CommuniCare Advantage (HMO D-SNP), a Medicare Medi-Cal Plan Home

CommuniCare Advantage. 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, 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.

Who is Community Health Group (CHG)?

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.

CommuniCare Advantage Plan Service Area is San Diego County

Contacting Community Health Group 

If you have additional questions or would like to receive free program literature by mail, free of charge, please send a request to:  

Community Health Group

Attn: Member Services Department

2420 Fenton Street, Suite 100

Chula Vista, CA 91914 

Alternatively, you may contact us by phone at 1-888-244-4430, TTY users should call 1-855-266-4584. Calls to these numbers are free. CHG's Member Services is available 24 hours a day, 7 days a week. We may be reached via email at info@chgsd.com.

Frequently Asked Questions - CommuniCare Advantage

Am I eligible for CommuniCare Advantage? 

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. 

Can I still go to my regular doctors?

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. 

Does CommuniCare Advantage Plan include prescription drug benefits? 

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.

Does CommuniCare Advantage have deductibles or copays for medical services? 

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.

What are the added benefits of CommuniCare Advantage? 

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! 

Medicare Star Ratings

Disclaimers

CommuniCare Advantage (HMOD-SNP) is an HMO D-SNP health plan with a Medicare contract and a contract with the Medi-Cal program.  Enrollment in CommuniCare Advantage depends on contract renewal.

ATTENTION: If you speak another language, language assistance services, free of charge, are available to you. Call 1-888-244-4430 , TTY users should call 1-855-266-4584, 24 hours a day, 7 days a week. The call is free.

ATENCIÓN: Si habla español, hay servicios de asistencia de idiomas disponibles sin cargo. Llame al 1-888-244-4430 (TTY: 1-855-266-4584). Las llamadas a estos números son gratuitas.

请注意：如果您说简体中文，可免费获得语言援助服务。请致电 1-888-244-4430 （听障专线：1-855-266-4584）。通话免费。

PANSININ: Kung nagsasalita kayo ng ibang wika, may mga paglingkod na pagtulong sa wika na maabot ninyo, na libre. Tawagan ang 1-888-244-4430 (TTY: 1-855-266-4584). Liber ang tawag na ito.

請注意：如果您說繁體中文，可免費獲得語言援助服務。請致電 1-888-244-4430 （聽障專線：1-855-266-4584）。通話免費。

CHÚ Ý: Nếu bạn nói tiếng Việt, các dịch vụ hỗ trợ ngôn ngữ, miễn phí, sẽ có sẵn cho bạn. Gọi số 1-888-244-4430 (TTY: 1-855-266-4584). Cuộc gọi được miễn phí.

1-888-244-4430 تنبيه: إذا كنت تتحدث اللغة العربية ، فأن خدمات المساعدة اللغوية متاحة لك بدون اي مقابل. إتصل بالرقم :

1-855-266-4584او الهاتف النصي :

كلا الرقمين متوفرين ٢٤ ساعة باليوم ٧ أيام بالاسبوع.

توجه: اگر به زبان فارسی صحبت می‌کنید، خدمات کمک زبانی، به صورت رایگان، در اختیار شماست. با3313-232-800-1 (پیام‌نگار: 4584-266-855-1) تماس بگیرید. تماس با این شماره‌ها رایگان است.

 Last Website Update 10/1/2024