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The Prevention PlanThis comprehensive program puts you in control of your health and gives you peace of mind. Read more
Southeast Community Care, Plus Plan
A Health Care Plan with an Advantage
A Network of Support...
As an HMO, our essential function is care management. We ensure a Primary Care Physicians (PCP) is navigating your health. Southeast Community Care also gives you access to specialties and hospitals right in your community.
We are proud to provide a broad network of doctors, many of whom may be right around the corner!
Emergency Worldwide Coverage**
With Southeast Community Care, you’re covered for emergency care whenever you travel. Southeast Community Care’s emergency coverage protects you even when you travel internationally.
Local Office
With a local plan office in your community, we provide you with the option to meet face-to-face with our plan representatives. They are always happy to answer your questions!
Medicare and More...
Are you looking for quality comprehensive health care coverage that is affordable and easy to use? As Southeast Community Care we want you to get the most from your Medicare coverage - We will even walk you through every step of how our plan works. Our plans combine all the standard Medicare benefits with enhanced benefits such as our built-in Preventative Dental coverage, Routine Vision and Eyewear coverage all in one simple package! Check out the Benefit Highlights chart below for some of the benefits Southeast Community Care offers.
Keeping You Healthy
Health care is not just about identifying and treating health issues. That is why Southeast Community Care provides you with many options for health screenings each year - at no cost!
- Free Annual Physicals
- Bone mass measurements
- Mammograms
- and Prostate cancer screening exams
Silver Sneakers Fitness Program***
Keeping fit is an important part of staying healthy. As a member of Southeast Community Care, you may be eligible to participate in the Silver Sneakers Fitness Program for no additional charge.
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The Value-Added Service:
- covers basic membership costs as participating fitness centers.
- offers Health Education seminars and other events that promote the benefits of a healthy lifestyle.
Plus Plan Benefits Grid
| Benefit Highlights | Co-pay |
|---|---|
| Monthly Premium | $0* |
| Primary Care Physician office visit | $15 per visit |
| Inpatient Hospital Care | $200 each day for days 1 - 5 |
| Preventative Dental | 0% - 20% of the cost |
| Routine Vision | $25 for one routine eye exam a year $100 allowance for eyewear every two years |
| Annual Physical | $0 for one physical exam each year. |
| Outpatient Prescription Drug 30-Day Supply (generic drugs) Tier 2 - Preferred Brand Tier 3 - Non-Preferred Brand Tier 4 - Specialty Drug |
* Retail Pharmacy $5 $39 $69 $200 copay or 25% coinsurance, whichever is less |
Disclaimers:
*100% cost share for Tiers 2, 3, and 4 once initial coverage limit is reached.
** Coverage is limited to $10,000 annual benefit
*** The Silver Sneakers Fitness Program is a value-added health promotion service available only to members of Southeast Community Care. Eligibility may vary by benefit plan(s). The product and service described is neither offered no guaranteed under our contract with the Medicare program. It is not subject to the Medicare appeals process. Any dispute regarding this product or service may be subject to the Southeast Community Care grievance process.
Southeast Community Care is provided by Arcadian Health Plan of North Carolina, Inc., a Coordinated Care Plan with a Medicare Advantage contract. Anyone with Medicare Parts A and B may apply. You much continue to pay your Medicare Part B premium if not otherwise paid for under Medicaid or by another third-party. You much use contracted providers and pharmacies for care. Limitations, monthly premiums, copayments and coinsurance will apply.