How do I know if I can join? and MassHealth together...
If you meet the financial eligibility requirements Senior Care Options
for MassHealth (Medicaid) and are 65 years of
age or older, you may be eligible to join. You § coverage for all medically necessary
can have both Medicare and MassHealth, or MassHealth and Medicare services
MassHealth alone. Some other requirements
apply, so please call the telephone number § individualized care plans
below for more information.
§ specialized geriatric support services
Senior Care Options
How can I learn more?
§ a primary care doctor who coordinates
To learn more about Senior Care Options, call all of your care
today. Knowledgeable staff are available at
the telephone number below to answer your § 24-hour access to professional staff
questions. They can help you decide if Senior who know your health-care needs
Care Options is right for you.
§ less paperwork
§ support for your family and other
§ your involvement in decisions about
the care that you receive
Call Senior Care Options
(TTY: 1-888-821-5225 for people For information, call
a health-care plan that’s as
with partial or total hearing loss) 1-888-885-0484 individual as you are
Monday – Friday (TTY: 1-888-821-5225 for people
9:00 A.M. – 5:00 P.M. with partial or total hearing loss)
Monday – Friday
Senior Care Options is a partnership of the
9:00 A.M. – 5:00 P.M.
federal Centers for Medicare & Medicaid
Services (CMS) and the Commonwealth or visit
of Massachusetts. www.mass.gov/masshealth.
Senior Care Options SCO covers many services, including: Supportive care for you and your family
to help you stay at home, such as:
§ primary care and specialty physician
A health-care plan that’s as visits § rehabilitative therapies
individual as you are § regular preventive health-care services § medical equipment
§ prescription drugs § home care services
Senior Care Options (SCO) is a new program § respite care for your family or other
§ lab and X rays
that combines health-care services with
§ emergency care caregiver
social support services to help you maintain
your health and stay in your own home. § inpatient hospitalization
§ mental health and substance abuse Is this an HMO?
With SCO, a team of medical professionals treatment services No, senior care organizations are
works together to provide you with care that § nursing-facility care different from HMOs (health maintenance
is individually tailored to your needs. Plus, § community long-term care organizations).
your SCO doctor provides coverage 24 hours § transportation for medical care and
a day, so you can get information or help As with an HMO, you choose a primary
other services that are in your care plan
any time you need it. care doctor from the SCO network who
coordinates your care. But unlike an
How do I get my care? What are the benefits of joining? HMO, SCO covers all of the services that
With SCO, you and your family are in There are many benefits of joining. MassHealth and Medicare cover, including
control of your health care. In addition to all of the services that comprehensive prescription drug coverage,
MassHealth and Medicare cover, you get: long-term care, and supportive care at home.
When you join, you and your family meet
Coordination of your care, including: Do I have to join SCO?
with a doctor that you choose from the SCO
network. Together, you develop a care plan § a team of professionals who know you No, you do not have to join SCO. But
that’s designed just for you. Your doctor, and your health-care needs depending on your particular needs, SCO
along with a team of nurses, specialists, § a centralized record of your health and may be a good choice for you. And if you
and a geriatric support services coordinator, medical information join SCO and decide later that it’s not right
coordinate all of your care, so you can get for you, you can disenroll and go back to
§ your active involvement in all of the
the health care you need when you need it. regular MassHealth.
decisions made about your care
What is covered? Individualized care, including:
SCO covers all the health-care services you
get from MassHealth. If you have Medicare, § a care plan that is designed specifically
those services are covered too. for you
§ specialized geriatric support services
The care is delivered by medical and other
professionals who are part of a network, § 24-hour access to a team of
called a senior care organization, that was professionals who can answer your
created specifically to serve seniors. questions or give you information you