Added Benefits

Maximize the value of your Optima Medicare HMO plan

When you enroll in a Medicare Advantage (Part C) plan through Optima Medicare, you gain access to a wide range of extras – at no additional cost. Highlights include the following. Plan year 2020 includes benefits such as:

Dental Services

Whether you need basic preventive care or extra services, there is a dental plan option just right for you. Plus, you will have access to our significantly expanded dental network.

  • Preventive Dental – Your Optima Medicare plan automatically includes Preventive dental care including cleanings and oral exams.
  • Optional Dental Plans – For even more coverage, you can add an optional dental plan for a low monthly cost to cover crowns, bridges, and more.

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
  • 1 set of select hearing aids every 3 years, including a 36-month warranty and one-time replacement
  • Up to a 3 year supply of hearing aid batteries

Over-the-Counter Items 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 medicines and products from participating stores
  • Order approved items from the catalog by phone, mail, or online
  • Allowance rolls over quarter to quarter, but expires at the end of the year

Virtual 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’s secure and convenient.

  • MDLIVE® doctors can diagnose, treat, and write prescriptions for routine medical conditions
  • MDLIVE® appointments with a counselor or psychiatrist
  • Free 24-hour nursing hotline

Fitness Program

Optima Medicare cares about helping you live an active lifestyle. That’s why your added benefits include fitness reimbursement.

  • Get reimbursed a set amount for the year
  • Applies to gym fees, personal training sessions, and fitness classes

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

Therapeutic Massage

Your Optima Medicare plan now provides coverage for therapeutic massage related to pain management.

  • Must be ordered by a doctor or medical professional
  • Referral required as part of a non-opioid pain management plan
  • Limited visits per year

Chiropractic

Chiropractic adjustments may help relieve back pain and increase movement.

  • Covers routine therapeutic manipulations/adjustment
  • No prior authorization required
  • Limited visits per year

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

Rewards Program

Staying healthy feels better with rewards. Simply attend your Annual Wellness Visit and you will qualify to earn a gift card.

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

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