2025 Medicare Advantage additional benefits

For Illinois and Missouri plan members

Our Medicare plan includes additional benefits not covered under Original Medicare (Medicare parts A and B)

Take me to:

Health+ by Medica

The Health+ by Medica card makes it easy to buy what you need, shop where you want, and spend the rewards you earn. With this card you can:

Use your OTC allowance benefit

Get up to $50 four times a year to buy medicine, vitamins, and health supplies
Shop at stores like Walgreens, Dollar General, CVS, and Walmart
Shop online at MyBenefitsCenter.com
Order by phone or catalog by calling Medline at 1-833-569-2330

Use your Healthy Rewards

Earn rewards for healthy choices, like receiving your flu shot or getting an annual check-up
Use your rewards at a variety of restaurants and retail stores

Dental

We partnered with Delta Dental to provide you dental benefits with no waiting periods or deductibles.

Benefits include:

Preventive and diagnostic services: $0 copay
Comprehensive services: 50% coinsurance
$300 of dental services per year + up to $740 FlexSpend benefit per year on additional dental, vision, and hearing services
We cover in-network and out-of-network dentists
- Members receive preferred pricing at in-network dentists
- Members are balanced-billed if they use an out-of-network provider

See the Dental Certificate of Coverage for a full list of covered dental procedures.

Over-the-counter

We cover up to $50 quarterly to be used towards the purchase of eligible 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 such as:

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 & eye wash
Incontinence products
Vitamins & minerals
Oral care products

You can shop:

In-store at participating retailers, including Walgreens, CVS, Walmart and Dollar General stores
Online at mybenefitscenter.com or over the phone by calling Medline at 1-833-569-2330
Mail-order catalog

After you receive your OTC card in the mail, visit Medline or download the OTC app to see the list of all participating retailers, a full list of covered items and to check your card balance.

See the OTC Overview for more details about the program.

Transportation

We partnered with Lyft to cover 24 one-way personal rides each year to medical appointments and to the pharmacy. If you'd like a ride to an upcoming appointment, call the Customer Care Center and see our Lyft instructions to set up service.

Meals

If you are discharged from the hospital or skilled nursing facility, you are eligible to receive 14 meals delivered to your door. 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.

Fitness

The One Pass fitness benefit includes:

Fitness center membership: Choose from a large nationwide network of gyms and fitness locations from leading national brands to boutique studios. Get started by going to One Pass fitness.
Home fitness kit: You can select one home fitness kit per year
Online access to Brain HQ: brain training to help you think faster, focus better, and remember more

Vision

We cover one $0 routine vision exam. You can use your FlexSpend benefit on eyewear at in-network or freestanding vision providers.

Hearing

We cover one $0 routine hearing exam per year. You may use your Flexspend benefit to purchase additional hearing aids at any in-network or freestanding hearing aid providers.

With our MA-Only Salute (HMO-POS) plan, you may use up to $750 hearing aid allowance at an in-network hearing aid provider.

Living Healthy Rewards

You can earn up to $150 rewards for completing healthy activities.

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 of the plan year).
You must enter all points by Dec. 31 of the plan year to be eligible for rewards.

Log into the Member Portal to access Living Healthy Rewards.

Routine footcare

We cover 10 routine footcare visits every calendar year. This includes treatment of the foot which is generally considered preventive, i.e., cutting or removal of corns, warts, calluses or nails. You pay your plan’s specialist copay for routine footcare services.

Routine chiropractic

We cover 12 routine chiropractic visits every calendar year.

Worldwide emergency

We provide 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 then request reimbursement by submitting a member paid claim form. Your pay your plan’s emergency copay for emergency and urgently needed services outside of the United States.

24-hour nurse line

Experienced registered nurses are always available to answer your questions and concerns. Nurses are available 24 hours a day, 365 days a year. Call if you're unsure if you need to see a doctor, or if you have other health related questions.

E-visits

With an SSM Health e-visit 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 Illinois or Missouri at any time. See conditions treated and complete an online health interview. An SSM Health provider will respond within one hour during office hours or first thing the next morning if after hours.