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Member Handbook (EOC)

Select your health plan to view the Member Handbook (EOC)

Medi-Cal

Public program for low income people

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CommuniCare Advantage

Medicare and Medi-Cal benefits

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Community y Más

Medicare plan for chronic care needs

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CommuniCare Advantage

(HMO D-SNP)

A comprehensive plan that combines your Medicare and Medi-Cal benefits into ONE plan. Better yet, CommuniCare Advantage has added benefits at no extra cost to you.

2025 Added Benefits

In addition to your current Medicare and Medi-Cal benefits, CommuniCare Advantage includes:

Worldwide emergency services

$50,000 maximum (excludes transportation back to the U.S.).

Vision added benefits

One pair of lenses and frames every year (not to exceed $500 per one year period).

Over the Counter Medications.

$200 every three months ($800 annual maximum, including sales tax.)

Comprehensive dental services

$2,500 maximum per calendar year for services received in San Diego County not covered by services that are covered under the Medi-Cal Dental Program.

All 2025 Plan Benefits

Find out about all the benefits available under CommuniCare Advantage.

Last Website Update 2/28/2025
H4733_Website2025

Eligibility

  • You live in the San Diego County.
  • You are age 21 and older at the time of enrollment.
  • You have both Medicare Part A and Medicare Part B.
  • You are currently eligible for Medi-Cal.

Join for free today

Give us a call

CommuniCare Advantage Member Services

1-888-244-4430

Frequently Asked Questions

If you live in San Diego County and you are receiving Medi-Cal and Medicare benefits (have both Part A and Part B), you can sign up for CommuniCare Advantage. It's a simple way to combine your Medi-Cal and Medicare benefits into one easy to use health care plan.

Yes, as long as your doctors are part of our CommuniCare Advantage’s provider network. CommuniCare Advantage members have access to many hospitals in San Diego County.

Yes. As a member of CommuniCare Advantage, you will have the same drug benefits you receive under Medicare Part B and under the Medicare Part D prescription drug plan. Depending on your income, the co-payments for drugs may vary from $0 to $10.35 per drug: most generic drugs have $0 copayment.

No. You can enjoy the added convenience and ease of CommuniCare Advantage 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.

In addition to your current Medi-Cal and Medicare benefits, CommuniCare Advantage includes:

  • Worldwide emergency services $50,000 maximum (excludes transportation back to the U.S.).
  • Up to $300 for eyeglasses (frames and lenses) or up to $300 for contact lenses every year.
You will also have access to a Member Services Representative 24 hours a day, seven days a week!

 

Explore other CHG plans

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Medi-Cal

A public health insurance program for low-income people offered by the State of California.

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C-SNP

Community y Más

A comprehensive Medicare plan for individuals with chronic care needs.

Learn more