Choose the Senior Health Plan tab, the INTEGRIS Health Partners+ tab, or the CommunityCare Options to view the common benefits & copays for these plans. Included are the links to the specific additional benefits pages.
| Plan Premium | Medical Maximum out of pocket | Additional Benefits (these are benefits not covered by Medicare) | $0 You must continue to pay your Medicare Part B premium | $3,400 |
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| Wallet Benefit |
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| Your wallet includes benefits for gym memberships, home & bathroom safety devices 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. For more details, see the Summary of Benefits or Evidence of Coverage below.
| Doctors Visits | $0 for Primary Care ($0 for preventive screenings) $5 for Specialist |
| Emergency & Urgent Care – Worldwide coverage | $90 for Emergency Room - waived if admitted $5 for Urgent Care |
| Outpatient Hospital | $25 copay |
| Outpatient Rehab (such as Physical Therapy) | $0 copay per visit |
| Outpatient Diagnostic Services | $0-$125 copay, depending on the service |
| Inpatient Hospital | $25 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 Silver 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, 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.
Remember that Senior Health Plan is the only Medicare Advantage plan contracted in-network with both Ascension St. John and Saint Francis health systems. The Senior Health Plan service area is: Craig, Creek, Hughes, Mayes, McIntosh, Muskogee, Nowata, Okmulgee, Osage, Pawnee, Pittsburg, Rogers, Tulsa, Wagoner & Washington counties.