Community y Más (HMO C-SNP)

Community y Más. Simple is better... and healthier!

Community y Más 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 Community y Más. 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.

Community y Más (HMO C-SNP) Service Area is San Diego County

Contacting Community Health Group 

You may contact us by phone at 1-800-232-3133, 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 infoCSNP@chgsd.com.

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 

 

Frequently Asked Questions - Community y Más

Am I eligible for Community y Más? 

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.

Can I still go to my regular doctors?

Yes, as long as your doctors are part of our Community y Más' provider network. Community y Más members will have access to most hospitals. Including:

  • ALVARADO HOSPITAL
  • PALOMAR HOSPITAL
  • PALOMAR MEDICAL CENTER
  • PARADISE VALLEY HOSPITAL
  • POMERADO HOSPITAL
  • RADY CHILDREN'S HOSPITAL
  • SCRIPPS CHULA VISTA
  • SCRIPPS ENCINITAS
  • SCRIPPS GREEN
  • SCRIPPS LA JOLLA
  • SCRIPPS MERCY HILLCREST
  • SHARP CHULA VISTA MEDICAL CENTER
  • SHARP CORONADO HOSPITAL
  • SHARP GROSSMONT HOSPITAL
  • SHARP MARY BIRCH HOSPITAL FOR WOMEN
  • SHARP MEMORIAL 
  • THORNTON HOSPITAL (UCSD)
  • TRI-CITY MEDICAL CENTER
  • UCSD MEDICAL CENTER 
  • VIBRA HOSPITAL OF SAN DIEGO


Does Community y Más include prescription drug benefits? 

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.

Does Community y Más have deductibles or copays for medical services? 

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

What are the added benefits of Community y Más? 

In addition to your current Medicare benefits, Community y Más includes:

  • Non-emergency transportation for medical visits.
  • Worldwide emergency services ($50,000 maximum, excludes transportation back to the U.S.)
  • Over the Counter Medications. $155 every three months ($620 annual maximum, including sales tax.)
  • Prescription drug benefits, some copays may apply. 
  • One pair of lenses and frames every year (not to exceed $300 per one year period). 
  • $1,500 for dental services (in San Diego County). 

The dental network is "First Dental Health" PPO. Each member must access care with a "First Dental Health" provider.

Dental Providers should call our dental benefit administrator at 1-619-353-5632. Available Hours: Monday - Friday 8:00 am - 5:00 pm.

First Dental Health Network: fdh.go2dental.com/searchprov.cgi

You will also have access to a Member Services Representative 24 hours a day, seven days a week! 

Medicare Star Ratings

 Medicare Star Rating

 

Disclaimers

Community y Más (HMO C-SNP) is an HMO C-SNP health plan with a Medicare contract.  Enrollment in this plan depends on contract renewal.

ATTENTION: If you speak another language, language assistance services, free of charge, are available to you. Call 1-800-232-3133, 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 1-800-232-3133 (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 1-800-232-3133 (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 1-800-232-3133 (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 1-800-232-3133(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 1-800-232-3133(TTY: 1-855-266-4584). Cuộc gọi được miễn phí.

 

1-800-232-3133 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
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