2023 Extra plan benefits
Blue Medicare Advantage HMO and PPO from Wellmark Advantage Health Plan provides convenient, all-in-one coverage and affordable plan premiums. On top of that, members have access to no-cost healthy benefits, like the SilverSneakers® fitness program, as well as several other benefits like vision, dental and hearing coverage.
More dentists. More choices. More coverage for 2023.
Our Iowa plans include preventative and comprehensive dental coverage with access to a broad network of dental providers in Iowa. Starting in 2023, dental services will be provided by Delta Dental® of Iowa. To locate a participating dentist, search the network directory at Delta Dental External Site.
For our South Dakota plans, members are covered for preventive dental services such as checkups and cleanings as well as comprehensive coverage for things like fillings, crowns, root canals, bridges, dentures, etc. Plus, you’ll have the largest dental network in South Dakota with Delta Dental External Site® of South Dakota.
Prescription drug savings.
Drug coverage that gets you the medications you need at prices you can afford.
With no deductible and many drugs covered, all Blue Medicare Advantage plans provide you an excellent value for your prescription needs. We work hard to keep medication prices down, because people who take their medications as prescribed have better health outcomes.
When you choose to use a preferred pharmacy in the network, you’ll get the greatest savings. Find a preferred pharmacy External Site in your area.
Find a drug list (formulary) External Site Drug policies and programs opens new window
Coverage that travels with you.
With Blue Medicare Advantage PPO plans, you can go to any doctor or hospital in the Blues’ broad network and pay in-network rates. You may visit any out-of-network Medicare doctor or hospital, but may pay a higher cost share. Our Blue Medicare Advantage HMO plan provides emergency and urgent coverage nationwide.
As you travel outside of the United States you have the security of emergency and urgent coverage worldwide with all Blue Medicare Advantage PPO and HMO plans.
Out-of-network/non-contracted providers are under no obligation to treat Wellmark Advantage Health Plan members, except in emergency situations. Please call the customer service number on the back of your Wellmark Advantage Health Plan ID card, or see your Evidence of Coverage for more information, including the cost- sharing that applies to out-of-network services. Visit the Forms and Resources page for more information.
Over-the-counter (OTC) product allowance.
Your Blue Medicare Advantage plan includes an OTC product allowance. Use your allowance to purchase health and wellness products such as first-aid supplies, pain relievers, cough, cold and allergy medicine, and more at participating retailers. Or, through our approved vendor, NationsOTC External Site®, you can purchase OTC products conveniently online or by phone.
NationsOTC® is a registered mark of NationsBenefits, LLC, an independent company that provides over-the-counter benefits administration on behalf of Wellmark Advantage Health Plan, Inc.
Valuable vision care.
Get an annual eye exam at no cost and save money on eyeglasses and contact lenses. Choose from a large national network of providers and optometrists. Find a vision provider through VSP External Site.
VSP® is a registered mark of Vision Service Plan, an independent company that provides vision administrative services on behalf of Wellmark Advantage Health Plan, Inc.
Meals to help you recover and stay healthy.
Wellmark Advantage Health Plan understands the importance of having access to the right nutrition which is why we partnered with Mom’s Meals. Whether recovering from a stay in the hospital or skilled nursing facility, we want to ensure you get the nutrition you need for better health. A case manager works with you and coordinates the meal program right for you. Refer to your Evidence of Coverage for more information.
Mom’s Meals® is a registered trademark of PurFoods, Inc., an independent company providing home-delivered meals on behalf of Wellmark Advantage Health Plan, Inc.
Fitness benefits through SilverSneakers®.
The SilverSneakers fitness program External Site helps you stay active. Take online classes from home or visit any of the more than 15,000 participating gyms nationwide. The best part? It comes at no cost to you as a Wellmark Advantage Health Plan member.
SilverSneakers® is a registered mark of Tivity Health, Inc., an independent company that provides health and fitness programming on behalf of Wellmark Advantage Health Plan, Inc.
Exceptional hearing aid benefits.
Hearing coverage through NationsHearing External Site® gives you access to the most advanced hearing aids, as well as personalized education and support.
NationsHearing® is a registered mark of NationsBenefits, LLC, an independent company that provides hearing administrative services on behalf of Wellmark Advantage Health Plan, Inc.
Stress less with our 24/7 nurse line.
Speak to a registered nurse any time you need — day or night. Whether you have questions about your symptoms or need guidance after a doctor’s recommendation, our Nurse Advice team is there to support you. Just call, 24 hours a day, 7 days a week.
Access to providers without leaving home.
See a doctor in person or from home through a virtual visit. Blue Medicare Advantage plans include telehealth benefits through Doctor on Demand External Site® for an easy, low-cost way to get care.
Doctor On Demand is a separate company providing an online telehealth solution for Wellmark members. Doctor On Demand® is a registered mark of Doctor On Demand, Inc.
Get help with surgery decisions.
Surgery is an effective way to treat many conditions, but it may not be the right choice for everyone. If your doctor has mentioned surgery, you may think there's no other option. But you have a choice.
That's where Welvie My SurgerySM External Site comes in. Welvie is a program that helps you decide whether surgery is the right decision for you and if it is, walks you through surgery prep and recovery.
Welvie My SurgerySM is a service mark of Welvie, LLC, an independent company that provides a surgery decision-making program on behalf of Wellmark Advantage Health Plan, Inc.
Get rewarded for your healthy lifestyle.
Get the most from your health plan by using a new health and wellness program, Live Healthy BlueSM, exclusively for Medicare Advantage members. The program provides personalized recommendations and tools to track and reward you for completing healthy activities through the year. Plus, find a robust library of articles, videos, decision aids and tools to help you on your journey to better health. Register at WellmarkAdvantageHealthPlan.com/Live-Healthy to see a full list of qualifying activities.
Live Healthy Blue is a service mark owned by the Blue Cross Blue Shield Association. Blue Cross®, Blue Shield® and the Cross and Shield Symbols are registered service marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans. Wellmark is a registered mark of Wellmark, Inc.
Personal Emergency Response Services (PERS).
Available through select plans, this free device can be worn around your neck to lessen the worry of having a health emergency while alone. In the event of a fall, injury, chest pain, or other health issue, the PERS device contacts dispatch for help with the simple push of a button. Find out more at NationsResponse External Site®.
NationsResponse® is an independent company providing response alert solutions on behalf of Wellmark Advantage Health Plan, Inc.
A focus on prevention.
Blue Medicare Advantage pays for many preventive services to keep you healthy, including exams, vaccines, lab tests, screenings and more. Your one-time "Welcome to Medicare" preventive visit is also covered for a healthy start to your retirement journey.