Benefits

Dental

Seniors can keep their mouths looking and feeling young through Premera’s preventive care dental benefits. Our dental plans include routine oral exams and cleanings, periodontal maintenance, and $200 to use toward additional dental services.

Check the Summary of Benefits to see if dental is included in your plan, or available to add.

To use this benefit:

1. Use our Find a Doctor tool
2. Browse by the Dental Care category
3. Find an In Network Dental Provider and schedule an appointment

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Hearing services with Hearing Care Solutions (HCS)

According to the Code of Federal Regulations and the Centers for Medicare and Medicaid Services guidelines, hearing aids or exams for the purpose of prescribing, fitting, or changing hearing aids are excluded from coverage under Original Medicare. Premera Medicare Advantage plans help you keep your retirement money safe by paying for costs not covered by Original Medicare alone, like hearing aids.

Hearing Care Solutions delivers quality hearing care and hearing instruments at the greatest value to meet your lifestyle needs and includes an annual benefit of $1,000 per ear per year toward hearing aids.

Through Hearing Care Solutions, members receive:

• A hearing aid fitting at no cost
• A 60-day evaluation period to make sure everything feels right
• 1 year of follow-up care at no charge, with the original provider

All instruments purchased through hearing Care Solutions receive:

• 12-month interest-free financing, available to qualified applicants
• 2-year supply of batteries (up to 64 cells per ear, per year)
• 3-year manufacturer’s warranty, including loss, damage and repair

Check the Summary of Benefits to see if hearing benefits are included in your plan.

To use this benefit, call Hearing Care Solutions toll free at 866-344-7756. HCS will help you select a provider and schedule an appointment.

Find more details about our benefit through Hearing Care Solutions, or visit them online at hearingcaresolutions.com/pma.

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Prescriptions

90-day prescription mail-order

Enjoy the convenience of having long-term drugs delivered right to your home!

Through the CVS mail-order home delivery service, pay a $0 copay for a 90-day supply of preferred generic drugs.

Check the Summary of Benefits to see if this is included in your plan.

To use this benefit:

1. Ask your doctor for a 90-day prescription, then:
   1. Go to Caremark.com to create an account and fill out the New Prescription form OR
   2. Fill out the CVS order form and mail it to:
      CVS Caremark
      PO Box 659541
      San Antonio, TX 78265-9541
2. Allow up to 10 days from the day you submit your order for delivery

Over the counter (OTC)

Receive up to a $50 quarterly benefit for over-the-counter health and wellness products available through OTC Health Solutions. This benefit provides you with an easy way to get generic personal care Items, bath and safety supplies, hearing aid batteries, and more. Catalog item prices include shipping, handling, and sales tax.

Check the Summary of Benefits to see if this is included in your plan.

How to get started:

1. Browse the OTC Health Solutions catalog
2. Place your order over the phone at 888-628-2770, or online at cvs.com/otchs/Premera.

For questions about OTC Health Solutions, view our FAQ.

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Vision

Maintain your vision and eye health as you age with Premera vision benefits.

All plans include a routine eye exam and diabetic retinopathy screening once per calendar year. A $150 hardware allowance is also included in most plans.

Check the Summary of Benefits to see if this is included in your plan.

To use this benefit:

1. Use our Find a Doctor tool
2. Browse by all specialties (A-Z)
3. Find an In Network optometrist or ophthalmologist and schedule an appointment
4. Your Doctor will submit your claim. You will be responsible for any out-of-pocket cost as outlined in your Summary of Benefits.

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24-Hour NurseLine

Help is only a call away.

All Premera Medicare members have access to free, confidential help from a nurse 24 hours a day, 7 days a week, 365 days a year. Nurses are available through this service to answer questions about medications, help you decide when and where to seek care, or simply provide reassurance when you need it.

To use this benefit, call 855-339-8123.

Call 911 or go to the emergency room in the case of life-threatening emergencies, such as heart attacks or strokes.

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