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 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.
FlexSpend is prepaid debit account on your Prevea Wallet Card to be used towards additional dental services, vision services, eyewear, hearing services and hearing aids. Your FlexSpend benefit can be spent at any freestanding dental, vision or hearing facility. You are not restricted to in-network providers, This benefit is only available on the FlexSpend (HMO-POS) plan. Activate your card at mybenefitscenter.com.
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 120 hours per year 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 mybenefitscenter.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 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 Living Healthy overview 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 One Pass fitness benefit includes:
Go to One Pass fitness to register for the program.
For all plans we cover $0 routine vision exam.
We cover a $150 eyewear benefit per year at in-network or freestanding eyeglass providers.
You can use your $650 FlexSpend benefit on additional eyewear at in-network or freestanding vision providers.
We cover a $750 hearing aid benefit per year at in-network hearing aid provider.
You can use your $650 FlexSpend benefit to cover additional costs on hearing aids at in-network or freestanding hearing aid providers.
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 12 routine chiropractic visits every calendar year. Members on all plans pay a $20 per visit copay 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.
Order an enrollment kit or contact one of our Medicare experts.
