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Senior Health Plan Resources


For details on Benefits Information, Grievance & Appeals Procedures, Out-of-Network Coverage, Quality Assurance Policies, Rights & Responsibilities Upon Disenrollment, and Applicable Conditions and Limitations, select the proper Evidence of Coverage booklet that coresponds with your plan. These booklets provide details about your Medicare health coverage and explains how to get the care you need for your plan.
Senior Health Plan Medicare Advantage Plans
Senior Health Plan Silver
PDF Evidence of Coverage
PDF Summary of Benefits
Senior Health Plan Platinum
PDF Evidence of Coverage
PDF Summary of Benefits
Senior Health Plan Platinum Plus
PDF Evidence of Coverage
PDF Summary of Benefits

Use the links below for more information about CommunityCare Senior Health Plan.

Popular Forms
Advanced Directive
Appointment of Representative
Auto Bank Draft Authorization
Individual Election Form
Medicare Prescription Drug Coverage Determination Request Instructions
Model Coverage Determination Request Form
Pcp Change Form
PHI Authorization Form
Prescription Authorization Form
Redetermination/Appeal Request Form
Request for Disenrollment
Short Enrollment Form
Working Aged Form
Forms will open in a new window Popular forms are in PDF format
Click here to get Adobe Acrobat Reader

Pharmacy and Prescription Drug Resources

Note: Senior Health Plan has more than 500 contracted pharmacies in Oklahoma. Senior Health Plan has contracts with pharmacies that equals or exceeds CMS requirements for pharmacy access in your area.

Need more Information?
Please call our Customer Services Department at 1-800-642-8065 if you have any questions. Customer Services Representatives will be available Monday through Sunday from 8:00 am to 8:00 pm, CST. TTY/TDD users should call 1-800-722-0353.

You can also get information about the Medicare Program and Medicare health plans by visiting www.medicare.gov on the Web or by calling 1-800-MEDICARE (1-800-633-4227). TTY/TDD users should call 1-877-486-2048. Medicare customer service representatives are available 24 hours a day, seven days a week, to answer questions about Medicare.
Updated 11/02/2009
H3755_SHP_Web_November_2009
CMS Approval Date: 11/23/2009
Owner Hospitals
Saint Francis Health System
St. John Health System
Other physicians and providers are available in our network
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