An Economical Plan for People With Medicare

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 in Tulsa (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.

Mail Order Prescription Drug Program

CommunityCare is pleased to provide quality pharmacy services to its Senior Health Plan members, including a mail order pharmacy program. Members have two options for ordering mail order prescriptions. Please click on the links below to explore your mail order pharmacy options.

OTC Supplemental Benefits

OTC medications are trusted as a first line of defense in treating minor ailments, help reduce doctor visits and save you money. Senior Health Plan is committed to providing this program to you as a benefit to help you live a healthy lifestyle and improve the quality of your life.

OTC benefits are only available with Senior Health Plan Platinum, Platinum Plus and Silver plans.

Your Opinion Counts!

Each year, the Centers for Medicare and Medicaid Services (CMS) randomly surveys members about the care and services received from their doctor and from CommunityCare. You may be chosen to share your opinion about the health care services you receive.

The survey does not take long to complete. It has topics about how often you got care as soon as you thought you needed it, how well your doctor coordinated your care and the rating of your prescription drug plan.

If you are randomly chosen to do a survey, you may get the survey in the mail or receive a phone call from SPH Analytics/Morpace, an independent company that does survey work for Medicare and CommunityCare. Your answers are completely confidential. Once all surveys are compiled, CommunityCare receives a general report from SPH Analytics/Morpace.

We hope you will take a few minutes to share your thoughts with us. Your feedback will help us understand how well we are serving you. Thank you for any comments.

Improving Drug Utilization Review Controls in Part D

As required by the Comprehensive Addiction and Recovery Act (CARA) the Centers for Medicare and Medicaid Services (CMS) finalized new opioid policies for drug plans starting on January 1, 2019.

The new policies include improved safety alerts when opioid prescriptions are dispensed at the pharmacy and drug management programs for patients determined to be at-risk for misuse or abuse of opioids or other frequently abused drugs.

Please click on the applicable link below for more information.

Annual Wellness or Preventive Medicine Visits: Why it is important

When it comes to your health, you hear about eating a balanced diet, getting plenty of exercise, etc. But do you remember to see your doctor each year? An annual wellness or preventive medicine visit is a great time to develop a strategy with your doctor to maintain or improve your health.

If you have not had an annual wellness or preventive medicine visit in the last 12 months, talk to your doctor's office about scheduling this important service focused on your health. Be sure to let them know the appointment is for a Medicare annual wellness or preventive visit. This will allow them to ensure there is enough time set aside for your appointment.

Even if you are healthy, it is a good idea to have an annual wellness or preventive medicine visit at your doctor's office. Make an appointment today!

If you would like assistance making an appointment, contact Customer Service at (918) 594-5323 and ask to speak to a Member Engagement Specialist.

Medication Therapy Management (MTM) Programs

CommunityCare Senior Health Plan offers a medication therapy management program. Its purpose is to help you receive the most effective medications while helping to reduce the risk of side effects and interactions as well as your out-of-pocket costs.

Requesting a Provider or Pharmacy Directory

If you need help finding a network provider and/or pharmacy, please call (918) 594-5323 or click the links below:

If you would like a Provider/Pharmacy Directory mailed to you, you may call the number above, request one at the website link provided above, or email ccare@ccok.com.

CareWeb Member Connection

Senior Health Plan Members can access their benefit details and more online with CareWeb Member Connection.

Health and Wellness

Your health is important!

Did you know:
  • Your physicians work together to coordinate your care

    Your primary doctor coordinates your health care by ordering lab work, like blood sugar (A1c) or cholesterol tests, and preventive screenings, like a mammogram or colonoscopy. Your primary doctor also coordinates treatments with other providers so you get the right care when and where you need it.

  • Activity is essential for your physical and mental health

    Find an activity or two that you enjoy and will keep doing. Exercise does not have to be boring, or cost a lot of money. Your doctor can provide advice about the type and level of exercise that's best for you. Activity can:

    • Lower blood pressure and blood sugar levels
    • Boost your ability to do daily activities and prevent falls
    • Raise your quality of life
    • Build up your mental well being
  • Getting a flu shot is an annual event

    Flu season often starts in early fall and can last into late spring. Many doctors like to give flu shots early so the vaccine will last through the whole season. If flu season is not over, it’s not too late to get the shot.

CommunityCare Senior Center

At our CommunityCare Senior Center you can learn more about Senior Health Plan, receive help with enrollment, receive customer service and attend health education classes.

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 Evidence of Coverage booklet that corresponds with your plan from the "Forms & Resources" section of this site. These booklets provide details about your Medicare health coverage and explain how to get the care you need for your plan.

Links to Other Helpful Senior Health Plan Information:

Senior Health Plan 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: Craig, Creek, McIntosh, Muskogee, Nowata, Osage, Tulsa, Wagoner and Washington

If you plan to move out of the service area, please contact Customer Service at (918) 594-5323.