We cover both preventive and comprehensive dental benefits through our partner Delta Dental. Our plan has no waiting period, no deductibles or coinsurance.
See the Dental Certificate of Coverage for a full list of covered dental procedures.
We partnered with Papa, a company that connects you with screened and trained Papa Pals. Pals provide assistance with organization, light housework, technology and transportation. This includes:
We cover 10 hours per month of Papa services. Pals can support you either in your home or virtually. You can call Papa to enroll at 888-492-4423.
We cover $50 quarterly to be used towards the purchase of select over-the-counter (OTC) health and wellness products. This benefit is available at the beginning of each quarter (January, April, July, October). Unused dollars will not carry forward to the next quarter.
Your OTC card can be used to purchase items such as:
You can shop:
After you receive your OTC card in the mail, visit OTCNetwork.com or download the OTC app to see the list of all participating retailers, a full list of covered items and to check your card balance.
See the OTC Overview for more details about the program.
We partnered with Lyft to cover 24 one-way personal rides each year to medical appointments and to the pharmacy. Contact the Customer Care Center three business days in advance if you would like a ride to an upcoming appointment.
If you are discharged from the hospital or skilled nursing facility, you are eligible to receive 14 meals delivered to your door. If meals are not coordinated through your care manager as part of discharge planning, reach out to the Customer Care Center to access the Moms Meals benefit.
Prevea360 Medicare Advantage will reward members up to $150 for your healthy lifestyle. Here’s how it works:
For complete details and to redeem reward points, log in to the Living Healthy Portal.
See flyer for more information about the program and how to log into Living Healthy. Members must enter and redeem all points by Dec. 31 of the plan year to be eligible for rewards.
The Silver&Fit® program includes:
Go to SilverandFit.com to register for the program.
*Non-standard services that call for an added fee are not part of the Silver&Fit program and will not be reimbursed. The Silver&Fit program is provided by American Specialty Health Fitness Inc., a subsidiary of American Specialty Health Incorporated (ASH).
Silver&Fit is a federally registered trademark of ASH.
We cover one $0 routine vision exam and a $200 eyewear allowance per year at our in-network eyeglass providers. Find an in-network eyeglass provider.
We cover one $0 routine hearing exam and a $750 hearing aid allowance per year at in-network hearing aid providers. Find an in-network hearing aid provider.
Prevea360 Medicare Advantage provides coverage for emergency and urgently needed services outside of the United States. Members must pay out-of-pocket for worldwide urgent and emergency care services and request reimbursement. Submit the Member Paid Claim Form. See your plan’s Evidence of Coverage for cost-sharing.
We cover 10 routine footcare visits every calendar year. This includes treatment of the foot which is generally considered preventive such as cutting or removal of corns, warts, calluses or nails. You pay your plan’s specialist copay for routine foot care services.
We cover 24 routine chiropractic visits every calendar year. Essential members pay $15 per visit for routine chiropractic services. Harmony members pay $10 per visit for routine chiropractic services.
Prevea Care After Hours is a free telephone service available 24 hours a day, 365 days a year. If you’re not sure you need a doctor – or you are wondering if you have a problem – give us a call at (888) 277-3832 or (920) 496-4700 anytime to speak with a registered nurse.
With Prevea Virtual Care, you can get a diagnosis, a treatment plan and a prescription if needed for common conditions like upper respiratory infection or allergies, urinary tract infections, tick bites and skin problems from anywhere in Wisconsin at any time. See conditions treated and complete an online health interview.
A Prevea provider will respond within one hour during office hours – or first thing the next morning if after hours. Virtual Care is available to members through age 80. To ensure members receive the highest quality of care, those aged 81 and above should be seen at a clinic or doctor's office.