As a WellSense Medicare Advantage member, you get access to more programs and services at no additional cost.

Dental, vision and hearing

Dental health, vision and hearing are all vital to your overall health. Your plan is designed to provide the benefits you need to ensure you stay healthy.

Type WellSense Added Value (HMO) WellSense Choice (HMO)  WellSense Signature (HMO) WellSense Premium Savings (HMO)
Dental
  • 2 exams per year
  • 2 cleanings per year
  • 2 X-rays per year
  • Comprehensive coverage up to $1,5001 per year
  • 2 exams per year
  • 2 cleanings per year
  • 2 X-rays per year
  • Comprehensive coverage up to $2,5001 per year
  • 2 exams per year
  • 2 cleanings per year
  • 2 X-rays per year
  • Comprehensive coverage up to $1,5001 per year
  • 2 exams per year
  • 2 cleanings per year
  • 2 X-rays per year
Vision
  • Routine vision exam: $0 copay
  • $300 allowance toward eyeglasses, contact lenses or hardware upgrades
  • Routine vision exam: $0 copay
  • $150 allowance toward eyeglasses, contact lenses or hardware upgrades
  • Routine vision exam: $0 copay
  • $150 allowance toward eyeglasses, contact lenses or hardware upgrades
  • Routine vision exam: $0 copay
  • $150 allowance toward eyeglasses, contact lenses or hardware upgrades
Hearing
  • Routine hearing exam: $0 copay
  • Routine hearing exam: $0 copay
  • 2 hearing aids per year
    • $699 copay per Advanced TruHearing aid
    • $999 copay per Premium TruHearing aid
  • Routine hearing exam: $0 copay
  • 2 hearing aids per year
    • $699 copay per Advanced TruHearing aid
    • $999 copay per Premium TruHearing aid
  • Routine hearing exam: $0 copay
  • 2 hearing aids per year
    • $699 copay per Advanced TruHearing aid
    • $999 copay per Premium TruHearing aid

 

1 Comprehensive Dental Care includes extractions, restorative care, endodontic care, periodontic care, crowns (limitations apply), dentures, surgical procedures related to full and partial dentures, and diagnostic care. Review the Evidence of Coverage for additional benefit information.


Over-the-counter (OTC) card

Your plan provides an OTC card with funds added each quarter (in January, April, July, and October) to buy approved everyday items throughout the year at stores across New Hampshire. Use your OTC card to buy select first aid supplies, dental care supplies, fiber supplements, vitamins and more. View a complete list of eligible items here.

Type WellSense Added Value (HMO) WellSense Choice (HMO)  WellSense Signature (HMO) WellSense Premium Savings (HMO)
Over-the-Counter (OTC) items

$245 per quarter,
up to $980 per year
$130 per quarter,
up to $520 per year
$115 per quarter,
up to $460 per year
Not included

 

How to shop with your OTC card

You have options when it comes to getting your over-the-counter items. You can shop:

  • In stores (at participating retailers)
  • Online at mybenefitscenter.com or download the OTC Network App for Apple or Android
  • Over the phone by calling 833-569-2170. You can also check your balance here too!
  • Walmart.com 
    • Pickup: $6.99 fee (no fee for orders over $35 or Walmart+ members)
    • Shipping: $6.99 fee (no fee for orders over $35 or Walmart+ members)
    • Delivery: $7.95-$9.95 fee (no fee for Walmart+ members with orders over $35)
    • Members will see any fees from their cart at check-out. Fees cannot be paid with an OTC Network card. Restrictions apply. OTC cards can only be used as payment for items shipped by Walmart or Walmart.com. Members should filter by Retailer = Walmart and/or filter for pick-up and/or delivery.  
  • Walgreens.com
    • Shipping: $5.95 fee (no fee for orders over $35)
    • Members will see fees from their cart at check-out. Fees cannot be paid with an OTC network card. Restrictions apply. OTC cards can be used as payment for items shipped by Walgreens.com. 

Participating retailers

OTC_vendor_logos


SilverSneakers® fitness program

SilverSneakers is a program for healthy living, giving you access to thousands of fitness centers across the country as well as on demand fitness videos available 24/7 and live virtual classes offered throughout the week. You have the choice to use whichever facilities you want, as often as you like. To find a location near you, visit SilverSneakers.com.


Home meal benefit with Mom's Meals

Your plan will provide meals to help you get well following a surgery or hospitalization. Meals are ordered directly through WellSense and are based on your taste and your diet. You can get up to 28 meals delivered directly to your home at no cost to you.

In addition to your included benefit, you can also purchase discounted home delivered meals directly from Mom’s Meals. Plus, as a WellSense member you’ll get free shipping when you use this link


Care management

Our care management program is designed to help you manage your chronic conditions and maintain your independence. A member of our care management team will work with you to create a personalized plan that coordinates the care you get from your doctor and other providers.


For a complete list of services we cover, review your plan’s Summary of Benefits and Evidence of Coverage documents.