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CommunityCare is here for you. We are dedicated to taking care of our members and ensuring you have access to health care services.

Advantage Medicare Plan Choice

Medical Benefits Only

Plan Premium Medical Maximum out of pocketAdditional Benefits (these are benefits not covered by Medicare)
$0
You must continue to pay your Medicare Part B premium
$3,400

Common Medical benefits and your copays - remember that if you reach your Medical Maximum Out of Pocket limit, the rest of your Medicare-covered medical services are paid by CommunityCare

Doctors Visits provider search$0 for Primary Care
$20 for Specialist
Emergency & Urgent Care – Worldwide coverage$120 for Emergency Room - waived if admitted
$20 for Urgent Care
Outpatient Hospital$125 copay
Outpatient Rehab (such as Physical Therapy)$20 copay per visit
Outpatient Diagnostic Services$0-$125 copay, depending on the service
Inpatient Hospital$100 copay each day for days 1-7

This plan does not include Part D coverage for outpatient prescription drugs. Please note that you cannot have Advantage Medicare Plan Choice and another company’s Part D plan. If you do not have creditable coverage (as good as Medicare Part D), you may incur a penalty if you enroll in a Part D plan at a later date. Examples of creditable drug coverage are Indian Health Services or Veteran’s benefits.

You can call our Medicare team at 918-594-5275 for more information on this plan or other options. We are available Monday through Friday from 8:00 to 6:00.

Directories and Searches

Enrollment Options

If you are not sure which plan best suits you, give us a call at 918-594-5275. One of our representatives will help you select the right plan for you.

Plan Documents

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