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Member Benefits

Whichever CommuniCare Advantage plan you qualify for, our plans offer a wide range of benefits to ensure your care meets your unique healthcare goals and preferences.  For each of our Medicare Advantage plans, we cover all of the standard Medicare Part A and B services, in addition to providing extra benefits and services.

CommuniCare Advantage C-SNP Benefits

CommuniCare Advantage’s C-SNP plan offers a robust lineup of benefits for members, including:

Benefits* Description In-Network Costs
Immunizations Pneumonia vaccine Influenza vaccine $0 – there is no coinsurance, co-pay. or deductible for pneumonia, influenza and Hepatitis B vaccines
Preventive Services Many preventative services are covered including: 
  • Annual wellness visits
  • Breast cancer screenings
  • Colorectal cancer screenings
  • Diabetes screenings
$0 co-pay
Help with Diabetes Insulin and Supplies Reduced cost-sharing across a number of services including:
  • Reduced co-pays for all forms of insulin during the year no matter what Part D coverage phase you are in
  • Diabetes supplies and services
  • Diabetic shoes
$35 co-pay for a one month supply of all forms of insulin offered by participating drug manufacturers $0 co-pay nothing for diabetic supplies and services 10% coinsurance for diabetic shoes and inserts. Prior authorization required.
Dental Services $1,000 annually. Includes routine preventive dental services. $0 cost to member. The benefit is limited to $1,000 annually.
Vision Services with Eyewear $250 annually for routine vision screening, lenses, frames and/or contacts. $0 cost to member for extra vision services up to the annual limit of $250.
Home Delivered Meals 3 meals per day x 7 after discharge from the hospital. This benefit requires case manager approval.
Hearing Services $1,500 annually. This includes routine hearing exams, evaluations, and fittings for hearing aids, repairs of hearing aids, and hearing aids $0 for extra hearing benefits up to the annual benefit limit of $1,500
Personal Protection Equipment (PPE) Benefit includes one box of gloves, 4 oz. bottle of hand sanitizer and two reusable masks. $0

DESCRIPTION

Pneumonia vaccine Influenza vaccine


IN-NETWORK COSTS

$0 – there is no coinsurance, co-pay. or deductible for pneumonia, influenza and Hepatitis B vaccines

DESCRIPTION

Many preventative services are covered including:

  • Annual wellness visits
  • Breast cancer screenings
  • Colorectal cancer screenings
  • Diabetes screenings

IN-NETWORK COSTS

$0 co-pay

DESCRIPTION

Reduced cost-sharing across a number of services including:

  • Reduced co-pays for all forms of insulin during the year no matter what Part D coverage phase you are in
  • Diabetes supplies and services
  • Diabetic shoes

IN-NETWORK COSTS

$0 co-pay

DESCRIPTION

$1,000 annually. Includes routine preventive dental services.

IN-NETWORK COSTS

$0 cost to member. The benefit is limited to $1,000 annually.

DESCRIPTION

$1,000 annually. Includes routine preventive dental services.

IN-NETWORK COSTS

$0 cost to member. The benefit is limited to $1,000 annually.

DESCRIPTION

$250 annually for routine vision screening, lenses, frames and/or contacts.

IN-NETWORK COSTS

$0 cost to member for extra vision services up to the annual limit of $250.

DESCRIPTION

3 meals per day x 7 after discharge from the hospital.

IN-NETWORK COSTS

This benefit requires case manager approval.

DESCRIPTION

$1,500 annually. This includes routine hearing exams, evaluations, and fittings for hearing aids, repairs of hearing aids, and hearing aids

IN-NETWORK COSTS

$0 for extra hearing benefits up to the annual benefit limit of $1,500

DESCRIPTION

Benefit includes one box of gloves, 4 oz. bottle of hand sanitizer and two reusable masks.

IN-NETWORK COSTS

$0

CommuniCare Advantage is an HMO with a Medicare contract. Enrollment in this plan depends on contract approval. This information is not a complete description of benefits.

For more information call Member Services number toll-free (855) 969-5869, TTY 711 8:00 a.m. – 8:00 p.m. seven days a week October 1st through March 31st (8:00 a.m. – 8:00 p.m. Monday through Friday April 1st through September 30th).

CommuniCare Advantage I-SNP Benefits

CommuniCare Advantage’s I-SNP plan benefits meet the needs of long-term care residents:

Benefits* Description In-Network Costs
Skilled Nursing Facility (SNF) No prior hospital stay is required. $0 co-pay per day(s) 1-20
Immunizations Pneumonia vaccine Influenza vaccine $0 – there is no coinsurance, co-pay, or deductible for pneumonia, influenza and Hepatitis B vaccines
Preventive Services Many preventative services are covered including: 
  • Annual wellness visits
  • Breast cancer screenings 
  • Colorectal cancer screenings 
  • Diabetes screenings
$0 co-pay
Complex Dental Services including Dentures $2,000 annually on all covered dental services for Ohio and Maryland members. $1,950 for Indiana members. Amount is combined for preventive and comprehensive care, including dentures for in-network services. $0 cost to member for the extra dental benefits. The extra benefit is limited to the $2,000 for Ohio and Maryland members and $1,950 for the Indiana members.
Vision Services with Eyewear $250 annually for routine vision screening, lenses, frames and/or contacts. $0 cost to member for extra vision services up to the annual limit of $250.
Comfort Care Items $100 members may select from a catalog of items such as shampoo, lotion, lip balm, socks, and many other items. $0 cost to member benefit limited to $100 per month.
Hearing Services $1,500 annually. This includes routine hearing exams, evaluations and fittings for hearing aids, repairs of hearing aids and hearing aids. $0 for extra hearing benefits up to the annual benefit limit of $1,500.

DESCRIPTION

No prior hospital stay is required.


IN-NETWORK COSTS

$0 co-pay per day(s) 1-20

DESCRIPTION

Pneumonia vaccine Influenza vaccine


IN-NETWORK COSTS

$0 – there is no coinsurance, co-pay, or deductible for pneumonia, influenza and Hepatitis B vaccines

DESCRIPTION

Many preventative services are covered including:

  • Annual wellness visits
  • Breast cancer screenings
  • Colorectal cancer screenings
  • Diabetes screenings

IN-NETWORK COSTS

$0 co-pay

DESCRIPTION

$2,000 annually on all covered dental services for Ohio and Maryland members. $1,950 for Indiana members. Amount is combined for preventive and comprehensive care, including dentures for in-network services.


IN-NETWORK COSTS

$0 cost to member for the extra dental benefits. The extra benefit is limited to the $2,000 for Ohio and Maryland members and $1,950 for the Indiana members.

DESCRIPTION

$250 annually for routine vision screening, lenses, frames and/or contacts.


IN-NETWORK COSTS

$0 cost to member for extra vision services up to the annual limit of $250.

DESCRIPTION

$100 members may select from a catalog of items such as shampoo, lotion, lip balm, socks, and many other items.


IN-NETWORK COSTS

$0 cost to member benefit limited to $100 per month.

DESCRIPTION

$1,500 annually. This includes routine hearing exams, evaluations and fittings for hearing aids, repairs of hearing aids and hearing aids.


IN-NETWORK COSTS

$0 for extra hearing benefits up to the annual benefit limit of $1,500.

CommuniCare Advantage is an HMO with a Medicare contract. Enrollment in this plan depends on contract approval. This information is not a complete description of benefits.

For more information call Member Services number toll-free (855) 969-5861, TTY 711 8:00 a.m. – 8:00 p.m. seven days a week October 1st through March 31st (8:00 a.m. – 8:00 p.m. Monday through Friday April 1st through September 30th).

Last modified: September 1, 2020 at 10:33 am

Discover the benefits of CommuniCare Advantage.
Call (855)-969-5869 to learn more.
CommuniCare residents call (855)-969-5861.