Added 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:
2022 Added Benefits
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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 for one exam, two cleanings, two fluoride treatments, and two bitewing X-rays every 12 months.
- Comprehensive dental: fillings, crowns, extractions, implants, bridges and denture repairs, depending on your plan.
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Vision Coverage
Your Optima Medicare plan includes vision coverage at no extra premium.
- $0 copay for a routine exam once every 12 months.
- Allowance for eyewear and/or contact lenses.
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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.
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Over-the-Counter Products
Your Optima Medicare plan can help keep more money in your pocket when you take advantage of your over-the-counter (OTC) quarterly allowance.
- Purchase approved OTC products from the catalog by phone or online.
- Allowance every 3 months.
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Telehealth - Virtual Doctor Visits
Optima Medicare provides you with the flexibility of accessing high-quality care from anywhere, at any time. Appointments via secure phone or video using your computer or smart phone with a local doctor board-certified in internal medicine, family practice, emergency medicine, pediatrics, a counselor, or psychiatrist are available.
- Appointments are available 24/7, 365 days a year.
- Doctors can diagnose, treat, and write prescriptions for routine medical conditions.
- Free 24-hour Nurse Advice Line available 24/7, 365 days a year.
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Fitness Benefit
Optima Medicare cares about helping you live an active lifestyle. That’s why your added benefits include SilverSneakers®. You will have free access to:
- SilverSneakers LIVE™ classes and workshops taught by instructors trained in senior fitness.
- 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.
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Transportation
Optima Medicare helps make sure you have a way to get to your medical appointments.
- Free 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 with a qualifying chronic condition, 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.
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Grocery Card*2
Members with a qualifying condition will receive a grocery card benefit to use towards a variety of brand-name and generic healthy food products, depending on your plan.
- Shop in a retail store or order online through the member portal. You can also order by phone or by mail.
- Home delivery has no additional charge!
*2: Members with chronic condition(s) that meet certain criteria may be eligible for this special supplemental benefit.
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Chiropractic Care
Chiropractic adjustments may help relieve back pain and increase movement.
- Coverage varies by plan.
- Medicare-covered chiropractic service is included.
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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.
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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.
2021 Added Benefits
-
Preventive and Comprehensive Dental Services
Both preventive and comprehensive dental services are available with your Optima Medicare plan. Plus, you will have access to our quality dental network.
- Preventive Dental - Preventive dental care covers cleanings, fluoride treatments, x-rays and oral exams.
- Comprehensive Dental - covers fillings, extractions, and many additional enhanced services.
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Vision Services
Your Optima Medicare plan includes vision coverage at no extra premium.
- $0 copay for routine eye exams
- Allowance for frames and/or contact lenses
-
Hearing
Optima Medicare makes it easy to take care of your hearing needs.
- $0 copay for annual hearing exam
- $0 select hearing aids, including a warranty and one-time replacement
- Hearing aid batteries
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Over-the-Counter Product Allowance
Your Optima Medicare plan can help keep more money in your pocket when you take advantage of your over-the-counter (OTC) quarterly allowance.
- Purchase approved items from the catalog by phone, mail, or online
-
Virtual Doctor Visits
Optima Medicare provides you with the flexibility of accessing high-quality care from anywhere at any time. MDLIVE® connects you with a local, board-certified doctor from your computer or smartphone. It is secure and convenient.
- MDLIVE® doctors can diagnose, treat, and write prescriptions for routine medical conditions
- MDLIVE® appointments with a counselor or psychiatrist
- Expanded options offered through participating healthcare providers
- Free 24-hour nursing hotline
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Fitness Benefit
Optima Medicare cares about helping you live an active lifestyle. That’s why your added benefits include a fitness reimbursement.
- Get reimbursed a set amount for the year
- Applies to gym fees, personal training sessions, and fitness classes
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Transportation
Optima Medicare helps make sure you have a way to get to your medical appointments.
- Free rides up to your plan’s trip limit
- Covers pre-approved, health-related locations
-
Chiropractic
Chiropractic adjustments may help relieve back pain and increase movement.
- Coverage varies by plan
- Medicare-covered chiropractic service is included
-
Meals
Receive a meal service delivered to your home when you return from the hospital.
- 2 meals per day for 28 days
- Prior authorization 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