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CCHP Senior Select Program (HMO D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for CCHP Senior Select Program (HMO D-SNP). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on CCHP Senior Select Program (HMO D-SNP) in 2025, please refer to our full plan details page.
CCHP Senior Select Program (HMO D-SNP) is a HMO D-SNP plan offered by Chinese Hospital Association available for enrollment in 2025 to people living in San Francisco County. This plan received an overall rating of 2.5 out of 5 stars in 2025.
It's important to know that CCHP Senior Select Program (HMO D-SNP) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.
Important:
CCHP Senior Select Program (HMO D-SNP)is a Special Needs Type (SNP) plan. This means you can only enroll in this plan if you meet specific criteria. See our full plan details page for more information.
Key Plan Facts
Below are a few key facts and commonly-asked questions about CCHP Senior Select Program (HMO D-SNP).
Plan Costs:
The cost of a Medicare Advantage Plan is made up of four main parts.
- First, the monthly premium — the amount you pay every month.
- Second, the deductible — the amount you pay out of pocket for covered services before the plan starts paying.
- Third, the copayments and coinsurance — the amounts you pay out of pocket for covered services, usually after meeting the deductible (if applicable). Copays are fixed dollar amounts; coinsurance is a percentage of the cost.
- Fourth, the Out-of-Pocket Maximum — the maximum amount you could have to pay out of pocket in a year. This may be different for in-network and out-of-network services.
For CCHP Senior Select Program (HMO D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $9.40. This is the amount you must pay every month.
This plan does not come with a Part B Premium reduction. You must continue to pay your Part B premium.
Deductibles
This plan does not have a health deductible. Your insurance coverage on covered health services will start immediately.
This plan has a $590.00 drug deductible. You will need to pay this amount towards covered prescriptions before your insurance coverage for prescription medications kicks in.
Out-of-Pocket Maximums
This plan has a Maximum Out-Of-Pocket cost of $3400.00 for out-of-network services. You will pay copays, coinsurance, and deductibles toward this amount. Once your total out-of-pocket costs reach $0.00 for in-network covered services, the plan will pay 100% of in-network covered costs for the rest of the year.
You can see below for the coinsurance and specific copayments for in the Additional Benefits section below, or refer to our Plan Details page for more details.
Common Services:
Doctor Visits:
Specialist Visits:
Emergency Room:
Urgent Care:
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Drug Coverage
The CCHP Senior Select Program (HMO D-SNP) has a $590 deductible for prescription drugs. If you qualify for the low-income subsidy, the plan's premium is $9.40. During the initial coverage phase, after you pay your deductible, you will pay the costs for drugs in each tier until your total drug costs reach $2000. Once your yearly out-of-pocket drug costs reach $2000, you pay nothing for Medicare Part D covered drugs.
Additional Benefits
The CCHP Senior Select Program (HMO D-SNP) offers a range of health benefits. Many services, like primary care, emergency services, and home health services, have no copay. The plan also covers vision, dental, and hearing services, with specific limits and exclusions. Other benefits include ambulance and transportation services, as well as home infusion and dialysis services.
Inpatient Hospital See details
Inpatient Hospital benefits, including Acute and Psychiatric care, are covered with prior authorization and a doctor referral. Additional days for Inpatient Hospital-Acute are covered, but Non-Medicare-covered stays and upgrades for Inpatient Hospital-Acute and Additional Days for Inpatient Hospital Psychiatric are not covered.
Outpatient Services See details
Outpatient Services are covered under the CCHP Senior Select Program (HMO D-SNP), including outpatient hospital services, observation services, ambulatory surgical center services, and outpatient blood services. Individual and group sessions for outpatient substance abuse are not covered.
Partial Hospitalization See details
Partial Hospitalization is covered, but requires prior authorization and a doctor referral.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are covered, including all ambulance services with no copay or coinsurance, but ground and air ambulance services are not covered. Transportation Services to a plan-approved health-related location are covered for up to 48 one-way trips per year with no copay or coinsurance, but transportation services to any health-related location are not covered.
Emergency Services See details
Emergency Services, Urgently Needed Services, and Worldwide Emergency Coverage have no copay or coinsurance. Worldwide Urgent Coverage has a $90 copay, and Worldwide Emergency Transportation is not covered.
Primary Care See details
The CCHP Senior Select Program (HMO D-SNP) plan covers primary care physician services, occupational therapy services, physician specialist services, mental health specialty services, other health care professional, psychiatric services, physical therapy and speech-language pathology services, additional telehealth benefits, and opioid treatment program services, with no copay and no coinsurance for occupational therapy and physical therapy and speech-language pathology services; however, routine chiropractic care, individual sessions for mental health specialty services, group sessions for mental health specialty services, individual sessions for psychiatric services, and group sessions for psychiatric services are not covered. Podiatry services are not covered.
Preventive Services See details
The CCHP Senior Select Program (HMO D-SNP) plan covers preventive services, including annual physical exams, health education, nutritional/dietary benefits, additional sessions of smoking and tobacco cessation counseling, fitness benefits, remote access technologies, glaucoma screenings, diabetes self-management training, barium enemas, digital rectal exams, and EKG following a welcome visit. Some services are not covered, including in-home safety assessment, personal emergency response systems, medical nutrition therapy, and others.
Hearing Services See details
Hearing services include hearing exams, with a maximum plan benefit of $3,000 every year, and prescription hearing aids, but fitting/evaluation for hearing aids is not covered. Routine hearing exams are covered for 1 visit per year, and prescription hearing aids (all types) are covered for 2 visits per year. Prescription Hearing Aids - Inner Ear, Prescription Hearing Aids - Outer Ear, and Prescription Hearing Aids - Over the Ear are not covered. OTC hearing aids are also not covered.
Vision Services See details
Vision services are covered, including routine eye exams with a limit of one per year, and eyewear. Eyewear includes a combined maximum benefit of $150 every two years for contact lenses and eyeglasses (lenses and frames), while eyeglass lenses, eyeglass frames, and upgrades are not covered.
Dental Services See details
Dental Services include coverage for oral exams (2 visits per year), dental x-rays (1 per year), other diagnostic dental services (2 visits per year), prophylaxis (cleaning) (1 visit every six months), restorative services, adjunctive general services, endodontics, periodontics, prosthodontics (removable and fixed), and oral and maxillofacial surgery, while fluoride treatment, maxillofacial prosthetics, implant services, and orthodontics are not covered. Orthodontic Services has a maximum benefit of $1000 per year.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered by the CCHP Senior Select Program (HMO D-SNP), including insulin with a $35 copay for Medicare Part B Insulin Drugs, while Medicare Part B Chemotherapy/Radiation Drugs are not covered. Prior authorization is required for these services.
Dialysis Services See details
Dialysis Services are covered with prior authorization and a doctor referral. There is no copay or coinsurance for this benefit.
Medical Equipment See details
Medical Equipment is covered by the CCHP Senior Select Program (HMO D-SNP), but Durable Medical Equipment for use outside the home, Prosthetic Devices, Medical Supplies, Diabetic Supplies, and Diabetic Therapeutic Shoes/Inserts are not covered. Durable Medical Equipment and Prosthetics/Medical Supplies have no copay and no coinsurance.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services are covered under the CCHP Senior Select Program (HMO D-SNP), but Diagnostic Procedures/Tests, Lab Services, Diagnostic Radiological Services, Therapeutic Radiological Services, and Outpatient X-Ray Services are not covered. There is no copay for the covered services.
Home Health Services See details
Home Health Services are covered by the CCHP Senior Select Program (HMO D-SNP) with no copay and no coinsurance, but prior authorization and a referral are required. Additional Hours of Care and Personal Care Services are not covered.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are generally covered by the CCHP Senior Select Program (HMO D-SNP), but the plan does not cover Cardiac Rehabilitation Services, Intensive Cardiac Rehabilitation Services, Pulmonary Rehabilitation Services, or SET for PAD Services. Prior authorization and a doctor referral are required.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered, but additional days beyond Medicare-covered stays and non-Medicare-covered stays are not covered. Prior authorization and a doctor referral are required.
Other Services See details
The CCHP Senior Select Program (HMO D-SNP) covers acupuncture with prior authorization and a doctor's referral, and it also covers over-the-counter (OTC) items up to $55 every three months. Other services such as meal benefits, Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Services, and more are not covered.
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