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Compare benefits to decide which is best for you

With both plans, you have $0 medical deductibles and no referrals required for in-network providers.

Compare Plans

of 2
Medicare Advantage PPO Plan
CCA Medicare Preferred
Medicare Advantage PPO Plan
CCA Medicare Value
Benefits
Monthly Plan Payment1
$0 $0 – $292
Do you qualify for Extra Help?
Medical Deductible
$0 $0
Maximum Out-of-Pocket Costs
$4,500 $4,500
Referrals
None required None required
Primary Care Copay
$0
PLUS a $25 reward after your annual wellness visit (annual exam)
$0
PLUS a $25 reward after your annual wellness visit (annual exam)
Specialist Copay
$30 $30
Lab Services Copay
$0 $0
Hospital Copay
$300 copay per day (days 1–5)
$0 per day (days 6-90)
$200 copay per day (days 1–5)
$0 per day (days 6-90)
Prescription Drugs2
$0 copay, $0 Tier 1 and Tier 2 prescription drugs (up to 100 days) $0 copay, $0 Tier 1 and Tier 2 prescription drugs (up to 100 days)
Dental
$0 copay routine dental services. Comprehensive dental coverage up to $2,250 a year, including dentures, crowns, and two implants per arch per year $0 copay routine dental services. Comprehensive dental coverage up to $2,500 a year, including dentures, crowns, and two implants per arch per year
Vision
$0 annual exam $0 annual exam
Eyewear
Up to $290 per year Up to $300 per year
Hearing
$0 annual exam $0 annual exam
Hearing Aids
Copays starting as low as $200 $2,000 a year for hearing aids
LOOK! Identity Theft Protection
Not covered Covered3
Healthy Savings (OTC) Card4
$480 a year, $120 a quarter for OTC health products $420 a year, $105 a quarter for OTC health products and approved food4
Meals5
14 meals
7-day maximum post hospital discharge
14 meals
7-day maximum post hospital discharge
Transportation
(scheduled by CCA)
12 one-way medical rides a year 24 one-way medical rides a year
Insulin Copay2
(for 30-day supply)
$35 or less $35
Routine Foot Care Copay
$30 copay, no visit limit $30 copay, no visit limit
Fitness Reimbursement
Silver&Fit® membership5 that also includes home fitness kits, plus $50 yearly allowance for sneakers on your Healthy Savings Card at participating locations Silver&Fit® membership5 that also includes home fitness kits, plus $100 yearly allowance for sneakers on your Healthy Savings Card at participating locations
Telehealth
$0 copay for Telehealth available via your provider or Teladoc®5 $0 copay for Telehealth available via your provider or Teladoc®5
24-Hour Nurse Line
Speak with a registered Nurse (RN) 24 hours a day, 7 days a week. Speak with a registered nurse (RN) 24 hours a day, 7 days a week.
Medical Equipment
20% coinsurance in and out of network 20% coinsurance in and out of network
Worldwide Emergency Coverage (outside the US)
$90 copay, $100k limit $0 copay, $100k limit

The above chart reflects in-network costs. Costs may vary depending on plan type, product, or service. For details on out-of-network costs, see the CCA Medicare Value Evidence of Coverage document or the CCA Medicare Preferred Evidence of Coverage document.

CCA Medicare Preferred Benefit Documents

CCA Medicare Preferred (RI) – Annual Notice of Changes (2023)

A document that tells you about the changes to the plan’s benefits, coverage, and rules for 2023.

CCA Medicare Plans (PPO) in RI – Summary of Benefits (2023)

A brief summary of the benefits and services covered by your CCA Medicare Preferred & CCA Medicare Value plans.

CCA Medicare Preferred (RI) – Evidence of Coverage (2023)

A detailed document to explain how your Medicare Preferred plan works and what care and services are covered.

CCA Medicare Advantage Plans (PPO) in RI – Star Ratings (2023)

Medicare rates health plans on their services every year. This document tells you our ratings from Medicare.

CCA Medicare Value Benefit Documents

CCA Medicare Value (PPO) in RI – Annual Notice of Changes for (2023)

A document that tells you about the changes to the plan’s benefits, coverage, and rules for 2023.

CCA Medicare Plans (PPO) in RI – Summary of Benefits (2023)

A brief summary of the benefits and services covered by your CCA Medicare Preferred & CCA Medicare Value plans.

CCA Medicare Value (RI) – Evidence of Coverage (2023)

A detailed document to explain how your Medicare Value plan works and what care and services are covered.

CCA Medicare Advantage Plans (PPO) in RI – Star Ratings (2023)

Medicare rates health plans on their services every year. This document tells you our ratings from Medicare.

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 Value plan, 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.gov6 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).

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 Some extra benefits are special supplemental benefits, which not all members will qualify for. Contact CCA Health for more information.
4 Certain restrictions may apply. Only at participating locations.
Participation limited based on medical criteria.
6 When you click this link, you will leave the CCA Health website.

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.

To learn more or become a member

855-210-1815 (TTY 711)
8:00 am to 8:00 pm, 7 days a week