Commonwealth Community Care

One Care

The Program » Services & Benefits

Services & Benefits

All services, benefits, care, and treatment authorized by your primary care provider or primary care team are provided at no cost to the member by Commonwealth Care Alliance. You are covered in full for the services listed below provided they are coordinated by the primary care provider or primary care team. You will have no out-of-pocket expense for services authorized by your primary care provider or primary care team.

Free services and care

PrescriptionDrugs

$0

Prescription and over-the-counter drugs

DentalSevs

$0

Dental services, including dentures

Mental-Health

$0

More behavioral health services

MedicalEquipment

$0

Medical equipment

Transporatation

$0

Transportation to medical appointments

PersonalCare

$0

Personal care assistance

Other services and care you may receive

See a complete Benefits Chart in your Member Handbook.

  • Emergent/urgent care
  • Outpatient health services
  • Inpatient hospital care
  • Skilled nursing facility, inpatient rehabilitative care
  • Outpatient surgery
  • Home health care
  • Health-related services (including transportation, homemaker/chore services, personal care attendant services, respite care, and social day care, environmental accessibility adaptations, personal emergency response systems, and peer support services)
  • Dental care, including but not limited to routine care, diagnostics, and treatment
  • Specialists, specialty care
  • Behavioral health services
  • Prescriptions and pharmacy benefits (the Commonwealth Care Alliance One Care plan covers outpatient prescription medications. There is no out-of-pocket expense for prescriptions, although some prescription drugs may require authorization and some drugs may have a maximum quantity limit)
  • Preventive care and screenings (including but not limited to HIV screening tests, bone mass measurements, colorectal screenings, mammography screenings, prostate cancer screening exams, cardiovascular screening blood tests, and diabetes self-monitoring training and supplies)
  • End-of-life support (hospice services)
  • And any additional services recommended by your primary care provider or primary care team

This is not a complete list. The benefit information is a brief summary, not a complete description of benefits. For more information contact the plan or read the Member Handbook. Limitations and restrictions may apply. For more information, call Commonwealth Care Alliance Member Services or read the Commonwealth Care Alliance  Member Handbook. Benefits, List of Covered Drugs, pharmacy and provider networks may change on January 1 of each year.

Last Updated 01/01/2016