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See our 2022 benefits

Compare benefits to decide which is best for you

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of 2
Medicare Advantage HMO Plan
CCA Medicare Excel
Medicare Advantage HMO Plan
CCA Medicare Ultima
Benefits
Monthly Plan Payment1
$0 $40 or less2
Do you qualify for Extra Help?
Medical Deductible
$0 $0
Maximum Out-of-Pocket Costs
No more than $4,500 annually No more than $4,500 annually
In-Network Referrals
None required None required
In-Network Primary Care Copay
$0 $0
In-Network Specialist Copay
$30 $0
Hospital Copay
Inpatient:
$295 per day for days 1–6;
$0 for days 7 and beyond
Inpatient:
$295 per day for days 1–6;
$0 for days 7 and beyond
Flu Vaccine
$0 $0
Diabetic Screenings
$0 $0
Prescription Drugs2
$0 deductible
$0 Tier 1 and 2
$0 deductible
$0 Tier 1 and 2
Dental
Up to $3,500 a year Up to $3,500 a year
Vision
$250 flex card for routine eye exams and eyewear $250 flex card for routine eye exams and eyewear
Hearing
(coverage through NationsHearing)
$0 annual exam
$2,000 per year for hearing aids
$0 annual exam
$2,000 per year for hearing aids
Over-the-Counter Coverage3
Up to $800 per year for over-the-counter health products Up to $800 per year for over-the-counter health products
Insulin Copay2
$10 for 30-day;
$30 for 90-day
$10 for 30-day;
$30 for 90-day
Covered  Covered 
In-home Support (non medical) – Papa Health
60 hours per year 60 hours per year
Respite Care / Caregiver Support
2 weeks of care at American House senior living facility after hospitalization 2 weeks of care at American House senior living facility after hospitalization
Meals5
14 meals (7 days) post hospital discharge 14 meals (7 days) post hospital discharge
Telehealth
Coverage and copays vary depending on the type of provider Coverage and copays vary depending on the type of provider
Transportation
1 trip after each hospitalization to your primary care physician / behavioral health specialist 1 trip after each hospitalization to your primary care physician / behavioral health specialist

The above chart reflects in-network costs. Costs may vary depending on plan type, product, or service. See the CCA Medicare Ultima plan and CCA Medicare Excel plan documents below for additional benefit coverage.

Do you qualify for Extra Help?

Eligible Medicare beneficiaries who have limited income may qualify for a government program called Extra Help. If you enroll in the CCA Medicare Ultima, the Extra Help program may lower your prescription drug costs and your monthly premium payment.

To check if you qualify for Extra Help, visit SSA.gov4 and search “Extra Help.” To apply over the phone or to request an application, call Social Security at 1-800-772-1213 (TTY 1-800-325-0778).

Learn more about CCA Medicare Advantage plan benefits

CCA Medicare Ultima (HMO) and CCA Medicare Excel (HMO) (MI) – Summary of Benefits (2023)

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CCA Medicare Ultima (HMO) and CCA Medicare Excel (HMO) (MI) – Evidence of Coverage (2023)

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CCA Medicare Ultima Plan (HMO) (MI) – ANOC (2023)

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CCA Medicare Excel Plan (HMO) (MI) – ANOC (2023)

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Low Income Subsidy – Premium Summary (2023) MI

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CCA Health MI – Medicare Star Ratings (2023)


1 You may need to continue to pay your Medicare Part B premium.
2 If you qualify for Extra Help, your costs may be lower.
3 Certain restrictions may apply. Only at participating locations.
4 When you click this link, you will leave the CCA Health website.
Participation limited based on medical criteria.

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 Excel (HMO) and CCA Medicare Excel Ultima (HMO) are health plans with Medicare contracts. Enrollment depends on contract renewal.

To learn more or become a member

734-984-4537 (TTY 711)
8:00 am to 5:00 pm, Monday through Friday