Commonwealth Care Alliance

Senior Care Options Program (HMO SNP)

The Program » Services & Benefits

Services & Benefits

click-hereCommonwealth Care Alliance Senior Care Options members receive all services, benefits, care, and treatment FREE OF CHARGE.*

$0 services and care

PrescriptionDrugs

$0

Prescription and over-the-counter drugs

DentalSevs

$0

Dental services, including dentures

Eyeglasses

$0

Eyeglasses and hearing aids

Equipment

$0

Medical equipment

Transporatation

$0

Transportation to appointments

PersonalCare

$0

Personal care assistance

Other services and care you may receive

  • Emergent/urgent care
  • Outpatient health services
  • Inpatient hospital care
  • Skilled nursing facility, inpatient rehabilitative care
  • Outpatient surgery
  • Home health care
  • Health-related services (including transportation, homemaker/chore services, personal care attendant services, respite care, dementia and social day care, environmental accessibility adaptations, personal emergency response systems, and companion services)
  • Dental care, including but not limited to routine care, diagnostics, and treatment
  • Specialists, specialty care
  • Behavioral health services
  • Prescriptions and pharmacy benefits (the Senior Care Options Program covers outpatient prescription medications. There is no out-of-pocket expense for prescriptions, although some prescription drugs may require authorization and some drugs may have a maximum quantity limit)
  • Preventive care and screenings (including but not limited to HIV screening tests, bone mass measurements, colorectal screenings, mammography screenings, prostate cancer screening exams, cardiovascular screening blood tests, and diabetes self-monitoring training and supplies)
  • Any additional services recommended by your PCP or PCT
  • End-of-life support (hospice services)

You are covered in full for the services listed above provided they are coordinated by your primary care provider or primary care team. You will have no out-of-pocket expense for services authorized by your primary care provider or primary care team.

For detailed information on Senior Care Options benefits, see Chapter 4 of your Evidence of Coverage: Benefits Chart.

* Services, benefits, care, and treatment must be authorized by your primary care provider (PCP) or primary care team (PCT).

The benefit information provided is a brief summary, not a complete description of benefits. For more information, contact the plan. Benefits, formulary, and/or pharmacy network may change on January 1 of each year. Limitations, copayments, and restrictions may apply.

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Last Updated 06/23/2016