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.

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.

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.

Members may receive a monthly grocery allowance¹ through NationsBenefits® to spend on thousands of healthy options using a prepaid flex card.

• Once activated, your prepaid flex card can be used at retail locations that operate as grocery stores, including Food Lion, Harris Teeter, Kroger, and Walmart.
• You can also order grocery items from NationsBenefits by phone or online. Home delivery from NationsBenefits has no additional cost.

Chiropractic adjustments may help relieve back pain and increase movement.

• Coverage varies by plan.
• Therapeutic manipulation/adjustment is included.

Both preventive and comprehensive dental services are available with your Sentara Medicare plan. Plus, you will have access to our quality dental network. Coverage includes:

• Preventive dental: $0 copay includes 2 exams, cleanings, bitewing X-rays, and fluoride treatments every 12 months, and 1 full-mouth X-ray every 36 months.
• Comprehensive dental: yearly allowance covers services such as fillings, dentures, and endodontics.
  
   

Sentara Medicare makes it easy to take care of your hearing needs.

• $0 copay for a routine hearing exam every 12 months.
• Fitting and evaluation for hearing aids; maximum of 3 every 12 months.
• One set of hearing aids up to a $2,000 allowance every 12 months.

Your Sentara Medicare plan includes vision coverage.

• $0 copay for a routine exam once every 12 months.
• Allowance for glasses (lenses and frames) and/or contacts.

Your Sentara Medicare plan can help keep more money in your pocket when you take advantage of your OTC quarterly allowance through NationsBenefits.

• Purchase approved OTC products from a catalog by phone or online.
• Allowance every 3 months (January, April, July, October).
• Allowance does not carry over to the next quarter.
  
   

Sentara Medicare members are covered for a fitness benefit through SilverSneakers online and at participating locations² . Through this benefit members:

• Have access to a nationwide network of participating locations.
• 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

Medical transportation

Sentara Medicare helps make sure you have a way to get to your medical appointments.

• Free one-way rides up to your plan’s trip limit.
• Receive routine medical transportation¹ to plan-approved, health-related locations, such as doctor appointments.

Non-medical transportation

• Depending on your plan and eligibility, non-medical transportation^1,3 offers members trips to churches, grocery stores, community events, senior centers, and more.

Receive ready-to-heat meals delivered to your home when you return from an inpatient hospital or skilled nursing facility stay.

• Two meals per day for up to 28 days.
• Prior authorization is required by a health plan care coordinator upon discharge

This in-home, non-medical benefit⁴ connects members with a network of friendly Pals to help with basic daily activities (up to 90 hours per year), including:

• Grocery shopping
• Gardening
• Errands
• Meal preparation
• Board games
• Light housework

• Coverage varies by plan.
• $0 copay.
• Members may obtain up to two bathroom safety devices per calendar year.
• Members will receive safety devices through NationsBenefits®.
• Members can order online through their NationsBenefits member portal, by phone, or by mail. Home delivery has no additional cost.
• This benefit is separate from your OTC benefit and does not take away from your quarterly OTC allowance.

Sentara Medicare provides you with the flexibility of accessing high-quality care from anywhere, at any time. Appointments with a board-certified doctor, counselor, or psychiatrist are available.

• Appointments are available 24/7, 365 days a year.
• Your appointment over the phone or by video chat is secure.
• Doctors can diagnose, treat, and write prescriptions for routine medical conditions.

• Nurse Advice Line is operational 24 hours a day.
• Staffed by professional nurses, providing advice and education.
• 1-800-394-2237

A variety of wellness programs to help you reach your health goals are a part of your Sentara Medicare plan.

• Wellness education on a variety of topics.
• Health self-management training.

Find a complete list of extra benefits included in each Sentara Medicare plan. Simply enter your ZIP code and select View Details.