Medicare Advantage member benefits

Rewards for living healthy

Live Healthy BlueSM offers personalized recommendations and tools to track your healthy activity through the year and reward you for it! Plus, you have access to an extensive library of articles, videos, decision aids and tools.

Register for Live Healthy Blue and see a full list of qualifying activities.

shutterstock-2361088495.jpg
shutterstock-2463696323.jpg

Benefits for healthy aging and independence

Wellmark Advantage Health Plan® offers Medicare Advantage members free health evaluations, 24/7 nurse access and coverage for preventive services — like exams, vaccines and lab tests. All designed to support health, safety and independence. Learn how to use your benefits to stay healthy as you age.


More benefits

Virtual care

See board-certified doctors online from anywhere with Doctor On Demand®. Doctors can treat a variety of minor ailments and prescribe needed medication. Ask your doctor's office about their telehealth virtual visits and services. Learn more about your virtual care benefit.

Dental coverage

Utilize your preventive coverage for cleanings, exams and X-rays. And most plans include comprehensive coverage for things like fillings, crowns, root canals, bridges, dentures and more.

Find a dentist in the extensive network of Delta Dental dentists: Delta Dental® of Iowa or Delta Dental® of South Dakota

Coverage while you travel

With Wellmark’s Blue Medicare Advantage PPOSM plans, you can travel across the country with confidence, knowing you're covered if care is needed. You’ll have access to the expansive Blues national network and enjoy in-network rates when visiting participating doctors or hospitals. If you choose to see a provider outside the network, a higher cost-share may apply.

Heading abroad? All Medicare Advantage plans include emergency coverage worldwide.

Vision coverage

Your Medicare Advantage vision coverage includes a $0 copay for a routine eye exam once a year.

Plus, for a $0 copay, you get full coverage for single vision, lined bifocal, lined trifocal, lenticular or standard progressive lenses every year. You’ll also have an allowance for elective contact lenses or eyeglass frames every 12 months. You’ll pay any charges above the plan’s allowance.

Your vision benefit offers access to a large national network of providers, including chains like Walmart, Sam’s Club, Costco and Visionworks. — just present your health plan membership ID card at any location. Find an in-network provider: vsp.com/choiceretail.

You can use out-of-network providers, but you will be responsible for costs above the plan’s approved amounts. You will also pay 50 percent coinsurance for out-of-network services.

Visit vsp.com to create an account and view personalized benefit information.

24/7 access to a registered nurse

Whether it’s day or night, speak with a registered nurse whenever you need support. If you have questions about symptoms or need help understanding a doctor’s recommendation, the Wellmark Nurse Advice team is here to assist.

Call 1-833-968-1747, 24 hours a day, seven days a week.

Preventive care

Blue Medicare Advantage covers preventive services to help keep you healthy, like exams, vaccines, lab tests, screenings and more. Learn more about what’s covered in your Evidence of Coverage.

Schedule an annual wellness visit at the start of the year to create a personalized prevention plan with your provider.

In-home health assessments through Signify Health®

Through our partnership with Signify Health, you can receive a free health evaluation either in person or over the phone with a medical doctor, physician assistant, or nurse practitioner. In-home visits include a review of your medications and medical history, blood pressure checks and more.

Visit signifycares.com to learn more.

Fitness benefits through SilverSneakers®

Fitness benefit only included with Blue Medicare Advantage Valor PPO plans.

Get moving and stay social at home with SilverSneakers.

You have access to:

See more SilverSneakers benefits.

Disclaimers

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.

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.

Dental benefits are provided by Delta Dental of Iowa and Delta Dental of South Dakota. These are independent companies providing dental services on behalf of Wellmark Advantage Health Plan, Inc.

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.

Out-of-network/non-contracted providers are under no obligation to treat Wellmark Advantage Health Plan members, except in emergency situations. Please call our Customer Service number or see your Evidence of Coverage for more information, including the cost sharing that applies to out-of-network services.