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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
In Network Benefits
Monthly Plan Payment1
$0 $29
Medical Deductible
$0 $0
Maximum Out-of-Pocket Costs
$4,500 $4,500
Referrals
None required None required
Primary Care Provider
$0 copay
PLUS a $25 reward added to your Healthy Savings card after your annual wellness visit or physical exam2
$0 copay
PLUS a $25 reward added to your Healthy Savings card after your annual wellness visit or physical exam2
Specialist
$30 copay $30 copay
Lab Services3
$0 $0
Inpatient Hospital3
$300 copay per day (days 1–5)
$0 per day (days 6 or more)
$200 copay per day (days 1–5)
$0 per day (days 6 or more)
Prescription Drugs
$0 copay, $0 Tier 1 and Tier 2 prescription drugs (3 month supply) $0 copay, $0 Tier 1 and Tier 2 prescription drugs (3 month supply)
Dental4
$0 copay for routine and preventive dental services up to the annual benefit maximum.
Dental care coverage up to $3,000 a year for services, including dentures, crowns, and four implants per year3
$0 copay for routine and preventive dental services up to the annual benefit maximum.
Dental care coverage up to $3,000 a year for services, including dentures, crowns, and four implants per year3
Vision Services
$0 routine exam (1 per year) $0 routine exam (1 per year)
Eyewear
$0 copay for base lenses and $400 annual allowance for frames or contact lenses $0 copay for base lenses and $400 annual allowance for frames or contact lenses
Hearing Services
$0 routine exam (1 per year) $0 routine exam (1 per year)
Hearing Aids
2 hearing aids (1 per ear) every year with tiered copays, starting at $200 $2,000 a year for two hearing aids (1 per ear)
Identity Theft Protection
Covered5 Covered5
Healthy Savings Card6
$150 every calendar quarter to purchase plan-approved over-the-counter items $160 every calendar quarter to purchase plan-approved over-the-counter items.
Members with certain qualifying chronic conditions may be able to use these funds to purchase plan-approved food as well5
Meals3
14 meals
7-day maximum post hospital discharge
14 meals
7-day maximum post hospital discharge
Transportation
12 one-way medical rides a year 24 one-way medical rides a year
Insulin Copay
(for 30-day supply)
$35 $35
Routine Foot Care Copay3
$30 copay $30 copay
Fitness Reimbursement
Silver&Fit® membership7 that includes access to an in-network fitness center, Fit at Home programming, an at-home fitness kit and more Silver&Fit® membership7 that includes access to an in-network fitness center, Fit at Home programming, an at-home fitness kit and more
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
Durable Medical Equipment3
20% coinsurance in and out of network 20% coinsurance in and out of network
Worldwide Emergency Coverage (outside the US)
$90 copay, $100,000 limit per year $0 copay, $100,000 limit per year

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 (PPO) (RI) – Annual Notice of Changes (2024)

A document that tells you about the changes to the plan’s benefits, coverage, and rules for 2024.

CCA Medicare Preferred and Value (PPO)(RI) – Summary of Benefits (2024)

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

CCA Medicare Preferred (PPO) (RI) – Evidence of Coverage (2024)

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

CCA Medicare Advantage Plans (PPO) (RI) – Star Ratings (2024)

Medicare evaluates plans based on a 5-star rating system. Star Ratings are calculated each year and may change from one year to the next. This document tells you our ratings from Medicare.

CCA Medicare Value Benefit Documents

CCA Medicare Value (PPO) (RI) – Annual Notice of Changes (2024)

A document that tells you about the changes to the plan’s benefits, coverage, and rules for 2024.

CCA Medicare Preferred and Value (PPO)(RI) – Summary of Benefits (2024)

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

CCA Medicare Value (PPO) (RI) – Evidence of Coverage (2024)

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

CCA Medicare Advantage Plans (PPO) (RI) – Star Ratings (2024)

Medicare evaluates plans based on a 5-star rating system. Star Ratings are calculated each year and may change from one year to the next. 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 must continue to pay your Medicare Part B premium.

2 It may take several months for your reward to be processed and added to your Healthy Savings card. Certain restrictions apply. Participating locations only. Contact the plan for more information.

3 Prior authorization is required.

4 Coverage limitations apply. Refer to the Evidence of Coverage for full benefit information.

5 The benefits mentioned are part of a special supplemental program for the chronically ill. Certain restrictions apply. Not all members qualify. Contact the plan for more information.

6 Certain restrictions apply. Participating locations only. Contact the plan for more information.

7 When you click this link, you will leave the Commonwealth Care Alliance website. 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.

The CCA Medicare Preferred and CCA Medicare Value plans allow members with qualifying chronic conditions to receive $100 annual allowance for sneakers.

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 Value (PPO) and CCA Medicare Preferred (PPO) are health plans with a Medicare contract. Enrollment depends on contract renewal.

You can get this document for free in other formats, such as large print, braille, or audio. Call 833-346-9222 (TTY 711), 8 am to 8 pm, 7 days a week, from October 1 to March 31. (April 1 to September 30: 8 am to 8 pm, Monday to Friday, and 8 am to 6 pm, Saturday and Sunday.) The call is free.

To learn more or become a member

855-210-1815 (TTY 711)
October to March, 8 am – 8 pm, 7 days a week