CommuniCare Advantage (HMO). Simple is better... and healthier!
Having both Medicare and Medi-Cal benefits can be confusing. That's why Community Health Group
now offers CommuniCare Advantage (HMO).CommuniCare Advantage (HMO) is a comprehensive new plan that combines
your Medicare and Medi-Cal benefits into ONE plan--with one card. Better yet, CommuniCare Advantage (HMO)
has added benefits--at no extra cost to you.
Who is Community Health Group?
Community Health Group has been providing quality health benefits for San Diego County residents since 1982. As
San Diego's largest locally based, non-profit HMO, we invite you to simplify your health care needs with CommuniCare
Advantage. Our mission is a healthy community, and we're doing our best to make sure everyone in San Diego County
can receive quality health care. We're multilingual and multicultural -- so we understand our members' needs.
Contacting Community Health Group
If you have additional questions or would like to receive program literature by mail, please send a request to:
Community Health Group
Attn: Member Services
740 Bay Boulevard
Chula Vista, CA 91910
Alternatively, you may contact us by phone at 1-800-224-7766, 24 hours a day, 7 days a week. TTY 800.735.2929. We may be reached via email at info@chgsd.com or by clicking here.
Frequently Asked Questions - CommuniCare Advantage (HMO)
Am I eligible for CommuniCare Advantage (HMO)?
Yes. If you live in San Diego County and you are receiving Medi-Cal and Medicare benefits (has both Part A and Part B), you can sign
up for CommuniCare
Advantage (HMO). It's a simple way to combine your Medi-Cal and Medicare benefits into one easy to use health care plan.
Can I still go to my regular doctors?
Of Course. As long as your doctors are part of our CommuniCare Advantage (HMO) provider network. CommuniCare Advantage
(HMO) members will have access to almost any hospital in San Diego County, including the Scripps network of hospitals
and Children's.
Does CommuniCare Advantage (HMO) include prescription drug benefits?
Yes. As a member of CommuniCare Advantage (HMO) , you will have the same drug benefits you receive under Medicare Part B and under the
Medicare Part D prescription drug plan. There are no co-pays for generic drugs and a copay of either $3.20 or $6.00 per brand name drug, depending on your income. After
your yearly out-of-pocket costs for drugs reach $4,350, you won't have to pay any more copays for drugs.
Does CommuniCare Advantage (HMO) have deductibles or co-pays for medical services?
No. You can enjoy the added convenience and ease of CommuniCare Advantage (HMO) with no extra costs. There are no
premiums, no deductibles, and no co-pays. You pay zero dollars out of your pocket for doctor's visits, emergency
services or hospitalization.
What are the added benefits of CommuniCare Advantage (HMO)?
In addition to your current Medi-Cal and Medicare benefits, CommuniCare Advantage (HMO) includes:
- Non-emergency transportation for 18 round-trip visits to the doctor per year.
- Annual home safety assessment including installation of bathroom and/or shower grab bars (not to exceed $800 per year).
- Worldwide emergency services (excludes transportation back to the U.S.).
- Unlimited mammograms, prostate and PAP exams.
You will also have access to a Member Services Representative 24 hours a day, seven days a week!
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