Extra Benefits

When you enroll in a Medicare Advantage (Part C) plan through Optima Medicare, you gain access to a wide range of extras. Plans include benefits such as:

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  • Preventive and Comprehensive Dental Coverage

    Both preventive and comprehensive dental services are available with your Optima Medicare plan. Plus, you will have access to our quality dental network. Coverage includes:

    • Preventive dental: $0 copay includes cleaning and fluoride every 6 months, oral exam every 12 months, 2 bitewing X-rays every 12 months, 1 full-mouth X-ray every 36 months.
    • Comprehensive dental: fillings, crowns, extractions, implants, bridges, and dentures, depending on your plan.

  • Vision Services

    Your Optima Medicare plan includes vision coverage.

    • $0 copay for a routine exam once every 12 months.
    • Allowance for glasses (lenses and frames) and/or contacts.

  • Hearing

    Optima Medicare makes it easy to take care of your hearing needs.

    • $0 copay for a routine hearing exam every 12 months .
    • Fitting and evaluation for hearing aids; maximum of 3 per 12 months.
    • One set of hearing aids every 12 months.

  • Over-the-Counter (OTC) Products

    Your Optima Medicare plan can help keep more money in your pocket when you take advantage of your over-the-counter quarterly allowance.

    • Purchase approved OTC products from the catalog by phone or online.
    • Allowance every 3 months.
    • Allowance does not carry over to the next quarter.

  • Telehealth—Virtual Doctor Visits

    Optima Medicare provides you with the flexibility of accessing high-quality care from anywhere, at any time. Appointments with a board-certified doctor, counselor, or psychiatrist are available.

    • Appointments are available 24/7, 365 days a year.
    • Have a secure appointment over the phone or use video chat from a computer or mobile device.
    • Doctors can diagnose, treat, and write prescriptions for routine medical conditions.

  • 24-hour Nurse Advice Line

    • Nurse Advice Line is operational 24 hours a day.
    • Staffed by professional nurses, providing advice and education.
    • 1-800-394-2237

  • SilverSneakers®

    Optima Medicare cares about helping you live an active lifestyle. That’s why your extra benefits include SilverSneakers™. You will have free access to:

    • SilverSneakers LIVE™ classes and workshops taught by instructors trained in senior fitness. SilverSneakers LIVE™ offers virtual classes and workshops via Zoom at no additional cost to members.
    • 200+ workout videos in the SilverSneakers On-Demand™ online library.
    • SilverSneakers GO™ mobile app with digital workout programs.
    • Thousands of locations nationwide, online fitness, and nutrition tips.

  • Transportation

    Optima Medicare helps make sure you have a way to get to your medical appointments.

    • Free one-way rides up to your plan’s trip limit.
    • Receive routine medical transportation to plan-approved, health-related locations, such as doctor appointments.

    Depending on your plan, non-medical transportation*1 offers members trips to churches, grocery stores, community events, senior centers, and more.

    *1: Members with chronic condition(s) that meet certain criteria may be eligible for this special supplemental benefit.

  • Grocery Card

    Members will receive a grocery card*2 benefit to use towards a variety of brand-name and generic healthy food products, depending on the plan.

    • Members can shop in Harris Teeter, Kroger, Rite Aid, Walgreens, and Walmart.
    • You can also order grocery items from NationsBenefits® by phone, online, or mail. There is no additional cost for delivery.

    *2: Members with chronic condition(s) that meet certain criteria may be eligible for this special supplemental benefit.

  • Chiropractic Care

    Chiropractic adjustments may help relieve back pain and increase movement.

    • Coverage varies by plan.
    • Medicare-covered chiropractic service is included.

  • Meals

    Receive meals delivered to your home when you return from a hospital stay.

    • Two meals per day for 28 days.
    • Prior authorization is required.

  • Wellness Programs

    A variety of wellness programs to help you reach our health goals are a part of your Optima Medicare plan.

    • Wellness education on a variety of topics.
    • Health self-management training.

  • In-home Support Services

    Depending on your plan, members with activities of daily living and basic care needs can receive in-home, non-medical care with certain plans.

    • $0 copay.
    • Up to 20 hours per post-inpatient discharge, with a maximum of 60 hours, are covered every 12 months.
    • Prior authorization is required.

    Benefits vary by plan. Enter your ZIP code to see complete list of benefits.

Optima Medicare Plans

Optima Medicare offers all-in-one Medicare Advantage plans with both medical and prescription drug coverage. Our plans provide more coverage than Original Medicare with benefits including SilverSneakers®, preventive and comprehensive dental allowance, hearing aids allowance, vision exams and eyewear allowance, over-the-counter products, transportation services, and more.

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