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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 2026, 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 3 out of 5 stars in 2026.
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 $0.00. 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 $615.00 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) offers an Enhanced Alternative drug benefit with an annual prescription drug deductible of $615.00. After meeting this deductible, you will pay a 25% coinsurance for Tier 1 through Tier 4 drugs at standard pharmacies during the initial coverage phase. If you qualify for the low-income subsidy (LIS), you will pay no premium for your Part D coverage. Once your yearly out-of-pocket drug costs reach $2,100.00, you transition to the catastrophic coverage phase. In this phase, there is no copay and you pay nothing for Medicare Part D covered drugs. This plan provides a clear limit on your annual medication expenses to help you manage your healthcare budget.
Additional Benefits
The CCHP Senior Select Program (HMO D-SNP) offers coverage for key healthcare needs with no deductibles for outpatient, hearing, and vision services. Emergency and urgently needed services are covered with no copay and no coinsurance, while worldwide emergency care is available up to a twenty-five thousand dollar limit with a ninety dollar copay. The plan also covers primary care, preventive services, and up to forty-eight one-way transportation trips per year to plan-approved locations. For specialized care, the plan provides routine dental cleanings and exams, a one hundred fifty dollar vision allowance every two years, and up to one thousand dollars annually for prescription hearing aids. Medicare Part B insulin drugs are available with a thirty-five dollar copay, and members can receive a fifteen dollar monthly reimbursement for select over-the-counter items. However, some services require prior authorization, and certain benefits like diagnostic and radiological services, cardiac rehabilitation, and routine podiatry are not covered.
Inpatient Hospital See details
CCHP Senior Select Program (HMO D-SNP) inpatient hospital benefits are partially covered, requiring prior authorization and doctor referrals for both acute and psychiatric services. Non-Medicare-covered stays, acute care upgrades, and additional psychiatric days are not covered, and specific copay or coinsurance details are not provided.
Outpatient Services See details
Outpatient Services are covered by the CCHP Senior Select Program (HMO D-SNP), including outpatient hospital, observation, ambulatory surgical center, and blood services with no deductible. Some outpatient substance abuse services are covered, but individual and group sessions are not covered.
Partial Hospitalization See details
Partial hospitalization benefits are covered by the CCHP Senior Select Program (HMO D-SNP), though prior authorization and a doctor referral are required. Copayment and coinsurance details for this service are not specified in the plan benefits.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are partially covered by the CCHP Senior Select Program (HMO D-SNP), offering no copay or coinsurance for ambulance services, though ground and air ambulance services are not covered in practice. For transportation, the plan covers up to 48 one-way trips per year to plan-approved health-related locations, while transportation to any health-related location is not covered.
Emergency Services See details
Emergency services and urgently needed services are covered by the CCHP Senior Select Program (HMO D-SNP) with no copay and no coinsurance. Worldwide emergency and urgent care are partially covered up to a $25,000 maximum benefit with a $90 copay and no coinsurance, though worldwide emergency transportation is not covered.
Primary Care See details
Primary care benefits are covered by the CCHP Senior Select Program (HMO D-SNP), including primary care physician services, occupational therapy, specialist visits, physical therapy, telehealth, and opioid treatment. Chiropractic services are partially covered, excluding routine chiropractic care, while podiatry, mental health specialty, and psychiatric services are not covered.
Preventive Services See details
Preventive Services are partially covered by CCHP Senior Select Program (HMO D-SNP) with no copay and no coinsurance for Medicare-covered zero-dollar preventive services. However, several sub-services are not covered, including in-home safety assessments, personal emergency response systems, medical nutrition therapy, post-discharge medication reconciliation, re-admission prevention, wigs, weight management, alternative therapies, therapeutic massage, adult day health, home-based palliative care, in-home support, caregiver support, enhanced disease management, telemonitoring, home and bathroom safety devices, and counseling.
Hearing Services See details
Hearing services are covered by CCHP Senior Select Program (HMO D-SNP) with no deductible, including one annual routine hearing exam and two fitting evaluations. Prescription hearing aids are partially covered up to a $1,000 annual limit, though over-the-counter (OTC) hearing aids and inner ear, outer ear, or over-the-ear prescription models are not covered.
Vision Services See details
CCHP Senior Select Program (HMO D-SNP) partially covers vision services with no deductible, offering one routine eye exam per year and a $150 allowance every two years for contact lenses or eyeglasses. However, standalone eyeglass lenses, eyeglass frames, and upgrades are not covered.
Dental Services See details
CCHP Senior Select Program (HMO D-SNP) provides partially covered dental services, as fluoride treatments and orthodontics are not covered. Covered benefits include oral exams, cleanings, and various restorative and surgical procedures, with orthodontic services subject to a $1,000 annual maximum benefit.
Home Infusion bundled Services See details
Home Infusion bundled Services are partially covered under the CCHP Senior Select Program (HMO D-SNP), as Medicare Part B Chemotherapy/Radiation Drugs are not covered. Covered Medicare Part B Insulin Drugs require a $35 copay and no coinsurance, and prior authorization is required for these bundled services.
Dialysis Services See details
CCHP Senior Select Program (HMO D-SNP) covers dialysis services, which require prior authorization and a doctor referral. Specific copay and coinsurance amounts for these covered services are not detailed in the plan summary.
Medical Equipment See details
CCHP Senior Select Program (HMO D-SNP) covers Durable Medical Equipment (DME) from preferred vendors, subject to prior authorization. While some services are covered, prosthetic devices, medical supplies, diabetic supplies, and therapeutic shoes or inserts are not covered.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are not covered under the CCHP Senior Select Program (HMO D-SNP), with no copay or coinsurance required because all sub-services, including lab services, diagnostic procedures, outpatient X-rays, and radiological services, are not covered.
Home Health Services See details
Home Health Services are covered under the CCHP Senior Select Program (HMO D-SNP), requiring both a doctor referral and prior authorization. Specific copay and coinsurance details are not provided for this benefit.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are not covered under the CCHP Senior Select Program (HMO D-SNP), which includes cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation. Because these services are not covered by the plan, there are no associated copays or coinsurance benefits.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are partially covered by CCHP Senior Select Program (HMO D-SNP), as additional days beyond the Medicare-covered limit are not covered. Standard SNF benefits require prior authorization and a doctor referral, but do not require a prior three-day inpatient hospital stay.
Other Services See details
CCHP Senior Select Program (HMO D-SNP) partially covers other services, offering unlimited acupuncture with prior authorization and a doctor referral, and a $15 monthly reimbursement for select over-the-counter items. There are no copays or coinsurance specified for these benefits, but meal benefits, highly integrated services, and specific over-the-counter items like nicotine replacement therapy and naloxone are not covered.
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