Added Benefits
PHP (HMO SNP) offers additional benefits that Original Medicare doesn’t for no cost. These additional benefits are designed to provide comprehensive health coverage for plan members where Original Medicare doesn’t.
| Benefit | Original Medicare | PHP |
| Health and Wellness | Supplemental health and wellness programs not covered. | $0 copay for choice of gym membership at one of several gym chains OR up to $200 in over-the-counter pharmacy merchandise, such as vitamins, fiber supplements, first aid supplies, sunscreen, tooth brushes and pastes, cold medication, antacids, etc.$0 copay for access to 24 hour nurse hotline. |
| Dental Services | Preventive dental services (such as cleaning) not covered. | $0 copay for preventive dental services such as oral exams, cleanings, fluoride treatments and dental x-rays, and other dental services. In addition to the preventive services above, plan covers up to $950 a year for comprehensive dental services such as non-routine, diagnostic, and restorative services; endontics, periodontics, and extractions; and prosthodontics, oral and maxillofacial surgery, etc. |
| Vision Services | Supplemental routine eye exams and glasses not covered. | $0 copay for one routine eye exam every year.$0 copay for glasses, lenses or contacts. Plan covers up to $100 a year for eye wear. |
| Hearing Services | Supplemental routine hearing exams and hearing aids not covered. | $0 copay for a routine hearing exam every year.$0 copay for up to 2 hearing aids every year including a fitting evaluation. Plan covers up to $400 a year for hearing aids. |
| Non-Emergency Transportation | Not covered. | $0 copay for up to 15 round trips to plan-approved locations every year. |
| Therapeutic Massage | Not covered. | $0 copay for up to 2 therapeutic massages per monthfor members diagnosed with AIDS-related neuropathy. |
| Meal Benefit | Not covered. | $0 copay for up to 2 meals per day for up to 28 days. (56 meal limit per year.) Meal benefit is available to members after discharge from an acute hospital or skilled nursing facility. |
More information about these added benefits is in the 2021 Summary of Benefits.
If all of this looks good to you and you’d like to enroll, we make it easy and convenient.
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