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.
2024 Plans
Silver Plus
Medical and Prescription
Maximum Out-of-Pocket
$4,200
Primary Care Physician
$0 copay per visit
Specialist
$35 copay per visit
Emergency Room
$90 copay per visit. Waived if admitted.
Urgent Care
$35 copay per visit
Outpatient Hospital
$290 copay
Outpatient Rehabilitation
$20 copay per visit
Outpatient Diagnostic Services
$0-$150 copay, depending on the service
Hospital
$245 per day for days 1-5
DME
0% for most; 15% for wheelchairs, etc.
Platinum
Medical and Prescription
Maximum Out-of-Pocket
$3,900
Primary Care Physician
$0 copay per visit
Specialist
$30 copay per visit
Emergency Room
$90 copay per visit. Waived if admitted.
Urgent Care
$30 copay per visit
Outpatient Hospital
$250 copay
Outpatient Rehabilitation
$20 copay per visit
Outpatient Diagnostic Services
$0-$100 copay, depending on the service
Hospital
$240 per day for days 1-5
DME
0% for most; 15% for wheelchairs, etc.
Platinum Plus
Medical and Prescription
Maximum Out-of-Pocket
$4,400
Primary Care Physician
$0 copay per visit
Specialist
$25 copay per visit
Emergency Room
$90 copay per visit. Waived if admitted.
Urgent Care
$25 copay per visit
Outpatient Hospital
$200 copay
Outpatient Rehabilitation
$20 copay per visit
Outpatient Diagnostic Services
$0-$100 copay, depending on the service
Hospital
$195 per day for days 1-7
DME
0% for most; 15% for wheelchairs, etc.
Silver
Medical Benefits Only
Maximum Out-of-Pocket
$3,400
Primary Care Physician
$0 copay per visit
Specialist
$5 copay per visit
Emergency Room
$90 copay per visit. Waived if admitted.
Urgent Care
$5 copay per visit
Outpatient Hospital
$25 copay
Outpatient Rehabilitation
$0 copay per visit
Outpatient Diagnostic Services
$0-$125 copay, depending on the service
Hospital
$25 per day for days 1-7
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
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
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
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
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
$0 copay
Tier 2 - Generic
$10 copay
Tier 3 - Preferred Brand Name
$40 copay
Tier 4 - Non-Preferred Drugs
$95 copay
Tier 5 - Specialty Tier
33% of the cost
Tier 1 - Preferred Generic
$0 copay
Tier 2 - Generic
$5 copay
Tier 3 - Preferred Brand Name
$40 copay
Tier 4 - Non-Preferred Drugs
$95 copay
Tier 5 - Specialty Tier
33% of the cost
Tier 1 - Preferred Generic
$0 copay
Tier 2 - Generic
$5 copay
Tier 3 - Preferred Brand Name
$40 copay
Tier 4 - Non-Preferred Drugs
$95 copay
Tier 5 - Specialty Tier
33% of the cost
Tier 1 - Preferred Generic
N/A
Tier 3 - Preferred Brand Name
N/A
Tier 4 - Non-Preferred Drugs
N/A
Tier 5 - Specialty Tier
N/A
Copays in GAP
Tier 1 - Preferred Generic
$0 copay
Tier 2 - Generic
$10 copay
Tier 1 - Preferred Generic
$0 copay
Tier 2 - Generic
$5 copay
Tier 1 - Preferred Generic
$0 copay
Tier 2 - Generic
$5 copay
Tier 1 - Preferred Generic
N/A
Remember that Senior Health Plan is the only Medicare Advantage plan contracted in-network with Ascension St. John, Hillcrest, OSU Medical and Saint Francis.
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.