2024 Benefits That Cover you head to toe.

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

Up to $600 OVER-THE-COUNTER (OTC) BENEFIT

Up to $150/quarter to help you with over-the-counter medications, health and wellness products and first aid supplies.

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!

To request a catalog be mailed to you, please call 1-866-311-3607 (TTY:711)

SilverSneakers® Fitness Membership

Enjoy Fitness and Lifestyle benefits — included at NO cost to you.

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

Meals-at-Home Program ($0 copay)

Up to 20 home-delivered meals at no charge to you for an inpatient stay in either a Hospital or Skilled Nursing Facility

  • Your choice from a menu of meals

  • Includes heart-healthy and carb-conscious selections and other all-American favorites!

  • Order when you wish: up to 7 days before or 30 days after discharge

Transportation Assistance ($0 copay)

  • Knowing you can get to your doctor matters, for your health and peace of mind

  • With Transportation Assistance, you get up to 12 one-way rides, to and/or from approved locations such as your doctor of pharmacy

  • Make your appointments worry-free

  • For non-emergency trips only

IN-HOME Assistance ($0 copay)

This benefit includes up to 6 hours per month of in-home assistance, helping you with things such as:

  • Meal preparation

  • Bathing and grooming

  • Medication reminders

  • Light housekeeping

This benefit supports Instrumental Activities of Daily Living (IADLs).

PERSONAL EMERGENCY RESPONSE System ($0 copay)

  • Lets you call for help at the push of a button

  • Alerts emergency responders and updates family

  • You don’t have to fear those times when you’re by yourself

  • Maintain your lifestyle and peace of mind

Mental Health

  • $0 copays for outpatient individual or group visits and group therapy sessions with a mental health provider through our provider network

  • Experience Health’s Care Support Team can help members find a provider based on their needs, preference and coverage

  • Because great mental health is important to great physical health

Acupuncture

A benefit that’s becoming more and more popular.

  • $50 reimbursement allowance per visit for up to 20 visits per year. $20 visits for chronic lower back pain.

  • Your choice of any NC-licensed acupuncturist


$2,000 FLEXIBLE DENTAL BENEFITS

With No Dental Network — see any dentist you prefer!

$500 Preventive Dental Care reimbursement allowance each year — use as you see fit toward:

  • Oral Exam and Cleanings

  • Dental X-ray(s), Fluoride Treatments and more

$1,500 Comprehensive Dental Care reimbursement allowance each year — use as you see fit toward:

  • Fillings, Restorations

  • Crowns, Root Canals or other care

FLEXIBLE VISION BENEFITS

Routine Eye Exams — $0 copay

Eyewear — $300 annual allowance, use as you wish for:

  • Contact Lenses

  • Eyeglass Frames

  • Eyeglass Lenses

HEARING BENEFITS

Routine Hearing Exams — $0 copay
Hearing Aids†† — Members enjoy deep discounts that can save you hundreds of dollars.

  • $599 low member copay: Advanced 32-channel models

  • $899 low member copay: Premium 48-channel models

  • Multiple models to choose from, including rechargeable ($50 for rechargeable option)

  • All with smartphone connectivity and 3-yr. warranty

Coverage provided by TruHearing 

††Hearing aid purchase includes: first year of follow-up provider visits, 60-day trial period, 3-year extended warranty and 80 batteries per aid for non-rechargeable models.

Worldwide Travel Coverage

You’re covered for Urgent and Emergency Care across the USA and across the world:

  • $60 copay for Urgent Care

  • $120 for Emergency Room

  • $295 copay for Ambulance

Contact our Worldwide Care experts for assistance in coordinating further care.

Home Safety Devices

  • $0 copay for up to two products per year

  • You can install additional safety precautions to help prevent accidents

  • Contact plan for an approved list of products

A full list of eligible devices can be found in the OTC catalog.