Senior Health Plan Silver Plus

Medical and Medicare Part D (Outpatient Prescription Drug) Benefits

Senior Health Plan's contract with CMS is renewed annually. As a result, the availability of coverage beyond the end of the current contract year is not guaranteed. Benefits, limitations, service areas and premiums are subject to change on January 1 of each year.

2016 Senior Health Plan Silver Premium Information and Descriptions
   
Premium: $0
Primary Care Physician Copay: $25 copay per visit
Specialist Copay: 20% of the cost per visit
Hospital Copay: $270 per day for days 1-7
Maximum Out-of-Pocket: $6,700
Online Enrollment:
Documents:

Service Areas

Although Medicare is a Federal program, Senior Health Plan is available only to individuals who live in our plan service area. To stay a member of our plan, you must keep living in this service area. The service area is described below:

Our service area includes these counties in Oklahoma: Creek, Rogers, Tulsa, and Wagoner Counties.

Our service area includes these parts of counties in Oklahoma: Osage County, (the following zip codes only): 74002, 74035, 74054, 74060, 74063, 74070, 74084, 74126, and 74127; Washington County, (the following zip codes only): 74003, 74005, 74006, 74029, 74051, 74061, 74070.

If you plan to move out of the service area, please contact Member Services.

Everything You Need to Know About CommunityCare Senior Health Plan

Find helpful information regarding our Senior Health Plan in the Senior Health Plan Forms & Resources section. Don't forget to check out Senior Health Plan seminars and social classes. Please call us at (918) 594-5323 if you need additional dates for seminars or if you are unable to register for a seminar.


Disclaimers

  • You may join or leave a plan only at certain times. Please call Senior Health Plan at the telephone number listed in the previous section of this web page or 1-800-MEDICARE (1-800-633-4227) for more information. TTY users should call 1-877-486-2048. You can call this number 24 hours a day, seven days a week.
  • You can join Senior Health Plan if you are entitled to Medicare Part A and enrolled in Medicare Part B and live in the service area. However, individuals with End Stage Renal Disease are generally not eligible to enroll in Senior Health Plan unless they are members of our organization and have been since their dialysis began.
  • Senior Health Plan has formed a network of doctors, specialists, and hospitals. You can only use doctors who are part of our network. The health providers in our network can change at any time. You can ask for a current Provider Directory for an up-to-date list or search the Senior Health Plan provider directory on this website. If you choose to go to a doctor outside of our network, you must pay for these services yourself. Neither Senior Health Plan nor Original Medicare will pay for these services.
  • You must continue to pay your Medicare Part B premium, even if the Senior Health Plan premium is $0.