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Brokers

Medicare Brokers - Plans Overview

CommunityCare is proud to offer Senior Health Plan, a program created especially for Medicare beneficiaries. Senior Health Plan has four Medicare Advantage Plans to fit the varying needs of Medicare beneficiaries.

Silver Plus

Medical and Prescription
Premium
Maximum Out-of-Pocket
Primary Care Physician
Specialist
Emergency Room
. Waived if admitted.
Urgent Care
Outpatient Hospital
Outpatient Rehabilitation
Outpatient Diagnostic Services
Hospital
DME
0% for most; 15% for wheelchairs, etc.

Platinum

Medical and Prescription
Premium
Maximum Out-of-Pocket
Primary Care Physician
Specialist
Emergency Room
. Waived if admitted.
Urgent Care
Outpatient Hospital
Outpatient Rehabilitation
Outpatient Diagnostic Services
Hospital
DME
0% for most; 15% for wheelchairs, etc.

Platinum Plus

Medical and Prescription
Premium
Maximum Out-of-Pocket
Primary Care Physician
Specialist
Emergency Room
. Waived if admitted.
Urgent Care
Outpatient Hospital
Outpatient Rehabilitation
Outpatient Diagnostic Services
Hospital
DME
0% for most; 15% for wheelchairs, etc.

Silver

Medical Benefits Only
Premium
Maximum Out-of-Pocket
Primary Care Physician
Specialist
Emergency Room
. Waived if admitted.
Urgent Care
Outpatient Hospital
Outpatient Rehabilitation
Outpatient Diagnostic Services
Hospital
DME
0% for most; 15% for wheelchairs, etc.

Extra Benefits

Dental
$0 for two preventive visits; $1,500 comprehensive;
Eyewear
$0 copay for eyewear up to $300 per year
OTC
$85 per quarter
Hearing Aids
Covered in Wallet
Wallet
Flex Card limit up to $300 for fitness, hearing aids, PERS, home & bathroom safety & non-Medicare DME
Transportation
$0 copay up to 12 one-way trips
Dental
$0 for two preventive visits; $1,500 comprehensive;
Eyewear
$0 copay for eyewear up to $300 per year
OTC
$85 per quarter
Hearing Aids
Up to $500 every 2 years
Wallet
Flex Card limit up to $400 for fitness, PERS, home & bathroom safety & non-Medicare DME
Transportation
$0 copay up to 12 one-way trips
Dental
$0 for two preventive visits; $1,500 comprehensive;
Eyewear
$0 copay for eyewear up to $200 per year
OTC
$40 per quarter
Hearing Aids
Up to $500 every 2 years
Wallet
Flex Card limit up to $350 for fitness, PERS, home & bathroom safety & non-Medicare DME
Transportation
$5 copay up to 12 one way trips
Dental
$0 for two preventive visits; $1,500 comprehensive;
Eyewear
$0 copay for eyewear up to $200 per year
OTC
$40 per quarter
Hearing Aids
Up to $500 every 2 years
Wallet
Flex Card limit up to $350 for fitness, PERS, home & bathroom safety & non-Medicare DME
Transportation
$5 copay up to 12 one way trips

Part D

Tier 1 - Preferred Generic
Tier 2 - Generic
Tier 3 - Preferred Brand Name
Insulin Tier
$35
Tier 4 - Non-Preferred Drugs
Tier 5 - Specialty Tier
Tier 1 - Preferred Generic
Tier 2 - Generic
Tier 3 - Preferred Brand Name
Insulin Tier
$35
Tier 4 - Non-Preferred Drugs
Tier 5 - Specialty Tier
Tier 1 - Preferred Generic
Tier 2 - Generic
Tier 3 - Preferred Brand Name
Insulin Tier
$35
Tier 4 - Non-Preferred Drugs
Tier 5 - Specialty Tier
Tier 1 - Preferred Generic
N/A
Tier 2 - Generic
N/A
Tier 3 - Preferred Brand Name
N/A
Insulin Tier
N/A
Tier 4 - Non-Preferred Drugs
N/A
Tier 5 - Specialty Tier
N/A

Copays in GAP

Tier 1 - Preferred Generic
Tier 2 - Generic
Other Tiers
25%
Tier 1 - Preferred Generic
Tier 2 - Generic
Other Tiers
25%
Tier 1 - Preferred Generic
Tier 2 - Generic
Other Tiers
25%
Tier 1 - Preferred Generic
N/A
Tier 2 - Generic
N/A
Other Tiers
N/A

The Senior Health Plan service area is: Craig, Creek, Delaware, Hughes, Mayes, McIntosh, Muskogee, Nowata, Okmulgee, Osage, Ottawa, Pawnee, Pittsburg, Rogers, Tulsa, Wagoner and Washington counties.

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