2025
Medicare & Medicaid Dual Eligibility Plan
Medicare & Medicaid Dual Eligibility Plan
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Senior Health Plan - Plans Overview
CommunityCare is proud to offer Senior Health Plan, a program created especially for Medicare beneficiaries. Senior Health Plan has seven Medicare Advantage Plans to fit the varying needs of Medicare beneficiaries.
Dual Eligibility
Medical and Prescription
Premium
$0 per month
Maximum Out-of-Pocket
$8,850
Primary Care Physician
You pay $0 or 20%
Specialist
You pay $0 or 20%
Emergency Room
You pay $0 to 20% up to $110 per visit. Waived if admitted.
Urgent Care
You pay $0 to 20% up to $45 per visit
Outpatient Hospital
You pay $0 or 20%
Outpatient Rehabilitation
You pay $0 or 20%
Outpatient Diagnostic Services
You pay $0 or 20%
Hospital
You pay $1,676
DME
$0-20% for most Medicare-covered durable medical equipment
Extra Benefits
Dental
$0 for two preventive visits; $1,500 comprehensive; Prosthetics Endodontics Dentures 50% copay
Eyewear
You pay $0 for eyewear up to $475
OTC
$240 per month
Hearing Aids
No copay up to plan benefit limit of $500 for hearing aids. Benefit can be used once every two years. Must use approved vendor for fitting and evaluation and hearing aid purchase.
Fitness Plus Benefit
N/A
Transportation
$0 copay up to 36 one-way trips. 50 mile one-way limit
Part D
Deductible
Tier 1 - Preferred Generic
$0 copay
Tier 2 - Generic
You pay $0
Tier 3 - Preferred Brand Name
You pay 24% Coinsurance
Insulin Tier
$35
Tier 4 - Non-Preferred Drugs
You pay 25%
Tier 5 - Specialty Tier
You pay 25%
Documents
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Service Area
Craig, Creek, Mayes, Muskogee, Nowata, Okmulgee, Osage, Rogers, Tulsa, Wagoner, and Washington
