CCA Medicare Dual Special Needs Plan Benefits
With the CCA Medicare Maximum plan—pay $0 and get a wide range of benefits!
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$0 monthly plan payment and medical deductibles1
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$0 prescription drugs
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$300 for routine eye exams and eyewear
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50 one-way medical trips
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60 hours per year in-home support and 2 weeks of care at a senior living facility after hospitalization
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$100 for new sneakers3
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$0 doctor’s office visits and hospital stays
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$3,500 a year for dental care
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$0 annual hearing exam and up to $2,000 for hearing aids two hearing aids (one per ear)
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$50 per month for utilities3
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$600 per quarter to spend on health products2 and healthy food3
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Silver&Fit® program membership
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 Dual Special Needs Plan (MI) – Summary of Benefits (2023)
CCA Medicare Dual Special Needs Plan (MI) – Evidence of Coverage (2023)
CCA Medicare Dual Special Needs Plan (MI) – Annual Notice of Change (2023)
CCA Health MI – Medicare Star Ratings (2023)
1 You have to continue to pay your Medicare Part B Premium unless your Part B premium is paid for you by Medicaid.
2 Certain restrictions may apply. Only at participating locations. 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 CCA Health for more information.
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.
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.
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.
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
-
$0 prescription drugs
-
$550 for routine eye exams and eyewear
-
50 one-way medical trips
-
$0 copay for home health care2
-
$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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