New for 2023 - Hillcrest HealthCare System is in network for Senior Health Plan.

Medicare Brokers - Plans Overview

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.

Silver

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
Wallet Benefit
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.