CCA Medicare Dual Special Needs Plan Benefits
With the CCA Medicare Maximum plan—pay $01 and connect to coverage that cares!
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$0 monthly plan payment and medical deductibles1
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$0 prescription drugs
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$550 for routine eye exams and eyewear
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50 one-way medical trips
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$0 copay for home health care2
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$100 for new sneakers3
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$0 doctor’s office visits and hospital stays2
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$3,500 a year for dental care4
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$0 annual hearing exam and up to $1,500 for two hearing aids (one per ear)
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Flexible funds to help pay for utilities3
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$750 every calendar quarter to spend on health products,5 healthy food,3 and utilities3
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Silver&Fit® program membership6
The information above is based on in-network costs. For detailed information on CCA Medicare Maximum plan benefits, see the Evidence of Coverage below.
CCA Medicare Maximum Plan Benefits Documents
CCA Medicare Maximum (HMO D-SNP) (MI) – Summary of Benefits (2024)
CCA Medicare Maximum (HMO D-SNP) (MI) – Evidence of Coverage (2024)
CCA Medicare Maximum (HMO D-SNP) (MI) – ANOC (2024)
CCA Health (MI) – Medicare Star Ratings (2024)
1 You have to continue to pay your Medicare Part B Premium unless your Part B premium is paid for you by Medicaid.
2 Prior authorization is required.
3 The benefits mentioned are 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.
4 Coverage limitations apply. Refer to the Evidence of Coverage for full benefit information.
5 Certain restrictions apply. Participating locations only. Contact the plan for more information.
6 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.
Costs may vary depending on network, plan type, product, or service. 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.
CCA Medicare Maximum (HMO D-SNP) is a health plan with a Medicare contract and a contract with the State Medicaid program. Enrollment depends on contract renewal.
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