Commonwealth Care Alliance

Senior Care Options Program (HMO SNP)

Members » Frequently Asked Questions

Frequently Asked Questions

What is Senior Care Options?
Senior Care Options or “SCO” is a healthcare program for people over age 65 who have both Medicare and MassHealth Standard or just MassHealth Standard. When you sign up for SCO, you get so much more with your MassHealth Standard coverage at no additional cost.

When you enroll, you’ll have a team of health professionals all working with you to help you stay healthy, independent, and living in your home. Your team will include primary care doctor, nurses, specialists, and a geriatric support coordinator. You’ll be able to receive care in your doctor’s office or in your home if that’s what works best for you.

What are the benefits?
Senior Care Options member get all the services you receive today through your MassHealth Standard coverage, and more. This includes primary and specialty medical care, preventive care, emergency care, X-rays and lab tests, medical supplies and equipment, prescription drugs, and more at no cost to you.

Click here for a complete list of Commonwealth Care Alliance SCO services and benefits.

What does Senior Care Options cost?
You don’t pay anything for Senior Care Options—all services are provided to you free of charge as part of your MassHealth Standard benefit.

Is there dental coverage?
Yes. In fact, members receive much more dental coverage than you have with your MassHealth Standard plan. With Senior Care Options, your dental services include dentures, root canals, and crowns along with cleanings, exams, fillings, and other services.

Is there prescription drug coverage?
Yes. All of your prescription drugs are covered at no cost to you, and you also can receive your needed over-the-counter drugs and health care supplies free of charge. Click here to learn more about Senior Care Options prescription drug coverage. You may also call our Member Services team at 1-866-610-2273 (TTY 711) for more information.

What other benefits do you offer?
Our Senior Care Options program offers you many benefits to help you stay healthy and independent, and living in your home. These include transportation to and from your doctor’s appointments, comprehensive vision services, medical equipment, and personal care assistance.

Click here for a complete list of Commonwealth Care Alliance SCO services and benefits.

Will Commonwealth Care Alliance work with my family members to help manage my benefits and care?
When you enroll in Commonwealth Care Alliance’s Senior Care Options program, members of your family can become part of your care team. That means that they will work with Commonwealth Care Alliance in managing all aspects of your benefits and care.

In addition, our plan provides helpful services to your family caregivers to help them cope with any stress or strain they may feel, while providing educational, social, and resource supports.

Learn more about how Commonwealth Care Alliance works with your family members.

How do I join?
If you are interested in our Senior Care Options Program and think you or a family member may qualify, please call our Member Services team at 1-866-610-2273 (TTY 711). We are available 8 a.m. to 8 p.m., 7 days a week or fill out this quick form and one of our representatives will call you at your convenience.

Do I need to change my doctors?
Commonwealth Care Alliance has a robust network of quality primary care doctors and specialists, so there’s a good chance your doctor is in our network and you won’t have to make a change. However, if you do need to find a new doctor, our Member Services team will be happy to help.

To see if your provider is in the Commonwealth Care Alliance network, search the Senior Care Options Program Online Provider Directory.

What if I want to change my primary care provider?
You may change your primary care provider for any reason, at any time, and choose another participating provider from the Commonwealth Care Alliance network. For more information, please call our Member Services team at 1-866-610-2273 (TTY 711)

I lost my ID card. How do I get a new one?
Please call our Member Services team at 1-866-610-2273 (TTY 711), and we’ll be happy to send you a replacement ID card.

I received a bill from a doctor or vendor. What do I do?
As a Commonwealth Care Alliance member, you DO NOT have to pay any bills associated with the benefits and services we cover. If you receive a bill from your doctor, please send it to our Member Services team at 30 Winter Street, Boston, MA 02108.

When can I enroll in SCO?
Enrollment is voluntary, and you can enroll any time by calling our Member Services team at 1-866-610-2273 (TTY 711).

What if I join the program and am not happy?
Most members are very happy with their SCO experience, and very few leave the program. Still, you can disenroll at any time if you are not satisfied.

 

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H2225_SCOweb-FAQ6-14 Approved

Last Updated 06/27/2014