CompleteCare (HMO SNP)

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The Healthfirst CompleteCare Plan is a Medicaid Advantage Dual-Eligible Special Needs plan that offers members the benefits of Original Medicare and Medicaid, plus prescription drug coverage, over-the-counter benefits, the SilverSneakers® fitness program, and dental, vision, and hearing coverage. You’ll also get a Primary Care Manager who will manage your day-to-day needs, identify health concerns early, and adjust your care plan to help you stay in your home for as long as possible. And you don’t need referrals to see in-network specialists. This plan is designed for people who have both Medicare and full Medicaid and need extra in-home care and long-term care services.

Plan Highlights:

  • Prescription drug coverage
  • Over-the-counter benefits
  • SilverSneakers® fitness program
  • Comprehensive dental
  • Vision exams and eyeglasses
  • Hearing exams and hearing aids
  • Acupuncture
  • 2020
  • 2019

Additional Plan Highlights

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    24/7 Access to Telemedicine with Teladoc*

    Talk to a doctor any time—for a $0 copay. Visit with board-certified doctors through video chat or phone for prescriptions, treatment of non-emergency health issues, and more. Access to dermatologists is also available.

    *Telemedicine isn’t a replacement for your Primary Care Provider (PCP). Your PCP should always be your first choice for care and for routine visits.

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    24/7 Access to care with the Nurse Help Line

    Talk to a nurse any time—for a $0 copay. Get wellness advice and help finding a doctor.

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    Urgent Care Center Network

    Get the care you need when you need it at an urgent care center in our network – no appointment needed. Urgent care centers offer late-night and weekend hours, often with faster service at a lower cost than the emergency room (ER). Visit an in-network urgent care center to get help with non-emergency health issues like earache, upset stomach, and sprains; for wounds that need stitches; and more.

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    SilverSneakers

    Get access to the SilverSneakers network of fitness facilities and to group exercise classes, classes held at parks and community locations, and at-home kits.

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    Healthfirst Medication Therapy Management Program

    The Healthfirst Medication Therapy Management (MTM) program is an in-depth, one-on-one review of all your medications (prescription drugs, over-the-counter nonprescription drugs, and herbal and nutritional supplements). The goal is to help you get the most from your medications. Services include

    • Phone consultation with a licensed pharmacist to complete a Comprehensive Medication Review (CMR). The call will take about 30 to 60 minutes and the pharmacist will answer any questions you may have. (A CMR is usually offered once each year, if you qualify.)
    • Medication Action Plan (MAP)
    • Medication recommendations may be sent to your provider from the MTM pharmacist, also known as Targeted Medication Review (TMR)
    • Personal medication list that lists all your medications

    Learn More

Additional Plan Highlights

  • 24/7 Access to Telemedicine with Teladoc*

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  • 24/7 Access to care with the Nurse Help Line

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  • Urgent Care Center Network

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  • SilverSneakers

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  • Healthfirst Medication Therapy Management Program

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Frequently Asked
Questions

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  • Can I save money on my healthcare costs?
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  • How do I use my coverage at the pharmacy?
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  • Do generic drugs work as well as brand name drugs?
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Support When You Need It

We're happy to answer your questions.

Learn about enrollment

1-877-237-1303

7 days a week, 8am—8pm

TTY English: 1-888-542-3821

TTY Español: 1-888-867-4132

Member Services

1-888-260-1010

7 days a week, 8am—8pm

TTY English: 1-888-542-3821

TTY Español: 1-888-867-4132

Can't talk right now?

Request a callback and we’ll get back to you within one business day.

You can also visit us in person at one of our community offices.

If you receive Medicaid and want to know whether you are eligible for a managed long-term care plan, you can call the Conflict-Free Evaluation and Enrollment Center (CFEEC) at 1-855-222-8350, Monday to Friday, 8:30am—8pm, and Saturday, 10am—6pm, to schedule a free evaluation.