Medicare Advantage 2021 additional benefits

Your Prevea360 Medicare Advantage plan includes additional benefits that are not covered under Original Medicare (Medicare Parts A and B).



Dental

Prevea360 Medicare Advantage from Dean Health Plan has partnered with Delta Dental of Wisconsin to provide you dental benefits with no waiting periods, deductibles, or coinsurance. Benefits include:

  • Preventive and Diagnostic Services: $0 copay.
  • Gum disease maintenance and bridge/implants/dentures repairs: $45 copay. 
  • Fillings, gum disease treatment, and extractions: $95 copay.
  • Root canals, bridges, implants, dentures, and crowns: $595 copay.
  • Our plan will cover $1500 of dental services per year.


For a full list of covered dental procedures please see the Dental Certificate of Coverage.


In-home and virtual support and companionship

We're partnered with Papa, a company that connects screen and trained Papa Pals with our members. Pals will be matched to members based on shared interests and communication style.

Papa Pals assist members who seek companionship, house help, technology help and transportation. This includes:

  • Companionship: Papa Pals can socialize, watch a movie, and play games in the member’s home, in a public space, over the phone or by video chat.
  • House help: Papa Pals help around the house with light cleaning, laundry, cooking/meal prep and taking care of pets.
  • Technology help: Papa Pals teach members how to use a computer, smartphone and tablet. Papa Pals can also assist with how to use social media, accessing a telehealth provider and starting a video chat with loved ones.
  • Transportation: Papa Pals assist members with transportation to doctor appointments, grocery/pharmacy shopping and other errands. Pals will pick members up at their homes, take members to the store/ appointment, carry shopping bags, take members back home and help members carry your bags into the home.

Papa Pals can support members either in their homes or virtually. Members are eligible for 10 hours per month of Papa services. Papa will call to enroll you in the Papa program. You can also call Papa to enroll at 888-492-4423.


Over-the-counter allowance

Members are eligible for a $60 quarterly benefit to be used towards the purchase of select over-the-counter (OTC) health and wellness products.  This benefit is available at the beginning of each quarter (January, April, July, October). Unused dollars will not carry forward to the next quarter.

Your OTC card can be used to purchase items in the following categories:

  • Acid controller liquids/tablets
  • Adult aspirin & pain relief
  • Allergy, sinus & combo liquids & tablets
  • Cough, cold & flu liquids or tablets
  • Digestive aids (probiotics & prebiotics)
  • Heart health & essential fatty acids (fish oil, flax, GLA, etc.)
  • Laxatives (stool softeners & fiber acid)
  • Ear drops & eyewash
  • Incontinence
  • Vitamins & minerals
  • Oral care

You can shop:

  • In-store at participating retailers including CVS, Walmart and Dollar General
  • Online at OTCNetwork.com
  • Mail order catalog


After you receive your OCT card, visit OTC Network to see the list of all participating retailers, a full list of covered items and to check your card balance. See the flyer for more details. 


Transportation

We cover 24 one-way Lyft rides each year to medical appointments or to the local pharmacy to help keep you well. If you would like a Lyft ride to an upcoming appointment, call the Customer Care Center at (877) 232-7566. We can schedule a Lyft driver to pick you up at no cost to you.


Living Healthy

Prevea360 Medicare Advantage will reward members up to $150 for your healthy lifestyle. Here’s how it works:

  • Choose the healthy activities you want to complete.
  • Each completed activity is worth reward points (example: 500 points = $50)
  • Earn up to 1,500 points for a maximum of $150 per calendar year (before Dec. 31)
  • Rewards come in the form of gift card(s) of your choice to many national retailers, restaurants, and other popular merchants.


For complete details and to redeem reward points, log in to the Living Healthy Portal.

Members must enter and redeem all points by Dec. 31 to be eligible for rewards.


Fitness

Members have access to the following at no cost:

  • Fitness center membership: You can go to any Silver&Fit fitness club or exercise center* that takes part in the program
  • Home fitness kits: Pick up to two kits per benefit year from our 34 unique options, including Aqua, Tai Chi, chair-based exercise and more.
  • Stay fit kits: Pick one of the following per benefit year: Garmin or Fitbit wearable fitness tracker kit; Yoga kit with a mat and hand towel; beginner, intermediate, or advanced strength kit with exercise bands and dumbbells
  • Digital workout videos: Go to www.SilverandFit.com or download the Silver&Fit ASHConnect™ mobile app to view yoga, strength, Pilates, walking, cardio, and many other workout videos, perfect for all fitness levels.
  • Daily workout videos: Join daily workout classes on Facebook Live and the Silver&Fit YouTube channel.

*Non-standard services that call for an added fee are not part of the Silver&Fit program and will not be reimbursed. The Silver&Fit program is provided by American Specialty Health Fitness Inc., a subsidiary of American Specialty Health Incorporated (ASH).

Silver&Fit is a federally registered trademark of ASH.


Vision

All of our plans include a yearly $0 vision exam and a $200 eyewear allowance ever year at our in network eyewear providers. Find a location.


Hearing

All of our plans include a $0 hearing exam and a $750 hearing aid allowance every year at our in-network hearing aid providers. Find a location.


Worldwide emergency

Prevea360 Medicare Advantage provides coverage for emergency and urgently needed services outside of the United States. Members must pay out-of-pocket for worldwide urgent and emergency care services and request reimbursement. Submit the Member Paid Claim Form. See your plan’s Evidence of Coverage for cost-sharing.


Meals after a hospital stay

If you are discharged from the hospital or skilled nursing facility, all of our plans cover 14 meals delivered to your door. Someone from our care management team will reach out to you upon notification of the discharge. If meals are not coordinated through your care manager as part of discharge planning, reach out to the Customer Care Center to access the Moms Meals benefit.  


Prevea Care After Hours

Prevea Care After Hours is a free telephone service available 24 hours a day, 365 days a year. If you’re not sure you need a doctor – or you are wondering if you have a problem – give us a call at (888) 277-3832 or (920) 496-4700 anytime to speak with a registered nurse.


Virtual care

With Prevea Virtual Care, you can get a diagnosis, a treatment plan and a prescription if needed for common conditions like upper respiratory infection or allergies, urinary tract infections, tick bites and skin problems from anywhere in Wisconsin at any time. See conditions treated and complete an online health interview.

A Prevea provider will respond within one hour during office hours – or first thing the next morning if after hours. Virtual Care is available to members through age 75. To ensure members receive the highest quality of care, those aged 76 and above should be seen at a clinic or doctor's office.

Start virtual care


View our Medicare disclaimer.
H9096_prevea360.com
Updated: 7/22/2021