How to Enroll or Disenroll

Enrolling in CommuniCare Advantage (HMO D-SNP), a Medicare Medi-Cal Plan is easy. It's simple!

  • Call our Member Services representatives who will explain the plan and answer your questions at 1-888-244-4430 (TTY 1-855-266-4584). The Member Services representative will take your information and a Marketing Representative will call you to schedule an appointment to complete the enrollment application form. CommuniCare Advantage representatives are available 24 hours a day, 7 days a week, including holidays.

  • To enroll in CommuniCare Advantage you can also call Health Care Options, the State Enrollment Broker at 1-844-580-7272 (TTY 1-800-430-7077). Hours of operation: Monday - Friday, 8am-5pm. https://www.healthcareoptions.dhcs.ca.gov/

  • If you live in San Diego County and you are receiving Medi-Cal and Medicare benefits, you can sign up for CommuniCare Advantage at any time. It's a simple way to combine your Medi-Cal and Medicare benefits into one easy to use health care plan.

  • No premiums or deductibles. You pay zero dollars out of your pocket for doctor's visits, emergency services or hospitalization. 

Disenrolling from CommuniCare Advantage

Ending your membership in our Plan may be voluntary (your own choice) or involuntary (not your own choice):

  • You might leave our Plan because you have decided that you want to leave.

  • There are also limited situations where we are required to end your membership. For example, if you move permanently out of our geographic service area.

If you leave CommuniCare Advantage, it may take time before your membership ends and your new Medicare and Medi-Cal coverage begins. See your Member Handbook for more information. During this time, you will continue to receive your health care and medication through our plan.

If we end your membership in CommuniCare Advantage, we must tell you our reason(s) in writing for ending your membership. We must also explain how you can file a grievance or make a complaint about our decision to end your membership. You can also see Chapter 9 of the Member Handbook for more information about how to make a complaint.

For full information on CommuniCare Advantage benefits, please call our Member Services Department at 1-888-244-4430 (TTY 1-855-266-4584). CommuniCare Advantage representatives are available 24 hours a day, 7 days a week, including holidays.

 

You have the right to leave our CommuniCare Advantage at certain times during the year

No one can make you stay in our plan if you do not want to. You can leave our plan at certain times of the year. If you leave our plan, you will still be in the Medicare and Medi-Cal programs. You have the right to get most of your health care services through Original Medicare or another D-SNP  plan. You can get your Medicare Part D prescription drug benefits from a prescription drug plan or from a D-SNP plan. Your Medi-Cal benefits will continue to be offered through Community Health Group unless you choose a different plan available in this county.

If you decide to end your membership, tell Medicare or Medi-Cal that you want to leave CommuniCare Advantage:

Please see Chapter 10 of the Member Handbook for more information on leaving our plan.

If you have questions, please call CommuniCare Advantage at 1-888-244-4430, 24 hours a day, 7 days a week. The call is free.

 

How To Change To A Different Plan

If you decide to leave CommuniCare Advantage, you can switch to a different plan or to original Medicare (either with or without a separate Medicare prescription drug plan).

If you want to change to a different plan, there are many choices. Medicare Advantage plans AND/OR Medicare prescription drug plans are available as well as the plan you are now enrolled in. These other plans may differ in coverage, monthly premiums, and cost sharing amounts.

Beneficiaries who are eligible to join Community Health Group's CommuniCare Advantage may enroll or disenroll at certain times of the year.

 

How do you make a change?

If you want to keep getting your Medicare and Medi-Call benefits together from a single plan, you can join a different D-SNP plan.

To enroll in a different D-SNP plan:

  • Call Health Care Options at 1-844-580-7272, Monday through Friday from 8:00 a.m. to 5:00 p.m. TTY users should call 1-800-430-7077. Tell them you want to leave CommuniCare Advantage and join a different D-SNP plan. If you are not sure what plan you want to join, they can tell you about other plans in your area.

Your coverage with CommuniCare Advantage will end on the first day of the month based on the election period that you qualify for at that time.

If you need information about how to choose or change plans, please refer to your Member Handbook, Chapter 10 for more information. This Chapter tells what you need to do. You can also call the Member Services Department at 1-888-244-4430 for assistance.

 

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. با 4430-244-888-1 (پیام‌نگار: 1-855-266-4584) تماس بگیرید. تماس با این شماره‌ها رایگان است.

 

 

Last Website Update 09/14/2023
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