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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.

CommunityCare Options Gold

Medical and Medicare Part D (Outpatient Prescription Drug) Benefits

Plan PremiumAdditional Benefits (these are benefits not covered by Medicare)
$0
You must continue to pay your Medicare Part B premium
Wallet Benefit
Your wallet includes benefits for gym memberships, hearing aids, home & bathroom safety and more.Learn more about your wallet benefit here!

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

 In-NetworkOut-of-Network
Primay Care$0 for Primary Care30%
Specialist$40 for Specialist30%
Urgent Care$40 for Urgent Care$40 for Urgent Care

This plan includes Part D (outpatient prescription drug coverage) - your copay will depend on what Tier level your prescription is. Copays can change if you move out of the Initial Coverage level.

Initial Coverage Level Copays 30-day Supply
Tier 1 - Preferred Generic$0 copay
Tier 2 - Generic$5 copay
Select Insulin Tier$35 copay
Tier 3 - Preferred Brand Name$40 copay
Tier 4 - Non-Preferred Drugs$95 copay
Tier 5 - Specialty Tier33% copay

You can save money by using your mail order benefit. You can purchase a 100 day supply of available drugs for a reduced cost.

You can call our Medicare team at 918-594-5275, TTY/TDD (800) 722-0353, 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

Call our team if you have any questions about this plan at 918-594-5275 and our Medicare team will be happy to help you.

Plan Documents

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