Senior Health Plan Platinum 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.

2017 Senior Health Plan Platinum Plus Premium Information and Descriptions

Premium:	$110 per month
Primary Care Physician Copay:	$10 copay per visit
Specialist Copay:	$35 copay per visit
Hospital Copay:	$150 per day for days 1-7
Maximum Out-of-Pocket:	$3,400
Online Enrollment:	Enroll Now!
Documents:	Evidence of Coverage Summary of Benefits Annual Notice of Change

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 to register for a seminar or social class.

2017 Senior Health Plans & Enrollment Information

Enrollment Options

If you are not sure which plan best suits you, please come to one of our seminars or give us a call at (918) 594-5323.

Enroll Online

Click "Enroll Now!" for the Senior Health Plan Product you want. You then will be taken to the Medicare.gov Enrollment Center to begin the enrollment process.

Enroll by Phone

Please call us at (918) 594-5323 or 1-800-642-8065. TTY/TDD users should call (800)722-0353.

Paper Enrollment

We'll be happy to send you an Enrollment Form – please call us at (918) 594-5323 to request a packet or click here to download the Individual Election Enrollment Form.

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.

Senior Health Plan has formed a network of pharmacies. You must use a network pharmacy to receive plan benefits. We may not pay for your prescriptions if you use an out-of-network pharmacy, except in certain cases. The pharmacies in our network can change at any time. You can ask for a current Pharmacy Network List or search the Senior Health Plan provider directory on this website.
As a member of Senior Health Plan, you have the right to make complaints and to ask us to reconsider decisions we have made. A complaint is also called a "grievance". A coverage decision that involves your medical care is called an "organization determination". When a coverage decision involves a Part D medication, it is called a "coverage determination". When you ask us to reconsider a decision we made, it means you are asking for an "appeal". To learn more, click on the links below. Additionally, Senior Health Plan Member Services can help if you have any questions or concerns.