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Below is a list of answers to frequently asked questions

CCA Medicare Maximum (HMO D-SNP) is a special needs health plan from CCA Health 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 a wide range of benefits to help you manage your healthall at $0 cost to you.1

Plus, for those CCA Health 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, and prescription drugsat $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—though you still have to pay your Medicare Part B premium, unless your premium is paid on your behalf by Medicaid. 

You are eligible for CCA Medicare Maximum if you meet these requirements:

  • You are eligible for Medicaid and Medicare 
  • You live in Rhode Island

Check here to see if you are eligible.

You are eligible to enroll in CCA Medicare Maximum if you live anywhere in the State of Rhode Island.

Our CCA Health 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.

If you do need to find a new doctor or other providers in our CCA Health 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 Health network, search the CCA Medicare Maximum Provider Directory.

Yes! CCA Medicare Maximum includes $0 copays for routine services and comprehensive dental services (including dentures and crowns) up to $4,000 per year. Certain comprehensive services require prior authorization. 

When you have CCA Medicare Maximum, prescription drugs and prescribed over-the-counter drugs on the Medicaid formulary are covered at no cost to you. 

CCA Health 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, CCA Medicare Maximum becomes your Medicare and Medicaid coverage.

CCA Health works with Medicare and Medicaid plans to integrate services we offer. That means you will only be adding benefits or adding flexibility and coordination to your existing benefits. You will not lose services.

If you decide to go back to what you had before, you can do so at any time. If that happens, simply go back to using your Medicare and Medicaid cards directly.

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 happy to say that most members are very happy with their CCA Health 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 Health 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.

There are several ways to enroll. You can call a CCA Medicare Maximum licensed agent at 833-611-5887 (TTY 711) and enroll right over the phone. You can also enroll online. Click here to enroll directly online.

1You must continue to pay your Medicare Part B premium unless your premium is paid on your behalf by Medicaid.

The benefit information provided here is a brief summary, not a complete description of benefits. Benefits, formulary, pharmacy and/or provider networks may change on January 1 of each year. 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.

To learn more or become a member

833-611-5887 (TTY 711)
April 1 to September 30, 8 am – 8 pm, Monday – Friday