You may be eligible for a One Care or SCO (Senior Care Options) plan

Did you know that if you have both Medicare and MassHealth, you may be dual-eligible? This means you can choose to enroll in a Dual Special Needs Plan, such as OneCare or SCO (Senior Care Options).  If you do, you may get extra benefits. It combines benefits from both Medicare and Medicaid to provide coordinated care and extra support services. This puts all your care into a single plan with one care team, one card, and one phone number.

One Care or SCO (Senior Care Options) plans can offer extra benefits at no additional cost, such as:

• Rides to the doctor
• Help at home
• Dental care
• Eyeglasses

Explore your care options

SCO (Senior Care Options)

1. SCO (Senior Care Options) is a comprehensive managed care program implemented by the Executive Office of Health and Human Services (EOHHS) in collaboration with the Centers for Medicare & Medicaid Services (CMS) for the purpose of delivering and coordinating all Medicare- and Medicaid-covered benefits for eligible Massachusetts individuals managed by a SCO Plan using a person-centered model of care.

To enroll in SCO, you must:

• be 65 years of age or older
• be enrolled in MassHealth Standard, the state's Medicaid program for individuals 65+
• live in a geographic area that offers SCO services

One Care

2. One Care is a comprehensive managed care program implemented by EOHHS in collaboration with CMS for the purpose of delivering and coordinating all Medicare- and Medicaid-covered benefits for MassHealth Members eligible for both programs. Services are developed and delivered based on an Enrollee’s person-centered assessment and care plan.

To enroll in One Care, you must:

• be between the ages of 21-64
• have a disability
• have Medicare Parts A and B
• qualify for Medicare Part D
• have MassHealth Standard or MassHealth CommonHealth
• not have private health insurance
• not take part in a Home and Community Based Service
• live in an area covered by a One Care plan

To get more information, you can:

• Call the state’s Medicaid office or Medicare
• Visit Medicare.gov or the state’s Medicaid website
• Speak with a licensed insurance agent
• Ask a trusted provider or community resource for guidance

Learn more.