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.

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.

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.

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.

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.

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.

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.

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.

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?