Extra benefits

Members with a qualifying chronic condition may receive a monthly grocery allowance on a prepaid flex card.¹ We partner with NationsBenefits® to give you thousands of healthy options.

Using your grocery allowance:

• Shop approved groceries at participating stores such as Food Lion, Kroger, and Walmart.

• Order online from the NationsBenefits member portal or by phone. They will deliver your items at no additional cost.

Members will have to re-attest to their chronic condition and be verified each year. The grocery allowance cannot be used to pay for non-grocery items such as alcohol, tobacco, or firearms, and it cannot be converted to cash. 

The over-the-counter (OTC) products allowance gives members access to hundreds of health and wellness items and first-aid supplies.

• Your OTC allowance is loaded to your NationsBenefits account on the first day of each quarter. 
• Examples of OTC products through NationsBenefits include, but are not limited to: antacids, cold, flu, and allergy relief medicines, compression hosiery, denture care supplies, and toothpaste.

Members have comprehensive and preventive coverage with access to a quality dental network. 

• Preventive dental gives you a $0 copay for two exams, cleanings, bitewing X-rays, and fluoride treatments every 12 months, and 1 full-mouth X-ray every 36 months.
• Members can apply the comprehensive dental allowance to services such as fillings, dentures, endodontics, and extractions.

Members get a $0 copay routine eye exam every year. The yearly allowance goes toward the purchase of eyewear, which includes contact lenses, eyeglass lenses, and frames.

The hearing benefit gives members a $0 copay for a routine hearing exam every year. If hearing aids are needed, members get free fittings and an allowance for a set of hearing aids. 

• The benefit also includes a 12-month warranty, one-time replacement coverage, and up to a one-year supply of hearing aid batteries.

Sentara Medicare members have a fitness benefit through SilverSneakers online and at participating locations nationwide². Through this benefit, members:

• Can take classes and use exercise equipment and other amenities.
• Can enroll in as many locations as they like, at any time.
• Are connected with a support network and online resources through:

o SilverSneakers LIVE classes
o SilverSneakers on-demand videos
o SilverSneakers GO mobile app

Non-medical transportation

Members with qualifying chronic conditions receive non-medical transportation for trips to grocery stores, community events, senior centers, places of worship, etc.^1,3

Routine medical transportation

Transportation to plan-approved, health-related locations, such as doctor appointments.

Sentara Medicare members who qualify receive home-delivered meals after an inpatient hospital or skilled nursing facility stay.

• The ready-to-heat breakfast and lunch/dinner meals are prepared fresh and shipped in insulated boxes.
• Low sodium, diabetic, vegetarian, pureed, kosher, and general wellness options are available.
• Members are shipped up to 56 meals (two meals per day for 28 days).

This in-home, non-medical benefit connects members with a network of friendly helpers. They can help with basic daily activities, including:

• Grocery shopping
• Meal preparation
• Light housework
• Errands
• Gardening
• Tech help

Helpers are available to members for a maximum of 40 hours per year.

Members may order up to two bathroom safety devices each year through NationsBenefits online or by phone.

• Some eligible products include safety bars, shower mats, bath safety benches, handheld shower heads, and more.
• This benefit is separate from the over-the-counter (OTC) benefit and does not take away from your quarterly OTC products allowance.

This benefit covers chiropractic services to help correct a subluxation (when one or more of the bones of the spine move out of position) using manipulation of the spine.

• Members must use a network provider. The provider list can be found under “Find a Doctor” on sentaramedicare.com.

Members can have a $0 copay health appointment over the phone or through video using a computer or smartphone at any time.

• Local, in-network doctors board-certified in internal medicine, family practice, emergency medicine, or a counselor or psychiatrist are available.
• The doctors can diagnose, treat, and write prescriptions for routine medical conditions.
• Appointments are available 24/7/365.

Members have access to our 24/7 Nurse Advice Line when minor illnesses and injuries occur after their doctor’s office has closed. We can help with things like: 

• Eye swelling or infection 
• Mild fever 
• Rash 
• Vomiting 

A professional nurse will answer the call, assess your medical situation, advise you where to seek care, and, if possible, suggest self-care options until you can see your doctor in person. 

Personal emergency response system (PERS) lets eligible members call for help in an emergency by pushing a button. 

• The service is available 24/7. Prior authorization is required for the PERS benefit.

All members have access to health education opportunities.

• Sentara Medicare registered nurses, dietitians, and certified health education specialists help members learn about healthy living.
• Health education opportunities include written materials, video, audio, in-person, telephonic, or online resources.
• Appointments may be required.