Medicare Advantage 2022 additional benefits

senior couple walking outside together

Your Prevea360 Medicare Advantage plan includes additional benefits that are not covered under Original Medicare (Medicare Parts A and B).


Dental

We cover both preventive and comprehensive dental benefits through our partner Delta Dental. Our plan has no waiting period, no deductibles or coinsurance.  

  • Preventive and Diagnostic Services: $0 copay.
  • Gum disease maintenance and bridge/implants/dentures repairs: $45 copay. 
  • Fillings, non-surgical gum disease treatment and extractions: $95 copay.
  • Root canals, bridges, implants, dentures, crowns and surgical gum disease treatment: $595 copay.
  • Our plan will cover $1500 of dental services per year.


See the Dental Certificate of Coverage for a full list of covered dental procedures.


In-home support

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:

  • Household Tasks: Pals help around the house with light cleaning, organization, laundry, cooking/meal prep, and taking care of pets.
  • Technology Help: Pals teach you how to use a computer, smartphone, and tablet. This includes assistance with using social media, accessing a telehealth provider, starting a video chat with loved ones and accessing health plan resources online.
  • Transportation: Pals assist you with transportation to doctor appointments, grocery/pharmacy shopping and other errands. Pals will pick you up at home, take you to the store/appointment, bring you back home, and help you carry bags into the home.


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.


Over-the-counter allowance

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:

  • Acid controller liquids/tablets
  • Adult aspirin & pain relief
  • Allergy, sinus & combo liquids & tablets
  • Cough, cold & flu liquids or tablets
  • Digestive aids (probiotics & prebiotics)
  • Heart health & essential fatty acids (fish oil, flax, GLA, etc.)
  • Laxatives (stool softeners & fiber acid)
  • Ear drops & eyewash
  • Incontinence
  • Vitamins & minerals
  • Oral care

You can shop:

  • In-store at participating retailers including Walgreens, CVS, Walmart and Dollar General
  • Online at OTCNetwork.com
  • Mail order catalog


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.


Transportation

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.


Meals after a hospital stay

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.


Living Healthy

Prevea360 Medicare Advantage will reward members up to $150 for your healthy lifestyle. Here’s how it works:

  • Choose the healthy activities you want to complete.
  • Each completed activity is worth reward points (example: 500 points = $50)
  • Earn up to 1,500 points for a maximum of $150 per calendar year (before Dec. 31 of the plan year)
  • Rewards come in the form of gift card(s) of your choice to many national retailers, restaurants, and other popular merchants.


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.


Fitness

The Silver&Fit® program includes: 

  • Fitness Center Membership: You can visit participating fitness centers or YMCAs near you that take part in the program
  • Home Fitness Kit: You can select one home fitness kit with Fitbit, Garmin or other exercise equipment per year 
  • Get Started Program: By answering a few online questions about your areas of interest, you will receive a customized program for your exercise of choice, including instructions on how to get started and suggested online workout videos
  • 8,000+ on-demand videos through the website and mobile app digital library, including the Silver&Fit Signature Series Classes®.
  • The Silver&Fit Connected™ tool for tracking your activity
  • Online Healthy Aging classes
  • Online quarterly newsletter


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.


Vision

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.


Hearing

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.


Worldwide emergency

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.

Routine footcare

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.

Routine chiropractic

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

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.


Virtual care

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.

Start virtual care


View our Medicare disclaimer.
H9096_prevea360.com
Updated: 10/16/2021