CCHP Senior Program (HMO)
CCHP (Chinese Community Health Plan) · HMO · 2027 coverage
The big numbers
The plan premium is on top of your Part B premium.
- Monthly premium
- $38
- Higher than most plans here
- Most you pay in a year for covered care in network
- $3,000
- Lower than most plans here
- Drug deductible
- $0
- Medicare star rating
- No rating yet
In plain English
Compared with the 17 other plans in San Mateo County that the same person could join.
What stands out
- At most $3,000 a year for covered care, lower than most plans here
- $0 for a 5-day hospital stay, tied for lowest here
- $90 for the emergency room, tied for lowest here
- No drug deductible
Watch out for
- $38 monthly premium, higher than most plans here
- $45 for urgent care, higher than most plans here
- You need a referral to see a specialist
- Covers only the plan’s own doctors and hospitals, except in an emergency or for urgent care
What a year could cost
Premiums plus the plan’s copays for three example years. Medicines are not included.
- A light year$456$456 in premiums + $0 for careHigher than most plans here2 checkups and 2 lab tests.
- A busier year$501$456 in premiums + $45 for careHigher than most plans here4 checkups, 4 specialist visits, 4 lab tests, 1 X-ray and 1 urgent care visit.
- A hard year$911$456 in premiums + $455 for careLower than most plans here6 checkups, 12 specialist visits, 6 lab tests, 2 scans, an ambulance ride, an ER visit and a 5-day hospital stay.
The visit counts are examples we chose to show how costs add up, not a prediction. Your costs depend on the care you get.
What you pay for care
Your cost each time, at doctors and hospitals in the plan’s network.
- Primary care visit$0
- Specialist visit$0Referral neededPlan approval may be needed
- Urgent care$45Higher than most plans here
- Emergency room$90Tied for lowest hereNot charged if you stay in the hospital within 24 hours
- Hospital stay$0 per stayTied for lowest hereReferral neededPlan approval may be neededCost can differ by hospital
- Lab tests$0Referral neededPlan approval may be needed
More care: surgery, X-rays, scans, ambulance, nursing home
- Outpatient surgery center$300Higher than most plans hereReferral neededPlan approval may be needed
- Outpatient hospital care$0 to $310Depends on the service
- X-rays$0Referral neededPlan approval may be needed
- MRI, CT and other scans$50Higher than most plans hereReferral neededPlan approval may be needed
- Ground ambulance$265Higher than most plans herePlan approval may be needed
- Skilled nursing facility$0 for days 1 to 100Referral neededPlan approval may be neededCost can differ by facility
From the costs the plan filed with Medicare for 2027. A range like “$0 to $100” means the cost depends on the service or the place. “Lower than most” compares this plan with the 17 other plans in San Mateo County that the same person could join. Read the plan’s 2027 booklet (PDF)
What medicines cost
| Drug tier | Preferred pharmacy | Other network pharmacy |
|---|---|---|
| 1Preferred Generic | $0 | $3 |
| 2Generic | $0 | $7 |
| 3Preferred Brand | $45 | $47 |
| 4Non-Preferred Drug | $100 | $100 |
| 5Specialty Tier | 33% of the price | 33% of the price |
For a 1-month supply. Covered insulin costs at most $35 for a month’s supply. Your medicine’s tier is on the plan’s drug list; check it below.
Check my medicines
See if this plan covers each medicine you take in 2027, and what a month costs.
Type the name on the bottle. Add the strength to narrow it down.
Add each medicine once. We’ll show if this plan covers it, what a month costs, and any rules.
Extras
Help Original Medicare doesn’t give you.
- Dental IncludedCleanings and exams: $0. Some bigger dental work included, more with an optional add-on you can buy.
- Vision IncludedYearly eye exam: $20. Glasses or contacts covered.Eyewear: plan pays up to $150 every two years.
- Hearing IncludedRoutine hearing test covered. Hearing aids covered.
- Over-the-counter items IncludedCovered for things like vitamins, pain relief and bandages.
- Fitness IncludedIncludes gym or fitness classes.
- Rides to care Included12 round rides to medical visits a year.
What changed from 2026
- Monthly premium2026$21 a month2027$38 a month
- Outpatient hospital care2026$100 to $3102027$0 to $310
- MRI, CT and other scans2026$2002027$50
- Skilled nursing facility2026$0 for days 1 to 20, then $110 a day for days 21 to 1002027$0 for days 1 to 100
- Over-the-counter items2026Up to $30 a month for things like vitamins, pain relief and bandages. Unused money does not carry over2027Covered for things like vitamins, pain relief and bandages
Is my doctor in this plan?
Look up your doctors, then confirm with their office.
Call each doctor’s office and ask:
“Do you take CCHP Senior Program (HMO), plan number H0571-001, for 2027?”