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.
|Primary Care Physician Copay:||$15 copay per visit|
|Specialist Copay:||$35 copay per visit|
|Hospital Copay:||$200 copay per day for days 1-7|
If you elect the Silver Plan with Medical Benefits only, you are not allowed to also enroll in a Part D stand-alone prescription drug plan offered by another carrier.
If you don’t have Medicare prescription drug coverage or creditable prescription drug coverage (meaning prescription drug coverage that is as good as Medicare’s), you may have to pay a late enrollment penalty if you enroll in Medicare prescription drug coverage in the future. Examples of creditable prescription drug coverage include Indian Health Services and Veterans Administration benefits. Our Platinum, Platinum Plus and Silver Plus plans include Part D.
If you have questions about enrolling in a plan that includes prescription drug coverage, please call us at 918-594-5323 [TTY/TDD (800)722-0353].
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.
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.