A Medicare Advantage HMO Plan for people with Medicare

A Medicare Advantage HMO Plan for people with Medicare

CCHP Senior Program (HMO)

All your plan benefit materials can be accessed below for your convenience. For additional questions, you are invited to call our friendly Member Services staff that is available by phone or in-person to take care of your needs.

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For more information on your benefits and coverage, please refer to:

The formulary contains information about how the list of covered drugs may change during the year

Can the formulary change? Generally, if you are taking a drug on our formulary that was covered at the beginning of the year, we will not discontinue or reduce coverage of the drug during the coverage year except when a new, less expensive generic drug becomes available or when new adverse information about the safety or effectiveness of a drug is released. Other types of formulary changes, such as removing a drug from our formulary, will not affect members who are currently taking the drug. It will remain available at the same cost-sharing for those members taking it for the remainder of the coverage year. We feel it is important that you have continued access for the remainder of the coverage year to the formulary drugs that were available when you chose our plan, except for cases in which you can save additional money or we can ensure your safety. If we remove drugs from our formulary, or add prior authorization, quantity limits and/or step therapy restrictions on a drug or move a drug to a higher cost sharing tier, we must notify affected members of the change at least 60 days before the change becomes effective, or at the time the member requests a refill of the drug, at which time the member will receive a 60-day supply of the drug. If the Food and Drug Administration deems a drug on our formulary to be unsafe or the drug's manufacturer removes the drug from the market, we will immediately remove the drug from our formulary and provide notice to members who take the drug. To get updated information about the drugs covered by the Plan, call our Member Services Center at 1-888-775-7888 from 8:00 a.m. to 8:00 p.m., seven days a week. TTY users should call 1-877-681-8898. If we make any mid-year non-maintenance changes to the formulary, we will send an errata sheet to you. You can also find the changes on our Web site. 

Find a doctor

To search for a CCHP doctor by specialty, gender or zip code, or to find a doctor who speaks additional languages, click on the link below.


We contract with several hospitals, including:

  • Chinese Hospital (By clicking on this link, you will leave CCHP's Medicare Advantage plan website.)
  • St. Francis Memorial Hospital
  • California Pacific Medical Center
  • St. Mary's Medical Center
  • Seton Medical Center

Medicare Advantage Enrollment Period

Initial Coverage Election Period (ICEP)

The Initial Coverage Election Period is the time when an individual who is newly eligible for a Medicare Advantage (MA) plan may make an initial election to enroll in a Medicare Advantage plan. ICEP is a seven-month (7) election period that begins three months immediately before the individual's entitlement to both Medicare Part A & Part B and ending on the last day of the third month following the month of entitlement.

Beneficiaries entitled to Medicare Part A who delay enrollment into Part B will have an ICEP upon enrollment into Part B. The ICEP then becomes a three-month (3) election period, occurring the three months preceding the Part B effective date. The MA effective date will be same as the Part B effective date.

Once an ICEP election is made and enrollment takes effect, the ICEP election has been utilized.

Annual Election Period (AEP)

The annual election period (AEP) begins on October 15 and ends December 7. During this time, you can review your health coverage and your prescription drug coverage. You can choose to keep your current coverage or make changes to your coverage for the upcoming year. If you decide to change to a new plan, you can choose any of the following types of plans:

  • Another Medicare Advantage plan. (You can choose a plan that covers prescription drugs or one that does not cover prescription drugs.)
  • Original Medicare with a separate Medicare prescription drug plan.
  • Original Medicare without a separate Medicare prescription drug plan.

Your membership will end when your new plan's coverage begins on January 1.

Medicare Advantage Open Enrollment Period (MA OEP)

The Medicare Advantage Open Enrollment Period (MA OEP) runs between January 1 and March 31 of each year and allows Medicare Advantage beneficiaries to switch to a different Medicare Advantage Plan, return to Original Medicare, or enroll in a stand-alone Part D prescription drug plan. The MA OEP does not provide an opportunity for an individual enrolled in Original Medicare to join a MA plan. The effective date for an MA OEP election is the first of the month following receipt of the enrollment request.

Enrollment in a Medicare Advantage plan may be available at other times during the year if one of the following situations applies to you:

  • You recently became eligible for Medicare.
  • You were enrolled in a plan and recently moved.
  • You entered a nursing home.
  • You are entitled to both Medicare and Medi-Cal. If you are entitled to full benefits under Medi-Cal, consider our CCHP Senior Select Program (HMO SNP).
  • You recently qualified for Medicare's low-income subsidy program, which provides extra help paying for prescription drugs.
  • You are disenrolling from an employer group health plan.
  • You involuntarily lost creditable prescription drug coverage.

For more information about these and other special election eligibility issues, please call Medicare at 1-800-633-4227 (1-800-MEDICARE) (toll free). TTY/TDD users should call 1-877-486-2048 (hearing impaired), 24 hours a day, 7 days a week. Or, visit Medicare online at www.medicare.gov. (By clicking on this link, you will leave CCHP's Medicare Advantage plan website.)

If you have any feedback or concerns about CCHP Senior Program (HMO), you may submit them directly to Medicare using the form below.


Chinese Community Health Plan (CCHP) is a Medicare Advantage HMO plan with a Medicare contract and a California Medicaid program contract for our SNP. Enrollment in CCHP depends on contract renewal. This information is not a complete description of benefits. Call our customer service number at 1-888-775-7888 (TTY 1-877-681-8898) for more information. Medicare beneficiaries may also enroll in Chinese Community Health Plan through the CMS Medicare Online Enrollment Center located at http://www.medicare.gov. Every year, Medicare evaluates plans based on a 5-star rating system. ATENCIÓN: Esta información está disponible gratuitamente en otros idiomas. Por favor póngase en contacto con nuestro departamento de servicio de miembro al 1-888-775-7888 (TTY 1-877-681-8898) de 8:00 a.m. a 8:00 p.m., siete días a la semana. 此文件有其它的語言版本免費提供。了解詳情請致電 1-888-775-7888 與會員服務中心聯絡(聽力殘障人仕請電 TTY 1-877-681-8898),每週 7天,上午 8 時至晚上 8 時

H0571_2018_274 Approved

Last updated 10242018

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