Whichever CommuniCare Advantage plan you qualify for, our plans offer a wide range of benefits to ensure your care meets your unique healthcare goals and preferences. For each of our Medicare Advantage plans, we cover all of the standard Medicare Part A and B services, in addition to providing extra benefits and services.
CommuniCare Advantage’s CSNP plan offers a robust lineup of benefits for members, including:
Benefits* | Description | In-Network Costs |
---|---|---|
Doctor visits |
No copays for visits to your primary care provider (PCP), and low copays for endocrinologists, and cardiologists | $0 co-pay for PCPs, $10 co-pay for endocrinologists and cardiologists |
Immunizations |
Vaccines for COVID-19, Pneumonia, Influenza and Hepatitis B | $0 cost to member |
Preventive
|
Many preventive services are covered, including annual wellness visit, breast cancer screening, colorectal cancer screening, diabetes screening | $0 cost to member |
Help with diabetes insulin and supplies |
Reduced cost sharing across a number of services, including reduced copays for all forms of insulin, diabetes supplies and services, and diabetic shoes |
$35 co-pay for a one month supply of all forms of insulin
offered by participating drug
manufacturers
$0 co-pay for diabetic supplies and services 20% coinsurance for diabetic shoes and inserts |
Dental services |
Preventive & comprehensive dental services include oral exams, dentures, X-rays, extractions, fillings and deep cleanings |
$0 cost to member
$1,000 benefit annually |
Routine vision services with eyewear |
Routine vision screening, lenses, frames, and/or contacts |
$0 cost to member
$250 benefit annually |
Transportation |
24 one-way non-emergent medical transportations are included | $0 cost to member |
Hearing services |
Routine hearing exams, hearing aids, and hearing aid services (including evaluation and fitting, repair, and batteries) |
$0 cost to member
$1,800 benefit annually |
No copays for visits to your primary care provider (PCP), and low copays for endocrinologists, and cardiologists
$0 co-pay for PCPs, $10 co-pay for endocrinologists and cardiologists
Vaccines for COVID-19, Pneumonia, Influenza and Hepatitis B
$0 cost to member
Many preventive services are covered, including annual wellness visit, breast cancer screening, colorectal cancer screening, diabetes screening
$0 cost to member
Reduced cost sharing across a number of services, including reduced copays for all forms of insulin, diabetes supplies and services, and diabetic shoes
$35 co-pay for a one month supply of all forms of insulin
offered by participating drug
manufacturers
$0 co-pay for diabetic supplies and services
20% coinsurance for diabetic shoes and inserts
Preventive & comprehensive dental services include oral exams, dentures, X-rays, extractions, fillings and deep cleanings
$0 cost to member
$1,000 benefit annually
Routine vision screening, lenses, frames, and/or contacts
$0 cost to member
$250 benefit annually
24 one-way non-emergent medical transportations are included
$0 cost to member
Routine hearing exams, hearing aids, and hearing aid services (including evaluation and fitting, repair, and batteries)
$0 cost to member
$1,800 benefit annually
*This is not a complete description of benefits. See the plan Evidence of Coverage for more information or call Member Services toll-free at (855) 969-5861, TTY 711, 8:00 a.m. – 8:00 p.m. seven days a week October 1 through March 31 (8:00 a.m. – 8:00 p.m. Monday through Friday April 1 through September 30). CommuniCare Advantage is an HMO with a Medicare contract. Enrollment in this plan depends on contract renewal.
CommuniCare Advantage’s ISNP plan benefits meet the needs of long-term care residents:
Benefits* | Description | In-Network Costs |
---|---|---|
Transportation |
Non-emergent medical transportations are included. |
$0 cost to member
Benefit varies by state |
Immunizations |
Vaccines for COVID-19, pneumonia, influenza, and Hepatitis B | $0 cost to member |
Preventive services |
Many preventive services are covered, including an annual wellness visit, breast cancer screening, colorectal cancer screening, diabetes screening | $0 cost to member |
Dental services |
Preventive and comprehensive dental services include oral exams, dentures, x-rays, extractions, fillings, and deep cleanings |
$0 cost to member
$2,000 benefit annually |
Vision services |
Routine vision screening, lenses, frames, and/or contacts |
$0 cost to member
Benefit varies by state |
Flex Card |
Healthcare dollars to spend on over-the-counter products and benefits |
$0 cost to member
Benefit varies by state |
Hearing services |
Routine hearing exams, hearing aids, and hearing aid services (including evaluation and fitting, repair, and batteries) | $0 cost to member for $1,500 benefit annually |
Non-emergent medical transportations are included.
$0 cost to member
Benefit varies by state
Vaccines for COVID-19, pneumonia, influenza, and Hepatitis B
$0 cost to member
Many preventive services are covered, including an annual wellness visit, breast cancer screening, colorectal cancer screening, diabetes screening
$0 cost to member
Preventive and comprehensive dental services include oral exams, dentures, x-rays, extractions, fillings, and deep cleanings
$0 cost to member
$2,000 benefit annually
Routine vision screening, lenses, frames, and/or contacts
$0 cost to member
Benefit varies by state
Healthcare dollars to spend on over-the-counter products and benefits
$0 cost to member
Benefit varies by state
Routine hearing exams, hearing aids, and hearing aid services (including evaluation and fitting, repair, and batteries)
$0 cost to member for $1,500 benefit annually
*This is not a complete description of benefits. See the plan Evidence of Coverage for more information or call Member Services toll-free at (855) 969-5861, TTY 711, 8:00 a.m. – 8:00 p.m. seven days a week October 1 through March 31 (8:00 a.m. – 8:00 p.m. Monday through Friday April 1 through September 30). CommuniCare Advantage is an HMO with a Medicare contract. Enrollment in this plan depends on contract renewal.
CommuniCare Advantage’s MAPD Emerald plan offers a robust lineup of benefits for members, including:
Benefits* | Description | In-Network Costs |
---|---|---|
Doctor Visits |
No copays for visits to your primary care provider (PCP) | $0 copay for PCPs |
Immunizations |
Pneumonia vaccine, Influenza vaccine, COVID-19 vaccine, Hepatitis B vaccine | $0 – there is no coinsurance, copayment or deductible for the pneumonia, influenza, COVID-19, and hepatitis B vaccines |
Preventive Services |
Preventive services are covered, including annual wellness visit, breast cancer screening, colorectal cancer screening, and diabetes screening | $0 cost to member |
Help with Diabetes Insulin and Supplies |
Reduced cost sharing across a number of services, including reduced copays for all forms of insulin, diabetic supplies and services, and diabetic shoes | $35 copay for a one-month supply of all forms of insulin offered by participating drug manufacturers $0 copay for diabetic supplies and services 20% coinsurance for diabetic shoes and inserts |
Dental Services |
Preventive & comprehensive dental services include oral exams, dentures, x-rays, extractions, fillings, and deep cleanings | $0 cost to member $2,000 benefit annually |
Vision Services |
Routine vision screening, lenses, frames, and/or contacts | $0 cost to member $350 benefit annually |
Home-Delivered Meals |
One-time benefit of 3 meals per day for 7 days after discharge from the hospital | $0 cost to member, this benefit requires case manager approval |
Hearing Services |
Routine hearing exams, hearing aids, and hearing aid services (including evaluation and fitting, repair, and batteries) | $0 cost to member $4,000 benefit every 3 years |
Fitness Benefit |
Access to fitness centers, online classes, and ability to use different centers | $0 cost to member |
Flex Card |
Health Care dollars to spend on over-the-counter products and benefits | $0 cost to member $50 benefit every 3 months |
No copays for visits to your primary care provider (PCP)
$0 copay for PCPs
Pneumonia vaccine, Influenza vaccine, COVID-19 vaccine, Hepatitis B vaccine
$0 – there is no coinsurance, copayment or deductible for the pneumonia, influenza, COVID-19, and hepatitis B vaccines
Preventive services are covered, including annual wellness visit, breast cancer screening, colorectal cancer screening, and diabetes screening
$0 cost to member
Reduced cost sharing across a number of services, including reduced copays for all forms of insulin, diabetic supplies and services, and diabetic shoes
$35 copay for a one-month supply of all forms of insulin offered by participating drug manufacturers $0 copay for diabetic supplies and services 20% coinsurance for diabetic shoes and inserts
Preventive & comprehensive dental services include oral exams, dentures, x-rays, extractions, fillings, and deep cleanings
$0 cost to member $2,000 benefit annually
Routine vision screening, lenses, frames, and/or contacts
$0 cost to member $350 benefit annually
One-time benefit of 3 meals per day for 7 days after discharge from the hospital
$0 cost to member, this benefit requires case manager approval
Routine hearing exams, hearing aids, and hearing aid services (including evaluation and fitting, repair, and batteries)
$0 cost to member $4,000 benefit every 3 years
Access to fitness centers, online classes, and ability to use different centers
$0 cost to member
Health Care dollars to spend on over-the-counter products and benefits
$0 cost to member $50 benefit every 3 months
*This is not a complete description of benefits. See the plan Evidence of Coverage for more information or call Member Services toll-free at (855) 969-5861, TTY 711, 8:00 a.m. – 8:00 p.m. seven days a week October 1 through March 31 (8:00 a.m. – 8:00 p.m. Monday through Friday April 1 through September 30). CommuniCare Advantage is an HMO with a Medicare contract. Enrollment in this plan depends on contract renewal.
CommuniCare Advantage’s MAPD Sapphire plan offers a robust line up of benefits, including:
Benefits* | Description | In-Network Costs |
---|---|---|
Doctor Visits |
No copays for visits to your primary care provider (PCP) | $0 copay for PCPs |
Immunizations |
Pneumonia vaccine, Influenza vaccine, COVID-19 vaccine, Hepatitis B vaccine | $0 – there is no coinsurance, copayment or deductible for the pneumonia, influenza, COVID-19, and hepatitis B vaccines |
Preventive Services |
Preventive services are covered, including annual wellness visit, breast cancer screening, colorectal cancer screening, and diabetes screening | $0 cost to member |
Help with Diabetes Insulin and Supplies |
Reduced cost sharing across a number of services, including reduced copays for all forms of insulin, diabetic supplies and services, and diabetic shoes | $35 copay for a one-month supply of all forms of insulin offered by participating drug manufacturers $0 copay for diabetic supplies and services 20% coinsurance for diabetic shoes and inserts |
Dental Services |
Preventive & comprehensive dental services include oral exams, dentures, x-rays, extractions, fillings, and deep cleanings | $0 cost to member $1,000 benefit annually |
Vision Services |
Routine vision screening, lenses, frames, and/or contacts | $0 cost to member *Benefit varies by state |
Home-Delivered Meals |
One-time benefit of 3 meals per day for 7 days after discharge from the hospital | $0 cost to member, this benefit requires case manager approval |
Hearing Services |
Routine hearing exams, hearing aids, and hearing aid services (including evaluation and fitting, repair, and batteries) | $0 cost to member $800 benefit every 3 years |
Fitness Benefit |
Access to fitness centers, online classes, and ability to use different centers | $0 cost to member |
Flex Card |
Health Care dollars to spend on over-the-counter products and benefits | $0 cost to member *Benefit varies by state |
Transportation |
24 one-way non-emergent medical transportations are included | $0 cost to member |
No copays for visits to your primary care provider (PCP)
$0 copay for PCPs
Pneumonia vaccine, Influenza vaccine, COVID-19 vaccine, Hepatitis B vaccine
$0 – there is no coinsurance, copayment or deductible for the pneumonia, influenza, COVID-19, and hepatitis B vaccines
Preventive services are covered, including annual wellness visit, breast cancer screening, colorectal cancer screening, and diabetes screening
$0 cost to member
Reduced cost sharing across a number of services, including reduced copays for all forms of insulin, diabetic supplies and services, and diabetic shoes
$35 copay for a one-month supply of all forms of insulin offered by participating drug manufacturers $0 copay for diabetic supplies and services 20% coinsurance for diabetic shoes and inserts
Preventive & comprehensive dental services include oral exams, dentures, x-rays, extractions, fillings, and deep cleanings
$0 cost to member $1,000 benefit annually
Routine vision screening, lenses, frames, and/or contacts
$0 cost to member *Benefit varies by state
One-time benefit of 3 meals per day for 7 days after discharge from the hospital
$0 cost to member, this benefit requires case manager approval
Routine hearing exams, hearing aids, and hearing aid services (including evaluation and fitting, repair, and batteries)
$0 cost to member $800 benefit every 3 years
Access to fitness centers, online classes, and ability to use different centers
$0 cost to member
Health Care dollars to spend on over-the-counter products and benefits
$0 cost to member *Benefit varies by state
24 one-way non-emergent medical transportations are included
$0 cost to member
*This is not a complete description of benefits. See the plan Evidence of Coverage for more information or call Member Services toll-free at (855) 969-5861, TTY 711, 8:00 a.m. – 8:00 p.m. seven days a week October 1 through March 31 (8:00 a.m. – 8:00 p.m. Monday through Friday April 1 through September 30). CommuniCare Advantage is an HMO with a Medicare contract. Enrollment in this plan depends on contract renewal.