The 9 Best Ways Your Plan Helps You Save in 2024

The 9 Best Ways Your Plan Helps You Save in 2024.png

1) $0 to see your doctor.

Seeing your primary care provider (PCP) for a general appointment has a $0 copay. This helps make it easier for you to see your PCP if you need to. (Access PPO members pay $50 out of network.)

See PCP visit details in your Evidence of Coverage (EOC) booklet.

 

2) A quarterly allowance for over-the-counter (OTC) items.

Preferred HMO members receive $67 per calendar quarter (or $268 per year) and Access PPO members receive $65 per calendar quarter (or $260 per year) to spend at participating retailers and plan-approved online stores on Medicare-approved health-related items including toothbrushes, aspirin, allergy relief, adhesive bandages, sunscreen, and more.1

Learn More about the HMO OTC Allowance.

Learn More about the PPO OTC Allowance.

 

3) Dental coverage that covers more.

Dental coverage is included with your CarePartners of Connecticut plan:

  • CareAdvantage Preferred HMO – Includes $3,000 of dental coverage.2 See any licensed dentist.
  • CarePartners Access PPO — New for 2024, PPO members receive a Visa® Flex Advantage spending card with a $1,200 dental benefit.3 See any dentist who accepts Visa.

Find a dentist

Learn more about the HMO dental benefit.

Learn more about the Visa® Flex Advantage spending card.

 

4) A SilverSneakers® membership to help you stay fit

SilverSneakers can help you improve your health and independence by providing you access to online workout classes and workshops, and thousands of gym locations. Whether you want to work out from home with an online class, play tennis, swim laps, do yoga, or lift weights, SilverSneakers has you covered. For details, visit SilverSneakers.com, or call SilverSneakers at 1-866-584-7389 (TTY: 711).

Learn more about SilverSneakers

 

5) Member-only discounts on massage therapy and more.

CarePartners of Connecticut Medicare Advantage HMO and PPO plan members get extra discounts4 on great programs and services such as weight loss programs, massage therapy, acupuncture, and much more!

See a complete list of Extra discounts

 

6) Savings up to $400 on prescription drug costs through home delivery.

Avoid going to the pharmacy and have prescriptions you take regularly delivered to your door. With OptumRx Home Delivery Pharmacy, you may be able to save up to $100 for a 90-day supply of prescription medications (depending on the plan you are in and the tier your drug is on). That’s a potential savings of up to $400 a year!

There are 3 easy ways to sign up for OptumRx Home Delivery:

Register for Home Delivery at OptumRx.com

Fill out and return the OptumRx Home Delivery Form

Call OptumRx at 1-800-496-7490 (HMO)/1-800-506-3703 (PPO)

 

7) $150 savings on eyeglasses.

Get up to $150 toward the full retail price (not sale price) for eyeglasses, prescription lenses, frames, and/or contact lenses from a provider in the EyeMed Vision Care Network (includes more than 26,000 eye care providers, including national chains such as LensCrafters®, Pearle Vision®, and Target® Optical). Or get up to $90 from a store not in the EyeMed network (HMO members only). Discounts can’t be combined.

Access PPO members are covered for reimbursement of eligible eyewear purchases up to $150 per calendar year and do not have to purchase from an EyeMed-participating provider.

If you use a non-EyeMed-participating provider, you will need to pay out of pocket and submit for reimbursement. To submit for reimbursement, fill out and return the Out-of-Network Vision Services Claim Form.
Learn more about your eyewear discount

 

8) Savings on hearing aids.

With copays ranging from $250 to $1,150 for each hearing aid, choose from 5 levels of hearing aids from Standard level to Premier. You’re covered for up to 2 hearing aids per year (1 hearing aid per ear) provided by Hearing Care Solutions (HCS). You’re also covered for a $0 hearing aid evaluation once per year.5 Schedule your evaluation by calling an HCS representative at 1-866-344-7756.

See more details about your hearing aid coverage

 

9) $0 health screenings.

Getting regular screenings is one of the best ways to stay healthy. Take advantage of a $0 copay for many screenings, including cancer, cholesterol, glaucoma, and many more. (For CarePartners Access PPO, $0 health screenings applies to in-network services.)

See more information on your coverage for screenings

Learn more about preventive care

 

1Quarterly OTC credit is for the purchase of Medicare-approved OTC items from participating retailers and plan-approved online stores. Unused balance at the end of a calendar quarter does not roll over. Under certain circumstances, items may be covered under your Medicare Part B or Part D benefit.
2The plan is administered by Dominion Dental Services, Inc., which operates under the trade name Dominion National. Benefit limits apply. A member may choose to receive treatment from a non-participating dentist. Cost shares for out-of-network benefits, if applicable, are based on procedure classification. Benefits are calculated using a Maximum Allowable Charge (MAC). Members are responsible for any amount charged which exceeds the MAC per procedure. Billing arrangements are between the member and the non-participating dentist. If a member receives treatment from a non-participating dentist, the member may be required to make payment in full at the time of service. The member may then submit a claim to the Plan for benefit payment. Please refer to your Evidence of Coverage for more information.
3Dental services covered under the Flex Advantage spending card are limited to non-cosmetic, non-Medicare covered dental procedures. Coverage is up to the annual benefit limit, and the member is responsible for all costs above this amount. Unused balance at the end of the year does not roll over. Please refer to your Evidence of Coverage for more information.
4Discounts and services included in the Extras program are not plan benefits and are not subject to the Medicare appeals process.
5For details, see your 2024 Evidence of Coverage (EOC), available at carepartnersct.com/documents. Hearing aids and $0 hearing aid evaluation must be with a Hearing Care Solutions provider. Benefit does not cover cost of mold and tubing.


SilverSneakers is a registered trademark of Tivity Health, Inc. SilverSneakers® fitness program is provided by Tivity Health, Inc. © 2023 Tivity Health, Inc. All rights reserved.


Benefits eligibility requirements must be met. Not all may qualify. This information is not a complete description of benefits. Call Member Services at 1-888-341-1507(HMO)/1-866-632-0060 (PPO) (TTY: 711) for more information.