Senior Health Plan Products & Enrollment

CommunityCare is proud to offer Senior Health Plan, a program created especially for Medicare beneficiaries. CommunityCare Senior Health Plan is a Federally-Qualified HMO with a Medicare contract and is owned by Saint Francis Health System and St. John Health System (other physicians and providers are available in our network). 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.

Senior Health Plan has four Medicare Advantage Plans to fit the varying needs of Medicare beneficiaries.

Medicare beneficiaries may enroll in Senior Health Plan Silver Plus, Platinum, Platinum Plus or Silver through the CMS Medicare Online Enrollment Center located at http://www.medicare.gov. You may begin the enrollment process from this page by selecting a plan below. You may also call us to enroll by phone at (918) 594-5323 or to learn about other ways to enroll in Senior Health Plan.

After you click the "Enroll Now" button below you will be taken to the Medicare.gov Online Enrollment Center. Once on the Enrollment Center click the button labeled "Yes, I want to enroll in the selected plan" to continue with your enrollment.

Silver Plus

Medical and Medicare Part D Benefits
Premium
$0
Primary Care Physician Copay
$25 copay
Specialist Copay
20% of the cost
Hospital Copay
$270 per day for days 1-7
Maximum Out-of-Pocket
$6,700
Enrollment

Platinum

Medical and Medicare Part D Benefits
Premium
$42 per month
Primary Care Physician Copay
$20 copay
Specialist Copay
$50 copay
Hospital Copay
$250 per day for days 1-7
Maximum Out-of-Pocket
$3,400
Enrollment

Platinum Plus

Medical and Medicare Part D Benefits
Premium
$110 per month
Primary Care Physician Copay
$10 copay
Specialist Copay
$35 copay
Hospital Copay
$150 per day for days 1-7
Maximum Out-of-Pocket
$3,400
Enrollment

Silver

Medical Benefits Only
Premium
$0 per month
Primary Care Physician Copay
$15 copay
Specialist Copay
$35 copay
Hospital Copay
$200 per day for days 1-7
Maximum Out-of-Pocket
$3,400
Enrollment

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.


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". You also may request a coverage decision if you want us to cover a Part B drug that you believe should be covered. 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.