We can work together to help you avoid illness and stay well by focusing on preventive care and wellness. We can work together to help you avoid illness and stay well. Our members receive preventive screenings and other valuable services at no additional cost when using an in-network provider.* Review your summary of benefits and coverage for network provider details.
You can schedule your welcome to Medicare visit as soon as you enroll in Medicare Part B. This visit is covered at no cost to you by Medicare.
During this visit, your primary care physician (PCP) will record your medical history and check your vision, blood pressure, weight and height to measure your body mass index. It's a great way to get up-to-date on important screenings and shots. You can also talk with your doctor about your family’s medical history and ways to manage your health.
At this visit, preventive services and more are covered at no ($0) out-of-pocket cost to you when visiting an in-network provider. Review your summary of benefits and coverage for network provider details.
Preventive services may include:
During this visit, your PCP will talk to you about your medical/family history and perform a head-to-toe general health assessment. This includes a hands-on examination of all the body systems.
We cover 24 one-way rides each year to medical appointments or to the local pharmacy. If you'd like a ride to an upcoming appointment, call the Customer Care Center at 877-301-3326 (TTY: 711) or visit our extra benefits page to set up this service at no additional cost to you.
Telehealth can be used to assess your risk for certain health conditions. It may also be used for your annual preventive visit or for other appointments if you don't need lab work or vaccines. Telehealth annual preventive visits should be done using audio and visual technology (a smart phone or computer). Ask your PCP if a telehealth appointment is right for you.
All preventive services are listed in your Evidence of Coverage. See the medical benefits chart in chapter 4, section 2.1 and look for the apple listed next to preventive services.
Non-preventive care is given to manage chronic or acute (sudden) illness. If you receive non-preventive care at your PCP's office, you'll have a $0 copay. Many other non-preventive services will have out-of-pocket costs (copays). Examples include, but are not limited to:
Many people don’t realize they are already caregiving. Over 50 million of us are a caregiver during a given year, according to the AARP. Whether you're paid to be a caregiver or you have a loved one in need, caregiving and burnout go hand-in-hand. When your needs are put on hold for others, it can be detrimental to:
Take care of yourself. Give yourself a break. Use the following strategies a few hours a week to reduce the effects of compassion fatigue:
If you're feeling overburdened by caregiving, consider joining a support group such as the Family Caregiver Alliance.
Medicare Advantage (MA) health plans, also called Part C plans, combine Original Medicare (Parts A and B) and often Part D into one plan with a network of providers. In addition to services covered by Original Medicare (Parts A and B), your MA plan may provide many other health care services at no additional cost to you. Visit our extra benefits page to see the added services we provide you at $0.
Medicare Part A covers care at hospitals and other facilities. You typically pay a deductible and coinsurance and/or copayments.
Part A insurance covers things like:
In general, Medicare Part B covers your outpatient (office-based) medical care.
Part B insurance covers things like:
Medicare Part D covers most of your medications and some vaccinations. There are times when you will need to use your Part B coverage for prescriptions, vaccinations and other items at the pharmacy.
Part D insurance covers things like: