Commonwealth Community Care

One Care

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Frequently Asked Questions

When you join a new health care plan, you always have questions. Here are some of the most frequently asked questions about Commonwealth Care Alliance One Care. If you have other questions that aren’t answered here, please call our Member Services 866-610-2273 (TTY 711), we are available 8 a.m. to 8 p.m., 7 days a week.

What makes Commonwealth Care Alliance different from other One Care plans?
For over a decade, Commonwealth Care Alliance has been helping people with disabilities live healthier, more independent lives. It is the only One Care plan that has this successful experience. We believe that the experience, combined with our commitment to caring for those with disabilities, and our approach, which engages the patient in all aspects of their care and delivers it when and where they need it, makes us different from other One Care plans.

Do I receive more benefits with the One Care program?
You will be able to keep all the benefits you currently have through Medicare and MassHealth, plus you’ll have new ones such as comprehensive dental care and other services that may not be covered today.

For example, you may benefit from increased access to community health workers or peer supports, or you may have needs for transportation or day activities. If you are in need of personal assistance in your home, or medical visits, or transitional assistance from a hospital stay, these services will also be available under Commonwealth Care Alliance’s One Care.

What if I want to change my primary care provider?
You may change your PCP for any reason, at any time. For more information or help, please call our Member Services team at 1-866-610-2273 (TTY 711).

Do I have to change my primary care provider or specialists?
In most cases you do not have to change your primary care provider or specialists. We have a very large network of hospitals, specialists, and community services providers. If a provider you need is not contracted with Community Care Alliance, we will cover any follow-up care for 90 days after you enroll and, during that period, we will work to contract with that provider.

I received a bill from a doctor or vendor. What do I do with it?
As a Commonwealth Care Alliance member, you DO NOT have to pay any bills associated with the benefits and services we cover. If you receive a bill from a doctor or vendor, please send it to our Member Services team at 30 Winter Street, Boston, MA 02108.

CommonHealth members may pay a premium to MassHealth. The premium amount is determined by the members family income. Members must continue to pay this premium after they enroll in One Care. The payment is made directly to MassHealth. If members have questions regarding their premium or would like to setup a payment plan or apply for a hardship waiver, they should contact MassHealth at 1-800-841-2900.

Last Updated 08/26/2013