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Member Handbook (EOC)

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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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Community y Más

(HMO C-SNP)

A specialized Medicare Advantage Plan designed to provide additional health benefits for people who have Cardiovascular Disorders, Chronic Heart Failure, and/or Diabetes.

2025 Added Benefits

In addition to your current Medicare benefits, Community y Más 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 $400 per one year period).

Over the Counter Medications.

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

Comprehensive dental services

$3,500 for dental services (in San Diego County).

All 2025 Plan Benefits

Find out about all the benefits available under Community y Más

Last Website Update 1/1/2025
H4733_Website2025

Eligibility

  • You live in the San Diego County.
  • You have both Medicare Part A and Medicare Part B.
  • You are a United States citizen or are lawfully present in the United States.
  • You have one of these chronic conditions, Cardiovascular Disorders, Chronic Heart Failure, and/or Diabetes.

Frequently Asked Questions

If you live in San Diego County and you are receiving Medicare benefits (have both Part A and Part B), and you have one of these chronic conditions, Cardiovascular Disorders, Chronic Heart Failure, and/or Diabetes, you can sign up for Community y Más.

Yes. As a member of Community y Más, 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 $11.20 per drug: most generic drugs have $0 copayment.

There are some Medicare covered benefit copayments for services such as Emergency Services, Worldwide Urgent Coverage, Medicare-covered Ground Ambulance Services among others.

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Give us a call

Community y Más Member Services

1-888-232-3133

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