverage.
Important: If you pay a premium to MassHealth or Medicare, you must continue to pay your premiums to keep your coverage.*
Most likely, yes. Commonwealth Care Alliance has 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.
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
30 Winter Street, Boston, MA 02108
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, 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”).
Click here for a complete list of CCA One Care benefits and services.
Your plan covers comprehensive dental services at no cost to you. Your dental benefits include:
• Exams, cleanings, and X-rays
• Fillings, extractions, and gum disease treatment
• Crowns, bridges, and root canals
• Other services that are medically necessary
If you do not have access to transportation, CCA can help you with rides to and from medical appointments. We also cover 8 one-way trips per month for non-medical needs, like grocery shopping or church, for example.
Talk to your care partner about your transportation needs. After your care partner adds transportation to your care plan, you can schedule rides through the CCA transportation manager, Coordinated Transportation Services (CTS). Call Member Services and dial 4 to connect to CTS.
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 partner 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 partner to discuss your care needs and get the right services.