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.