CommunityCare Senior Health Plan Medical and Pharmacy Plans
Enroll now in Senior Health Plan Medical & Pharmacy Plans plan and get the benefits you want with the provider network you need. View more details by:
- Selecting "View Plan Details"
- Reviewing the Summary of Benefits (link below)
- Reviewing the Evidence of Coverage (link below)
- Calling our Sales team at (918) 594-5275 to review your options. We’re available Monday through Friday from 8:00 am to 6:00 pm.
Retiree plans may have different benefits than below. Refer to your retiree plan grid for your specific benefits. Call Customer Service if you need a copy of your plan benefits.
Premium*
$0 per month
Primary Care Physician
$0 copay per visit
Specialist
$30 copay per visit
Hospital
$240 per day for days 1-5
Maximum Out-of-Pocket
$4,200
Prescription Costs
Tier One
$0 copay
Tier Two
$5 copay
Tier Three
$47 copay
Tier Four
You pay 40%
Tier Five
You pay 33%
Documents
Service Area Counties
Adair, Cherokee, Cleveland, Craig, Creek, Delaware, Garvin, Grady, Haskell, Hughes, Kingfisher, Lincoln, Logan, Mayes, McClain, Mcintosh, Muskogee, Nowata, Okfuskee, Oklahoma, Okmulgee, Osage, Ottawa, Pawnee, Pittsburg, Pottawatomie, Rogers, Seminole, Tulsa, Wagoner, and Washington
Premium*
$19 per month
Primary Care Physician
$0 copay per visit
Specialist
$25 copay per visit
Hospital
$235 per day for days 1-5
Maximum Out-of-Pocket
$3,900
Prescription Costs
Tier One
$0 copay
Tier Two
$5 copay
Tier Three
$47 copay
Tier Four
You pay 40%
Tier Five
You pay 33%
Documents
Service Area Counties
Adair, Cherokee, Cleveland, Craig, Creek, Delaware, Garvin, Grady, Haskell, Hughes, Kingfisher, Lincoln, Logan, Mayes, McClain, Mcintosh, Muskogee, Nowata, Okfuskee, Oklahoma, Okmulgee, Osage, Ottawa, Pawnee, Pittsburg, Pottawatomie, Rogers, Seminole, Tulsa, Wagoner, and Washington
Premium*
$83 per month
Primary Care Physician
$0 copay per visit
Specialist
$25 copay per visit
Hospital
$220 per day for days 1-7
Maximum Out-of-Pocket
$4,700
Prescription Costs
Tier One
$0 copay
Tier Two
$5 copay
Tier Three
$47 copay
Tier Four
You pay 40%
Tier Five
You pay 33%
Documents
Service Area Counties
Adair, Cherokee, Cleveland, Craig, Creek, Delaware, Garvin, Grady, Haskell, Hughes, Kingfisher, Lincoln, Logan, Mayes, McClain, Mcintosh, Muskogee, Nowata, Okfuskee, Oklahoma, Okmulgee, Osage, Ottawa, Pawnee, Pittsburg, Pottawatomie, Rogers, Seminole, Tulsa, Wagoner, and Washington
* You must continue to pay your Part B premium.
Every year Medicare evaluates plans based on a 5-star rating system. You can see the Senior Health Plan Medical & Pharmacy Plans Star Rating by clicking on the link above.