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.

2026 Plans

Dual Eligibility

Medical and Prescription
Service Area
Premium
$0 per month
Maximum Out-of-Pocket
$9,250
Primary Care Physician
$0 or 20% of the cost
Specialist
$0 or 20% of the cost
Emergency Room
$0 to $115 copay per visit. Waived if admitted.
Urgent Care
$0 to 20%; up to $40 copay per visit
Outpatient Hospital
$290 copay
Outpatient Rehabilitation
$20 copay per visit
Outpatient Diagnostic Services
$0 to 20% copay, depending on the service
Hospital
$0 to $1,676 per benefit period
DME
$0-20% for most Medicare-covered durable medical equipment
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Extra Benefits

Dental
$1,000 allowance; $0 copay for covered preventive and comprehensive services; 50% copay for Prosthetics/Endodontics/Dentures
Eyewear
You pay $0– 20% for eyewear up to $475
OTC
$180 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. 60 mile one-way limit

Part D

Deductible - Tiers 2,3,4,5
$615
Tier 1 - Preferred Generic
$0 copay
Tier 2 - Generic
25% Coinsurance
Tier 3 - Preferred Brand Name
25% Coinsurance
Insulin Tier
$35
Tier 4 - Non-Preferred Drugs
25% Coinsurance
Tier 5 - Specialty Tier
25% Coinsurance
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Documents

Learn More

Fitness Plus benefit
Dental benefits
Routine vision & eyewear
Non-emergency transportation
Over-the-Counter (OTC) benefit
Forms & Documents
Service Area
Craig, Creek, Mayes, Muskogee, Nowata, Okmulgee, Osage, Rogers, Tulsa, Wagoner, and Washington

Senior Health Plan is an HMO plan and a D-SNP plan with a Medicare & Medicaid contract. Enrollment in Senior Health Plan depends on contract renewal.

We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact www.medicare.gov or 1-800-MEDICARE (1-800-633-4227) to get information on all of your options. Medicare customer service representatives are available 24 hours a day, 7 days a week. TTY/TDD users should call 1-877-486-2048.

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