2021 Benefits That Cover you head to toe.

The Experience Health Medicare Advantage℠ (HMO) plan includes valuable extras like these:

NEW! $300 Over-the-Counter (OTC) Benefit

Choose from hundreds of quality products including:

  • First aid supplies
  • Cold and flu remedies
  • Pain relievers and vitamins
  • And more
  • Order online, by phone or mail
  • Shipping is Free!

SilverSneakers® Fitness Membership

  • Membership to thousands of fitness locations — over 190 in the Triangle!
  • Group Exercise classes for all abilities
  • Fun activities outside the gym
  • SilverSneakers® On-Demand online workout videos
  • SilverSneakers GO™ mobile app

NEW! Wisely Well™ Meals-at-Home Program

  • 20 home-delivered meals
  • No charge to you when recovering from any inpatient stay in either a Hospital or Skilled Nursing Facility
  • Your choice from a menu of meals
  • Includes heart-healthy and carb-conscious selections, as well as pizza and other all-American favorites!
  • Order when you wish: up to 30 days after discharge

NEW! Mental Health

Experience Health is working with Quartet to make it easy for members to get the mental health care they need.

  • Members are matched with options based on their needs, preference and coverage
  • Large network that includes in-person and virtual therapy options
  • $25 Outpatient individual and group therapy rates


A “spa-type” benefit that’s becoming more and more popular.

  • $35 copay
  • up to 20 visits per year

Part D Senior Savings Model (PDSS)

Huge savings for anyone with an insulin prescription.

  • $35 copay for select insulin


With No Dental Network — see any dentist you prefer! $500 Preventive Dental Care reimbursement each year — use as you see fit toward:

  • Oral Exam and Cleanings
  • Dental X-ray(s), Fluoride Treatments and more.

$500 Comprehensive Dental Care reimbursement each year (at 50% coverage) — use as you see fit toward:

  • Fillings, Restorations
  • Crowns, Root Canals or other care


Routine Eye Exams — $20 copay
Eyewear — $250 annual allowance, use as you wish for:

  • Contact Lenses
  • Eyeglass Frames
  • Eyeglass Lenses


Routine hearing Exams — $0 copay. Hearing Aids — Members enjoy deep discounts, compared to the avg. cost of $2,700 per aid

  • $699 low member copay: advanced 32-channel models
  • $999 low member copay: premium 48-channel models
  • Multiple models to choose from
  • All with smartphone connectivity and 3-yr. warranty

Based on a 2018 third-party survey of nationwide provider and manufacturer retail pricing

Worldwide Travel Coverage

Health care coverage when you travel — included at no added cost. You’re covered when visiting:

  • Mexico or the Caribbean
  • South and Central America
  • Europe, Asia, Australia
  • Note: Travel anywhere in the United States or Canada covered for Emergency coverage

Already a member?

You can find plan benefit information, download reimbursement forms and more at our Member portal.