2023 Benefits That Cover you head to toe.

If you are looking for coverage to begin before January 1, 2023, please click here.

The Experience Health Medicare Advantage SM (HMO) plan includes valuable extras like these:

Increased $440 Over-the-Counter (OTC) Benefit

  • First aid supplies

  • Cold and flu remedies

  • Order online, or by phone or mail

  • Free shipping!

SilverSneakers® Fitness Membership

  • Membership to thousands of fitness locations — over 190 in the Triangle!

  • Group Exercise classes for all abilities

  • Fun activities outside the gym

  • SilverSneakers® On-Demand online workout videos

  • SilverSneakers GO™ mobile app

Meals-at-Home Program

  • $0 copay for up to 20 home-delivered meals for each inpatient stay in either a Hospital or Skilled Nursing Facility

  • Your choice from a menu of meals

  • Includes heart-healthy and carb-conscious selections, as well as pizza and other all-American favorites!

  • Order when you wish: up to 30 days after discharge

Transportation Assistance

  • Knowing you can get to your doctor matters, for your health and peace of mind

  • With Transportation Assistance, you get up to 12 one-way rides, to and/or from approved locations

  • Make your appointments worry-free

  • For non-emergency trips


IN-HOME SUPPORT SERVICES

  • Setting up technology

  • Shopping for groceries

  • Light housework or chores

  • Accompaniment to appointments

  • Picking up health care supplies or medications

  • Meal preparation

  • Other errands

  • Enhanced peace of mind

PERSONAL EMERGENCY SUPPORT SERVICES (PERS)

  • $0 copay for a medical alert system (wristband and pendant options) through NationsResponse®, powered by ADT®

  • Lets you call for help at the push of a button

  • Alerts emergency responders and updates family

  • You don’t have to fear those times when you’re by yourself

  • Maintain your lifestyle and peace of mind

Mental Health BENEFITS

  • Members are matched with options based on their needs, preference and coverage

  • Large network that includes in-person and virtual therapy options

  • $0 copay for outpatient office visits

Acupuncture

  • $50 reimbursement allowance per visit for up to 20 visits per year (in addition to Medicare coverage for chronic lower back pain)

  • Your choice of any NC licensed acupuncturist


Part D Senior Savings Model (PDSS)

  • $35 copay for on-formulary insulins

  • $87.50 copay for 90-day supply of on-formulary insulins through our mail order pharmacies

  • $35 copay applies through the Part D initial coverage and coverage gap phases

  • PDSS is not available to members who receive Extra Help

$2,000 FLEXIBLE DENTAL BENEFITS

  • Oral Exam and Cleanings

  • Dental X-ray(s), Fluoride Treatments and more.

  • Fillings, Restorations

  • Crowns, Root Canals or other care

INCREASED VISION BENEFITS

  • Contact Lenses

  • Eyeglass Frames

  • Eyeglass Lenses

HEARING BENEFITS

  • $599 low member copay: advanced 32-channel models

  • $899 low member copay: premium 48-channel models

  • Multiple models to choose from

  • All with smartphone connectivity and 3-yr. warranty

 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

  • $35 copay for Urgent Care

  • $90 for Emergency Room

  • $295 copay for Ambulance

  • Note: Travel anywhere in the United States or Canada covered for Emergency coverage

New Bathroom Safety Devices

  • $0 copay for up to two products per year.

  • You can install additional safety precautions to help prevent accidents.

  • Contact plan for an approved list of products.

External Link

You're about to leave the Experience Health website.

Proceed

Contact Us

Members call 1-833-777-7394 (TTY:711)

Providers call 1-877-397-4584 (TTY: 711)

Agents visit ExperienceHealthNC.com/Brokers

8 a.m. to 8 p.m., Monday through Friday
(8 a.m. to 8 p.m., 7 days a week from October 1 to March 31)