The program is open to elders in all living situations, including those living independently, those living at home with support services, and those in long-term care facilities.
SCO Candidates must be:
- Must be 65 or older
- Eligible for MassHealth (Standard)
- Do not have end-stage renal disease
- Agree to receive covered health services exclusively through the SCO plan
33 Boston Post Road West - Marlborough, MA 01752 - Phone 508-573-7200
Senior Care Options (SCO)
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BayPath serves the following communities:
Ashland, Dover, Framingham, Holliston, Hopkinton,
Hudson, Marlborough, Natick, Northborough, Sherborn, Southborough, Sudbury, Wayland, and Westborough.
BayPath Elder Services, Inc. is a member of the MetroWest ADRC, a partnership with HESSCO and the MetroWest Center for Independent Living.
BayPath Elder Services, Inc. and its programs are funded in whole or in part by contracts with the Massachusetts Executive Office of Elder Affairs, funds from the Older Americans Act, and donations and grants from businesses, foundations and individuals.
Senior Care Options (SCO) is a comprehensive health plan that covers all of the services normally paid for through Medicare and MassHealth, providing services through a senior care organization and its network of providers. It combines health services with social support services.
What is Senior Care Options?
Senior Care Options (SCO) is a health insurance program for dually eligible Medicare and Medicaid recipients, 65 years of age or older. No one is required to join Senior Care Options. Enrollment is voluntary.
In addition to health care benefits, members can receive Home Care Services through BayPath Elder Services. A team of health professionals from the Senior Care Options agency and BayPath Elder Services work collaboratively with the client and their loved ones to develop a plan of individualized care for each client. Services are provided by a network of medical and other professionals (including a primary care doctor, nurses, specialists, and a geriatric social support coordinator).
Who is eligible?
If I enroll in Senior Care Options, what benefits do I get?
All health care services covered by MassHealth Standard:
- Coordination of your health care, including a centralized record of your medical information
- Individualized assessment
- Primary and specialty medical care
- Preventive care
- Emergency care
- X-rays and lab tests
- Medical supplies and equipment
- Prescription drugs
- Mental health and substance abuse treatment
- Rehabilitative therapy
- Nursing facility care if needed
- Community long-term care hospitalization
- Transportation for services included in your health plan
- Specialized geriatric support services
- Adult day care
- Dental care and eye care
- Home care services
- Family caregiver support
If you have Medicare in addition to MassHealth, you will also get all health care services covered by Medicare.
Important Facts to Know:
After you enroll in Senior Care Options, MassHealth will only cover services provided by your senior care organization and its network of providers. It will not cover services from other doctors or health care providers, except in an emergency.
If you enroll in Senior Care Options and then decide it is not right for you, you can end your enrollment and go back to regular MassHealth coverage at any time.
You must continue to be eligible for Medicaid Standard while enrolled in a Senior Care Options plan and submit all required Medicaid documentation to continue eligibility.
Senior Care Options offered at BayPath:
There are 5 different SCO programs at BayPath Elder Services.
While there are some similarities between the SCOs, each uses a different model of service delivery and has different operating standards.
Commonwealth Care Alliance
Telephone: 1-866-610-CARE (2273)
TTY: 1-866-322-7357
Fallon NaviCare
Telephone: 1-877-255-7108
TDD/TTY: 1-877-795-6526
Website: NaviCare HMO
Senior Whole Health
Telephone: 1-888-794-7268
TTY: 1-888-749-6455
Website: Senior Whole Health
Tufts Health Plan
TTY: 1-855-670-5940
Website: Tufts Medical Preferred
United Healthcare
Telephone: 1-800-905-8671
TTY: 1-888-685-8480
You can also visit Mass.gov for more info on
Need more information to decide?
For more information and an enrollment form, call the MassHealth Senior Care Options hotline at
1-888-885-0484 (TTY 1-888-821-5225)
or contact BayPath at 508-573-7200
