Vision Benefits

You may receive a vision screening exam once every twelve months. This includes a brief history, a visual field and glaucoma screening, and refraction for eyeglasses. You are also eligible to receive a standard pair of eyeglasses every 24 months. Our eyeglass benefit is limited to single vision lenses or standard lined bifocals with a standard plastic frame.

You do not need to contact CommunityCare or your PCP before scheduling your routine vision screening; authorization rules may apply. You will be charged your Specialist visit copayment or coinsurance for the screening. Remember to show your ID card at your office visit.

If your vision provider finds a potential medical problem with your eyes, you will need to contact your PCP for further treatment options.

Please call our Customer Service Department at 1-800-642-8065 to locate a vision provider. Customer Service Representatives will be available Monday through Friday from 8:00 am to 8:00 pm, CST. From October 1, 2018 through March 31, 2019, Customer Service hours will include Saturdays, Sundays and some Holidays. TTY/TDD users should call 1-800-722-0353.


  • CommunityCare is an HMO with a Medicare contract. Enrollment in Senior Health Plan depends on contract renewal.
  • You may join or leave a plan only at certain times. Please call Senior Health Plan 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.