Call CommunityCare Senior Health Plan at 1-800-642-8065, TTY/TDD call 1-800-722-0353 for more information and rate quotes.

Pharmacy & Prescription Drug Information

Note:
Senior Health Plan has more than 800 contracted pharmacies in Oklahoma. Senior Health Plan has contracts with pharmacies that equals or exceeds CMS requirements for pharmacy access in your area.

Mail Order Prescription Drug Program

Choose from two convenient options. Click here for more mail order prescription information.

$0 Copay Program

Zero Copay on Select Generic Formulary Drugs.

On-line Formulary

Search for prescription medications that promote clinically useful and cost-effective drug therapy.

Find a Pharmacy

Senior Health Plan is pleased to make its provider directory available to its members. The online directory is for your reference only.

Senior Health Plan makes every effort to maintain current and accurate provider data; however, periodic changes to a provider's status can occur. Please contact Member Services at (918) 594-5323 or 1-800-642-8065 if you have questions about a provider's participation with Senior Health Plan. TTY/TDD users should call 1-800-722-0353.

The participating providers listed in the directory are independent contractors and are not employees of Senior Health Plan. All health care decisions are strictly the responsibility of the patient and the provider.

Monthly Plan Premiums for People who get Extra Help from Medicare

If you get extra help from Medicare to help pay for your Medicare prescription drug plan costs, your monthly plan premium will be lower than what it would be if you did not get extra help from Medicare. The amount of extra help you get will determine your total monthly plan premium as a member of our Plan. Click here view the low income subsidy premium table.

Drug Management Programs

For certain prescription drugs, we have additional requirements for coverage or limits on our coverage. These requirements and limits ensure that our members use these drugs in the most effective way and also help us control drug plan costs. Click here for more information regarding our drug management programs.

CMS Best Available Evidence Policy

CMS has created a best available evidence (BAE) policy, which requires sponsors whose plans cover Part D prescription drugs to provide access to those drugs at the correct low-income subsidy (LIS) cost-sharing level when presented with evidence of a beneficiary’s LIS eligibility, even if the sponsor’s system and CMS’s system do not yet reflect that eligibility. Click here to view the Best Available Policy and related resources located on the CMS website.

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.