Below is a list of answers to frequently asked questions.
CCA Medicare Maximum (HMO D-SNP) is a special needs health plan from Commonwealth Care Alliance® (CCA) for Rhode Island residents who are eligible for both Medicare and Medicaid. It combines medical, dental, and prescription drug coverage in one plan, along with MORE benefits to help you manage your health—all at $0 cost to you.
Plus, for those CCA members who need it, you may get access to a care team too. We’ve been serving the health insurance needs of the Medicare and Medicaid community for more than 18 years, and we’re committed to helping you get the right coverage for your specific health needs.
With CCA Medicare Maximum, you get all the benefits of traditional Medicare (Parts A & B) and Medicaid, plus additional coverage like dental care, vision, and hearing benefits, prescription drugs, and MORE—at $0 cost to you.
Take a closer look at our CCA Medicare Maximum list of benefits.
CCA Medicare Maximum has a $0 monthly plan payment—there’s no cost to you.
You are eligible to enroll in CCA Medicare Maximum if you live anywhere in the State of Rhode Island.
Our CCA network of doctors is very large. There’s a good chance your current doctors and other providers are already part of it, and you would not have to make a change.
However, if you do need to find a new doctor or other providers in our CCA network, our team will be happy to help you find the right match for you.
To see if your current providers are in the CCA network, search the CCA Medicare Maximum Provider Directory.
Yes! CCA Medicare Maximum includes $0 coverage for routine and comprehensive dental services (including dentures and crowns) up to $3,000 per year.
When you have CCA Medicare Maximum, prescription drugs and over-the-counter drugs are covered at no cost to you.
CCA has a network of over 165 contracted pharmacies in Rhode Island and a national network of nearly 60,000 contracted pharmacies.
Search the CCA Medicare Maximum Pharmacy Directory to find the right pharmacy for you.
No. When you enroll in CCA Medicare Maximum, you get to keep your Medicaid benefits—plus you get MORE benefits than your Original Medicare coverage. You will not lose services. You will have an insurance card both from CCA and Medicaid, and you should bring both with you to doctor’s appointments.
If you decide to go back to Original Medicare (Medicare Parts A & B), you must notify CCA that you want to disenroll. You may lose coverage for prescription drugs unless you enroll in a separate Part D prescription drug plan that meets CMS minimum creditable coverage standards.
You can disenroll at any time if you are not satisfied. Your disenrollment will be effective on the last day of the month in which you let us know you want to leave the plan.
We are pleased to say that most members are very happy with their CCA experience.
If you already have Medicare and Medicaid, you can enroll any time from January 1 to September 30. You may enroll one time per quarter, and your plan will begin the first day of the next month. Or, you may submit an application to join the plan during Medicare’s Annual Election Period, which runs from October 15 through December 7. In that case, your enrollment with CCA will begin on January 1.
Please note: There are some special situations that might qualify you for a special enrollment period and change your enrollment dates.
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. Some extra benefits are special supplemental benefits, which not all members will qualify for. Limitations, copayments, and restrictions may apply. Contact CCA for more information.