Your extra benefits
As a WellSense Medicare Advantage member, you get access to extra benefits and services. Some of these benefits are listed here. For a complete overview of benefits included with your plan, review your Evidence of Coverage.
Dental, vision and hearing
Your plan is designed to provide the dental, vision and hearing benefits you need to ensure you stay healthy.
Dental benefits
- $0 preventive dental copays
- Coverage for fillings, root canals, and dentures
- 2 exams, cleanings, and x-rays/year
Vision benefits
- Vision coverage, including an allowance for eyewear
Hearing benefits
- $0 routine hearing exam copays
- Affordable copays for hearing aids (Added Value plan not included)
2025
- WellSense Added Value (HMO): $1,500 benefit limit, 0% coinsurance
- WellSense Choice (HMO): $5,000 benefit limit, 10% coinsurance
- WellSense Premium Savings (HMO): $1,500 benefit limit, 50% coinsurance
- WellSense Signature (HMO): $3,500 benefit limit, 0% coinsurance
- WellSense Signature Access (PPO): $3,000 benefit limit, 0% coinsurance
2024
- WellSense Added Value (HMO): $1,500 benefit limit, 0% coinsurance
- WellSense Choice (HMO): $2,500 benefit limit, 50% coinsurance
- WellSense Premium Savings (HMO): Not covered
- WellSense Signature (HMO): $1,500 benefit limit, 50% coinsurance
2025
- WellSense Added Value (HMO): $400 flexible debit card to use on vision exams and eyewear wherever is convenient for you
- WellSense Choice (HMO): $200 flexible debit card to use on vision exams and eyewear wherever is convenient for you
- WellSense Premium Savings (HMO): $0 routine vision exam copay; $150 annual benefit toward the purchase of eyeglasses, contact lenses or hardware upgrades with our vendor partner, VSP
- WellSense Signature (HMO): $0 routine vision exam copay; $150 annual benefit toward the purchase of eyeglasses, contact lenses or hardware upgrades with our vendor partner, VSP
- WellSense Signature Access (PPO): $0 routine vision exam copay; $150 annual benefit toward the purchase of eyeglasses, contact lenses or hardware upgrades with our vendor partner, VSP
2024
- WellSense Added Value (HMO): $300 allowance toward eyeglasses, contact lenses or hardware upgrades
- WellSense Choice (HMO): $150 allowance toward eyeglasses, contact lenses or hardware upgrades
- WellSense Premium Savings (HMO): $150 allowance toward eyeglasses, contact lenses or hardware upgrades
- WellSense Signature (HMO): $150 allowance toward eyeglasses, contact lenses or hardware upgrades
2025
TruHearing Advanced: $699 per hearing aid, per ear
TruHearing Premium: $999 per hearing aid, per ear
Limit two hearing aids per year.
Added Value plan not included. In-network coverage only for Signature Access plan.
2024
TruHearing Advanced: $699 per hearing aid, per ear
TruHearing Premium: $999 per hearing aid, per ear
Limit two hearing aids per year.
Added Value plan not included.
Over-the-counter (OTC) card
These plans provide 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.
2025 OTC card benefits
- WellSense Added Value (HMO): $275 per quarter, up to $1,100 per year
- WellSense Choice (HMO): $125 per quarter, up to $500 per year
- WellSense Signature (HMO): $100 per quarter, up to $400 per year
- WellSense Premium Savings (HMO): Not included
- WellSense Signature Access (PPO): $75 per quarter, up to $300 per year
2024 OTC card benefits
- WellSense Added Value (HMO): $245 per quarter, up to $980 per year
- WellSense Choice (HMO): $130 per quarter, up to $520 per year
- WellSense Signature (HMO): $115 per quarter, up to $460 per year
- WellSense Premium Savings (HMO): Not included
Use your OTC card to buy select first aid and dental care supplies, vitamins and supplements, incontinence supplies including disposable underwear, and more.
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.
Your over-the-counter card can be used at many retailers, including:
Extra benefits
Take advantage of your fitness benefit, home meals and care management programs that are included with your WellSense Medicare Advantage plan.
SilverSneakers® fitness program
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!
Care management
For a complete list of services we cover, review your plan’s Summary of Benefits and Evidence of Coverage documents.
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