Senior Health Plan Silver (HMO) Medicare Advantage Plan H3755-002 • 2027 • Okmulgee County, OK
- Monthly Premium
- $0.00Plus Part B premium.
- Medical Deductible
- $0.00
- Maximum Out-of-Pocket
- $3400.00In-network
- Part B Giveback
- Not offered
- Prescription Coverage
- Not Included
- Additional Benefits
- Dental, Vision, Hearing
- Service Area
- Okmulgee County, OK
- Local Enrollment
- 25 beneficiaries in Okmulgee County
Senior Health Plan Silver (HMO) Introduction
CMS Plan ID H3755-002 identifies Senior Health Plan Silver, a Medicare Advantage HMO plan offered by CommunityCare Senior Health Plan (HMO). The plan uses a Health Maintenance Organization (HMO) provider network and comes without prescription drug coverage. Its costs for the 2027 plan year include a $0.00 monthly premium, $0.00 medical deductible, and $3400.00 in-network maximum out-of-pocket.
Eligible Medicare beneficiaries residing in Okmulgee County, Oklahoma can enroll in this plan. CMS reports local enrollment of 25 beneficiaries for this plan in Okmulgee County. New members can contact the plan at (800)642-8065 (TTY (800)722-0353) for help and additional plan information.
Compare Similar Plans in Okmulgee County
Compare this plan with the two most-enrolled HMO plans available in Okmulgee County, Oklahoma. Enrollment is based on CMS local enrollment data.
| Plan Detail | Senior Health Plan Silver | Senior Health Plan Silver Plus | Senior Health Plan Platinum |
|---|---|---|---|
| CMS Plan ID | H3755-002-0 |
H3755-005-0 |
H3755-001-0 |
| Local Enrollment | 25 | 226 | 224 |
| Monthly Premium | $0.00 | $0.00 | $35.00 |
| Medical Deductible | $0.00 | $0.00 | $0.00 |
| Maximum Out-of-Pocket | $3,400.00 | $6,500.00 | $4,450.00 |
| Part B Giveback | Not offered | Not offered | Not offered |
| Primary Care | $0 copay | $0 copay | $0 copay |
| Specialist | $5 copay | $50 copay | $35 copay |
| Part D Deductible | Not Applicable | $650.00 | $500.00 |
| CMS Star Rating | 4.0 | 4.0 | 4.0 |
| Dental | $0 copay | $0 copay | $0 copay |
| Vision | $0 copay | $0 copay | $0 copay |
| Hearing | $0 copay | Not covered | $0 copay |
Plan Benefits
Senior Health Plan Silver has cost-sharing, meaning there are out-of-pocket costs when receiving covered healthcare services. The tables below detail the most common in-network out-of-pocket expenses for plan H3755-002.
You can also compare 2027 costs and coverage with last year, side-by-side: Plan H3755-002-0 Cost Compare.
Office Visits
- Primary care
- In-network: $0 copay
- Specialist
- In-network: $5 copay
Preventive and Wellness Services
- Annual wellness exam
- In-network: $0 copay
- Telehealth benefit
- In-network: $0-$5 copay
- Routine chiropractic
- Not covered
- Fitness benefits
- Coming soon
- Health education
- Not covered
- Counseling services
- Not covered
- Over-the-counter drug benefits
- In-network: $0 copay
- Health transportation (non-emergency)
- Coming soon
Diagnostic, Lab, and Imaging Services
- Diagnostic radiology services
- In-network: $0-$75 copay
- Lab services
- In-network: $0 copay
- Outpatient x-rays
- In-network: $0 copay
- Diagnostic tests and procedures
- In-network: $0-$75 copay
Emergency and Urgent Care Services
- Emergency room care
- $90 copay
- Worldwide emergency care
- Coming soon
- Urgent care
- $5 copay
- Inpatient hospital care
- Tier 1
$25 per day for days 1-7
$0 per day for days 8-90
$0 per stay - Skilled Nursing Facility
- Tier 1
$0 per day for days 1-20
$25 per day for days 21-100 - Ground ambulance
- In-network: $25 copay
Mental Health Services
- Outpatient individual therapy
- In-network: $5 copay
- Outpatient group therapy
- In-network: $5 copay
- Inpatient psychiatric hospital care
- Tier 1
$25 per day for days 1-7
$0 per day for days 8-90
$0 per stay
Rehabilitation Services
- Physical therapy and speech and language therapy
- In-network: $0 copay
- Occupational therapy
- In-network: $20 copay
Medical Equipment and Supplies
- Diabetes supplies
- In-network: $0 copay
- Durable medical equipment
- In-network: 0%-15% coinsurance
- Prosthetics
- In-network: 20% coinsurance
Medicare Part B Drugs
- Chemotherapy
- In-network: 0%-20% coinsurance
- Other Part B drugs (Medicare-covered)
- In-network: 0%-20% coinsurance
Dental Services
- Oral exam
- In-network: $0 copay
- Dental x-rays
- In-network: $0 copay
- Cleaning
- In-network: $0 copay
- Periodontics
- In-network: $0 copay
- Endodontics
- In-network: 50% coinsurance
- Restorative services
- In-network: $0 copay
- Implant services
- Not covered
- Orthodontics
- Not covered
- Oral/Maxillofacial surgery
- In-network: $0 copay
Vision Services
- Routine eye exam
- In-network: $0 copay
- Contact lenses
- In-network: $0 copay
- Eyeglass frames only
- Not covered
- Eyeglass lenses only
- Not covered
- Eyeglasses (frames & lenses)
- In-network: $0 copay
- Upgrades
- Not covered
Hearing Services
- Hearing exam
- In-network: $0 copay
- Fitting/evaluation
- In-network: $0 copay
- Prescription hearing aids
- In-network: $0 copay
- OTC hearing aids
- In-network: $0 copay
Additional and Special Needs Services
- Adult day health services
- Not covered
- Home-based palliative care
- Not covered
- Personal emergency response system
- Coming soon
- Weight management programs
- Not covered
- Wigs for chemotherapy-related hair loss
- Coming soon
- Alternative therapies
- Not covered
- Massage therapy
- Not covered
- Home/bathroom safety devices
- Not covered
Certain preventive services are covered 100% by Senior Health Plan Silver as a Part B benefit.
Prescription Drug Coverage
This plan does not include a Medicare Part D plan for prescriptions.
CMS 5-Star Performance Ratings (Contract ID: H3755)
The Centers for Medicare & Medicaid Services (CMS) rates Medicare Advantage (Part C) and Part D prescription drug plans each year using a 5-star system. These ratings measure plan performance in areas such as preventive care, management of chronic conditions, and member experience.
| CMS Measure | Star Rating |
|---|---|
| 2027 Overall Rating | |
| Staying Healthy: Screenings, Tests, Vaccines | |
| Managing Chronic (Long Term) Conditions | |
| Member Experience with Health Plan | |
| Complaints and Changes in Plans Performance | |
| Health Plan Customer Service | |
| Drug Plan Customer Service | |
| Complaints and Changes in the Drug Plan | |
| Member Experience with the Drug Plan | |
| Drug Safety and Accuracy of Drug Pricing |
Contact Information for CommunityCare Senior Health Plan (HMO)
- Website
- CommunityCare Senior Health Plan (HMO) Plan Page
- Providers
- CommunityCare Senior Health Plan (HMO) Providers Page
- Formulary
- CommunityCare Senior Health Plan (HMO) Formulary Page
- Pharmacy
- CommunityCare Senior Health Plan (HMO) Pharmacy Page
- New Member Health Plan Help
- (800)642-8065
- New Member Health Plan TTY
- (800)722-0353
Enrollment status and eligibility information are available through the Social Security Administration. Additional information about Medicare Advantage is available at Medicare.gov.
Medicare Plan Data Sources and Methodology
| Data Source | Publisher | CMS Version |
|---|---|---|
| Landscape Source Files | Centers for Medicare & Medicaid Services | CY2027 Landscape (202609.1) |
| Medicare Part C & D Performance | Centers for Medicare & Medicaid Services | 2027 Star Ratings Data Tables |
| Plan Benefits Package | Centers for Medicare & Medicaid Services | PBP Benefits-2027 |
| Monthly Enrollment by Contract/Plan/State/County | Centers for Medicare & Medicaid Services | 2026-09 |
Data sources and methodology documentation.
| Publisher | Reference | Last Accessed |
|---|---|---|
| CommunityCare Senior Health Plan (HMO) (official source) | http://www.ccokadvantage.com | October 4, 2026 |
| Medicare.gov | Compare types of Medicare Advantage Plans | 25 May, 2025 |
| NCOA.org | 5 Steps to Choosing the Right Medicare Plan for You | 25 May, 2025 |
| Medicare.gov | Compare Original Medicare & Medicare Advantage | 25 May, 2025 |
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