Frequently Asked Questions
Eligibility
Have you received a letter from CCP about these services (annual wellness visits, home visits, transitions of care after a hospital stay, care/case management, or pharmacy)?
If yes, then your provider has identified you as needing the services and you are eligible.
All communications will be sent from Community Care Physicians or your specific Community Care practice. We send communications via snail mail (on official CCP/practice letterhead), via email, or via text message using the same system we use for appointment reminders.
If you receive a communication that you are unsure of, please call CCP’s central clinical services team at ……
If you haven’t been contacted by our team, the best way to find out if you are eligible for these services is to call….or ask your primary care provider.
Am I eligible for these services based on insurance?
Some of the services offered by the central clinical team are based on age and others are enhanced benefits as a part of certain insurance contracts with Community Care Physicians.
Currently, the below services are available to patients with Medicare Part B (Original/Traditional Medicare) and Medicare Advantage plans through CDPHP, Aetna, and Humana.
- Transitions of Care
Currently, the below services are available to patients with Medicare Part B (Original/Traditional Medicare).
- Care at Home (home visits)
These visits are offered to patients with Medicare and Medicare Advantage:
- Annual Wellness Visits
These services are offered to any CCP patient if your provider identifies you are benefitting from the service:
- Clinical Pharmacy
- Care Management
- Behavioral Health
What to Expect
If I am due for my Medicare Annual Wellness Visit, what can I expect and how do I know it's not Medicare fraud?
In order to make sure patients are being seen as needed, we regularly monitor how and when patients see us for care. Just like if you’re overdue for a physical of vaccine, if you are due for your Annual Wellness Visit, CCP will send you a communication alerting you to this and to schedule your appointment. We may first send you a letter, email or text message to let you know we’ll be calling, and then we’ll call you. If you are ever unsure if the communication can be trusted, you can call us at (518) 881-1091, option 1 to verify it was us who contacted you.
The Wellness Visit is then conducted (usually by phone or telemedicine) and notes are shared with your primary care provider in our shared electronic medical record so follow up care can be coordinated.
What can I expect from a home visit?
During your visit, a clinician will discuss your health history and review your medications. This information will be shared with your doctor. We want to make sure your personalized care plan addresses your current health conditions and concerns.
Cost/Copays
Do I pay out of pocket for these services?
These are Medicare-covered visits. Depending on the type of
services you receive during a visit, you may be responsible for a portion of the cost, known as a cost-share (like a deductible, copayment, or coinsurance). Costs can vary depending on your insurance coverage.
Primary Care Coordination
Do these visits replace visits with my primary care provider?
No, your primary care provider continues to be your first stop for all medical needs. Our central clinical services team works in collaboration with your primary care provider and we are sure they remain informed using our shared electronic health record system. We will provide you with our contact information for your visits and we will be sure to let you know when to call us and when to call your primary care provider for care. All of the care provided by the central clinical services team is under the direction of your primary care provider. We are an extension of your care team.