CCHP Senior Program HMO

A Medicare Advantage HMO Plan for people with Medicare

CCHP Senior Program HMO Members receive all the benefits of traditional Medicare, plus more, including the new Medicare Part D drug benefit. You are invited to a free sales seminar (PDF)* where you will learn about the benefits of the CCHP Senior Program HMO.

You are eligible for our CCHP Senior Program HMO if you:

  • Are enrolled in both Medicare Parts A and B. (This includes those who are disabled.)
  • Live within the City and Country of San Francisco and northern San Mateo County.
  • Agree to continue paying your Medicare premiums, and to use CCHP providers.

For benefit and enrollment information, review the following downloadable PDFs:

2010

Find a Doctor

To search for a CCHP doctor by specialty, gender or zip code, or to find a doctor who speaks additional languages, click on the link below and it will take you to our medical group's (Chinese Community Health Care Association's) Web site.

Hospitals

We contract with several hospitals, including:
  • Chinese Hospital
  • St. Francis Memorial Hospital
  • California Pacific Medical Center
  • St. Mary's Medical Center
  • Seton Medical Center

Medicare Advantage HMO Plan Enrollment Period

Initial Coverage Election Period (ICEP)

Initial Coverage Election Period is when an individual newly eligible for the Medicare Advantage (MA) plan may make an initial election to enroll into a MA plan. ICEP is a seven (7) month election period that begins three months immediately before the individual's entitlement to both Medicare's Part A & Part B and ending on the last day of the third month following the month of entitlement.

Beneficiaries entitled to Medicare Part A, who delays enrollment into Part B will have an ICEP upon enrollment into Part B. The ICEP then becomes a three (3) month election period, occurring the three months preceding the Part B effective date. The MA effective date will be same as the Part B effective date.

Once an ICEP election is made and enrollment takes effect, the ICEP election has been used.

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Annual Election Period (AEP)

The annual election period (AEP) begins on November 15 and ends December 31. During this time, anyone who is eligible for Medicare Advantage may enroll in a Medicare Advantage plan, disenroll from a Medicare Advantage plan or switch from one Medicare Advantage plan to another, enroll in original Medicare, or disenroll completely from Medicare Parts C and D. Your change will take effect on January 1.

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Open Enrollment Period (OEP)

Open Enrollment Period begins on January 1 and ends March 31 each year. If you are enrolled in a Medicare Advantage plan with Medicare Part D prescription drug coverage, you can make one change to your Medicare Advantage coverage during this period. The change will take effect on the first day of the following month. This period may not be used to add or drop Medicare prescription drug coverage. If there is a plan in your area that is accepting new members, you may request one of the enrollment options in the table below

If Current Coverage is You can use OEP to get Cannot use OEP to get
Medicare Advantage with prescription drug coverage (MA-PD) A different MA-DP
or Original Medicare + Prescription Drug Plan (PDP)
or MA-only Private Fee for Service Plans (PFFS) + Prescription Drug Plans (PDP) 		MA-only
or Original Medicare only
(cannot drop drug coverage)
Medicare Advantage with no prescription drug coverage (MA-only) A different MA-only
or Original Medicare only 		Medicare Advantage with prescription drug coverage (MA-PD)
or Original Medicare + Prescription Drug Plans (PDP)
(cannot add drug coverage)
MA-only Private Fee for Service Plans (PFFS) + Prescription Drug Plans (PDP) Medicare Advantage with prescription drug coverage (MA-PD)
or different MA-only Private Fee for Service Plans (PFFS) and same Prescription Drug Plans (PDP)
or Original Medicare and same PDP 		Medicare Advantage with prescription drug coverage (MA-only)
or Original Medicare only
(cannot drop drug coverage)
Original Medicare and a prescription drug plan (PDP) Medicare Advantage with prescription drug coverage (MA-PD)
or Medicare Advantage-Private Fee for Service Plans (MA-PFFS) and the same PDP 		MA-only
or A different PDP to use with Original Medicare
(cannot drop drug coverage)
Original Medicare only Medicare Advantage-only Medicare Advantage Prescription Drug (MAPD)
or Original Medicare + Prescription Drug Plan (PDP)
(cannot add drug coverage)

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Special Election Period (SEP)

Enrollment in Senior Advantage may be available at other times during the year, if one of the following situations applies to you:

  • You recently became eligible for Medicare.
  • You were enrolled in a plan and recently moved.
  • You entered a nursing home.
  • You are entitled to both Medicare and Medi-Cal. If you are entitled to full benefits under Medi-Cal, consider our CCHP Senior Select Program HMO.
  • You recently qualified for Medicare's low-income subsidy program, which provides extra help paying for prescription drug costs
  • You are disenrolling from an employer group health plan.
  • You involuntarily lost creditable prescription drug coverage.

For more information about these and other special election eligibility issues, please call Medicare at 1-800-633-4227 (1-800-MEDICARE) (toll free). TTY/TDD users should call 1-877-486-2048 (hearing impaired) 24 hours a day, 7 days a week. Or visit them on line at www.medicare.gov.

Low Income Subsidy (LIS)

You may be eligible for extra help to pay for your prescription drug premiums and/or cost. Contact one of the following to see if you qualify:

  • Social Security at 1-800-772-1213 (toll free) Monday through Fridays, from 7 a.m. to 7 p.m. TDD/TTY users should call 1-800-325-0778 (toll free). Or visit www.ssa.gov.
  • Medi-Cal at 1-916-636-1980. Representatives are available Monday through Friday's from 8 a.m. to 5 p.m. TDD/TTY users should call 1-866-784-2595.

To obtain general information about extra help, call 1-800 MEDICARE (1-800-633-4227). TDD/TTY users should call 1-877-486-2048, 24 hours a day, 7 days a week. Or visit them online www.medicare.gov.

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Help and contact information

For questions or assistance please call our Member Services Department:

Tel:415-834-2118   Fax: 415-397-2129
Toll-free: 1-888-775-7888
TTY: 1-877-681-8898 (hearing impaired)

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*Note: To view these documents, you'll need Adobe Acrobat,
which you can download here.

CCHP Senior Program HMO is offered by Chinese Community Health Plan (CCHP), a Medicare Advantage Organization, and an HMO with a Medicare contract. Any one who has Medicare Parts A and B may apply to CCHP Senior Program HMO, including the disabled. To join CCHP Senior Program HMO you must continue to pay the Medicare Part B premium and any other applicable Medicare premium(s); live within CCHP's service area and use plan providers, except for emergency care, urgent needed care when our network is not available or out-of-area dialysis care. If you obtain any other care from non-plan providers, neither Medicare nor CCHP will be responsible for the costs. CCHP Senior program HMO include Medicare part D prescription drug coverage and use a formulary, which lists covered drugs. In most cases, you must obtain covered drugs at one of our network pharmacies listed in our pharmacy directory or through our mail-order service. You can get a copy of the directory at www.cchphmo.com or by calling us at 415-955-8800 x 3256 Monday-Friday 8:30 a.m. - 5 p.m. Hearing impaired please call TTY 1-877-681-8898.


CMS Website Best Available Evidence Policy Page


H0571_2009_009, CMS Approved 11/25/2009