| | How do I access the benefit?
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| Every 6 months:
- 1 comprehensive oral evaluation
- 1 dental cleaning
| Call Customer Care at 800‑787‑3311 (TTY: 711), Monday – Friday, 8 a.m. – 8 p.m., Central time.
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Acupuncture for chronic lower back pain
| Up to 20 visits per year under the following circumstances:
For the purpose of this benefit, chronic low back pain is defined as:
- Lasting 12 weeks or longer;
- Nonspecific, in that it has no identifiable systemic cause (i.e. not associated with metastatic, inflammatory, infectious, etc. disease);
- Not associated with surgery; and
- Not associated with pregnancy
Your plan allows services to be received by a provider licensed to perform acupuncture or by providers meeting the Original Medicare provider requirements.
| Call Customer Care at 800‑787‑3311 (TTY: 711), Monday – Friday, 8 a.m. – 8 p.m., Central time.
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Over-the-counter (OTC) allowance
| Up to $65 per quarter allowance enables members to purchase products that support common occurring conditions such as:
- Pain relievers
- Cough and cold relief medicine
- First aid equipment that do not require prescriptions.
Unused amounts do not roll over to the next quarter.
| You can find a full list of the OTC health and wellness items that you can get in the mail in the OTC catalog below.
OTC Catalog and Order Form – English
OTC Catalog and Order Form – Spanish
If you have questions about this mail-order service, call CenterWell Pharmacy at 855-211-8370 (TTY: 711), Monday – Friday, 7 a.m. – 10 p.m., and Saturday, 7 a.m. – 5:30 p.m., Eastern time.
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| Up to 6 annual podiatry visits for the following:
- Members in need of medical or surgical treatment of injuries and diseases of the foot
- Members with conditions affecting the legs, such as diabetes
| Use our Find a Doctor service to locate podiatrists near you.
Call Customer Care at 800‑787‑3311 (TTY: 711), Monday – Friday, 8 a.m. – 8 p.m., Central time.
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| 14 refrigerated home-delivered meals following discharge from an inpatient or residential facility. Limited to 4 discharges per year.
| Call Customer Care at 800‑787‑3311 (TTY: 711), Monday – Friday, 8 a.m. – 8 p.m., Central time.
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| With a smartphone, you have easy access to health-related information and can stay connected to your care team and health plan. Any enrollee who qualifies for the Federal Lifeline program, will be eligible to receive a free cell phone with monthly talk minutes, text and data.
| Call Customer Care at 800‑787‑3311 (TTY: 711), Monday – Friday, 8 a.m. – 8 p.m., Central time.
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| 28 additional face-to-face visits with PCP or specialist offered.
Refer to your Member Handbook for more information about your covered services.
| Call Customer Care at 800‑787‑3311 (TTY: 711), Monday – Friday, 8 a.m. – 8 p.m., Central time.
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| This plan covers unlimited round trips per year to the pharmacy or medical supply providers right after doctor visits.
| Call Customer Care at 800‑787‑3311 (TTY: 711), Monday – Friday, 8 a.m. – 8 p.m., Central time.
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| Member has $0 copayment on all pharmacy services.
| You will have a $0 copayment when accessing pharmacy services.
What happens if you’re charged for covered pharmacy services?
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