Increased $440 Over-the-Counter (OTC) Benefit
Choose from hundreds of quality products including:
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First aid supplies
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Cold and flu remedies
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Order online, or by phone or mail
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Free shipping!
SilverSneakers® Fitness Membership
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Membership to thousands of fitness locations — over 190 in the Triangle!
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Group Exercise classes for all abilities
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Fun activities outside the gym
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SilverSneakers® On-Demand online workout videos
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SilverSneakers GO™ mobile app
Meals-at-Home Program
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$0 copay for up to 20 home-delivered meals for each inpatient stay in either a Hospital or Skilled Nursing Facility
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Your choice from a menu of meals
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Includes heart-healthy and carb-conscious selections, as well as pizza and other all-American favorites!
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Order when you wish: up to 30 days after discharge
For more information, please contact Care Support at 1-919-660-3426, 8 a.m. to 5 p.m., Monday – Friday.
Transportation Assistance
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Knowing you can get to your doctor matters, for your health and peace of mind
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With Transportation Assistance, you get up to 12 one-way rides, to and/or from approved locations
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Make your appointments worry-free
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For non-emergency trips
Call NationsBenefits to get started:
1-866-311-3607 (TTY: 711), 24/7
IN-HOME SUPPORT SERVICES
$0 copay to receive up to 6 hours of companion care each month assisting with:
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Setting up technology
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Shopping for groceries
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Light housework or chores
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Accompaniment to appointments
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Picking up health care supplies or medications
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Meal preparation
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Other errands
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Enhanced peace of mind
Call NationsBenefits to get started:
1-866-311-3607 (TTY: 711), 24/7
PERSONAL EMERGENCY SUPPORT SERVICES (PERS)
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$0 copay for a medical alert system (wristband and pendant options) through NationsResponse®, powered by ADT®
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Lets you call for help at the push of a button
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Alerts emergency responders and updates family
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You don’t have to fear those times when you’re by yourself
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Maintain your lifestyle and peace of mind
Mental Health BENEFITS
Experience Health’s Care Support Team makes it easy for members to get the mental health care they need.
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Care Support helps members find a provider based on their needs, preference and coverage
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Large network that includes in-person and virtual therapy options
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$0 copay for outpatient office visits
Members are free to make their own appointments through our provider network or call Care Support to help find a provider. Call Care Support at 1-919-660-3426, 8 a.m. to 5 p.m., Monday – Friday.
Acupuncture
A benefit that’s becoming more and more popular.
Part D Senior Savings Model (PDSS)
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$35 copay for on-formulary insulins
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$87.50 copay for 90-day supply of on-formulary insulins through our mail order pharmacies
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$35 copay applies through the Part D initial coverage and coverage gap phases
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PDSS is not available to members who receive Extra Help
$2,000 FLEXIBLE DENTAL BENEFITS
With No Dental Network — see any dentist you prefer!
$500 Preventive Dental Care reimbursement allowance each year — use as you see fit toward:
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Oral Exam and Cleanings
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Dental X-ray(s), Fluoride Treatments and more.
$1,500 Comprehensive Dental Care reimbursement allowance each year — use as you see fit toward:
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Fillings, Restorations
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Crowns, Root Canals or other care
INCREASED VISION BENEFITS
Routine Eye Exams — $0 copay
Eyewear — $300 annual allowance, use as you wish for:
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Contact Lenses
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Eyeglass Frames
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Eyeglass Lenses
HEARING BENEFITS†
Routine hearing Exams — $0 copay
Hearing Aids †† — Members enjoy deep discounts that can save you hundreds of dollars.
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$599 low member copay: advanced 32-channel models
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$899 low member copay: premium 48-channel models
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Multiple models to choose from
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All with smartphone connectivity and 3-yr. warranty
To schedule an appointment with a local audiologist for your hearing evaluation, contact TruHearing at 1-866-201-9212 (TTY: 711).
† Coverage provided by TruHearing ™
†† Hearing aid purchase includes: first year of follow-up provider visits, 60-day trial period, 3-year extended warranty and 80 batteries per aid for non-rechargeable models.
Worldwide Travel Coverage
Health care coverage when you travel, you’re covered when visiting:
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$35 copay for Urgent Care
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$90 for Emergency Room
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$295 copay for Ambulance
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Note: Travel anywhere in the United States or Canada covered for Emergency coverage
New Bathroom Safety Devices
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$0 copay for up to two products per year.
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You can install additional safety precautions to help prevent accidents.
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Contact plan for an approved list of products.
A full list of eligible devices can be found in the OTC catalog.