elderly couple wearing glasses and blowing bubbles - different aspect ratio

Senior Value Program (HMO)

$0/month*

Senior Value Program (HMO) is available for people with Medicare Parts A & B
who live in Alameda county.

Doctor Visits (PCP / Specialist)
Annual Deductible
Part D Prescription Drug (Rx) Yearly Deductible
Preventive Care
Diagnostic X-Ray and Lab Services
Allowance for Grocery
Allowance for Over-the-Counter (OTC) Products
Special Supplemental Benefits for the Chronically Ill (SSBCI)
Preventative Dental Services
Optional Comprehensive Dental Coverage
Routine Eye Exam
Eyeglasses
Routine Hearing Exam
Hearing Aids
Acupuncture Services
Transportation Services
Worldwide ER Care
Physical Therapy
$0 / $15 copay**
$0 copay
$0 copay
$0 copay**
$0 copay**
One-time $100 allowance*** (allowance expires on March 31, 2027)
$30 per month (expires quarterly)
$20 per month**** (expires at the end of plan year)
$0 copay (limit twice per year)
$16.75 monthly premium (in addition to monthly plan premium)
$35 copay** (one exam allowed annually)
$0 copay for one pair of glasses every two years (maximum $100 allowance)
$0 copay
$600 - $2,075 copay per hearing aid, limit two every year
$5 copay (Unlimited)
$0 copay per trip, 56 one-way trips or 28 round-trips
$125 copay within the U.S., $90 copay outside the U.S.
$20 copay**

*Premium may vary based on the level of Extra Help you receive. Please contact the plan for further details.
**Prior authorization and referral rules may apply.
***Must qualify by completing Annual Wellness Visit.
****Must meet qualification and participation of CCHP Hypertension Management Program.

Ready to Enroll?

Complete the enrollment form & return to our Sales Department.

Call

1-888-681-3888 (TTY 1-877-681-8898)
7 days a week from 8 a.m. to 8 p.m.

Visit

445 Grant Avenue, San Francisco, CA 94108
Monday – Saturday: 9 a.m. – 5 p.m.

845 Jackson Street, San Francisco, CA 94133
Monday – Friday: 9 a.m. – 5 p.m.

386 Gellert Boulevard, Daly City, CA 94015
Monday – Friday: 9 a.m. – 5 p.m.

Explore More Plans

Senior Program

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Senior Select Program

(HMO D-SNP)

Exceptional Member Support

Our approachable and dedicated team of friendly, knowledgeable Member Services representatives are here to answer questions or concerns related to your covered services or the care you receive. Always accessible and ready to assist, you can reach us via email, phone, or even in-person. As our member, we ensure you get the help you need, whenever you need it.