Policies & Procedures
Page last updated: October 01, 2023
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Silver SneakersDental HealthHearing HealthVision HealthCustomer Experience TeamOver-the-CounterTelehealthMom’s MealsAcupunctureDental Plus
SilverSneakers® Included Benefit
More than a fitness program.
Feel Your Best With SilverSneakers
SilverSneakers is a program designed with you in mind. Enroll in a Care N’ Care PPO or HMO plan to have the opportunity to join, at no extra cost, a group of like-minded people focused on maintaining good health and independence.
The SilverSneakers Experience
SilverSneakers is much more than a fitness program – it’s a way for you to achieve your best health in mind, body and spirit.
Dental Health Included Benefit
Cleaning and Coverage.
Oral health is important. Healthy teeth can impact your overall health and improve confidence. Care N’ Care (HMO/PPO) has you covered! Our PPO and HMO plans include dental benefits* provided by DentaQuest.
Hearing Health Included Benefit
Your journey to better hearing.
Better hearing helps you stay connected to the ones you love and is important to your health— that’s why Care N’ Care (HMO/ PPO) offers a hearing aid benefit through TruHearing® on our PPO and HMO plans. Hearing aids can be expensive—our hearing benefit makes addressing hearing loss more affordable.
Vision Health Included Benefit
Be kind to your eyes.
Sight is an important part of staying safe and independent. Your eyes deserve good care and attention. With Care N’ Care (HMO/PPO), all plans include a vision benefit powered by EyeMed to keep your eyes young and healthy.
Customer Experience Team
Local and Personal Service.
At Care N’ Care (HMO/PPO), members have access to a Customer Experience Team based in North Texas who are dedicated to answering questions and helping to understand benefits.
Your Care N’ Care Customer Experience Team can help:
- Explain health benefits
- Find a healthcare provider
- Verify health plan coverage and assist with claims and billing process
Over-the-Counter Included Benefit
Easy and convenient savings.
Over-the-counter (OTC) drugs and supplies can be expensive. That’s why Care N’ Care Health Plan (HMO/PPO) offers a way to save money on these items and have them conveniently delivered to your home, saving you time and money.
From dental floss to bandages – We’ve got the everyday products you need!
Telehealth Benefit Included Benefit
The quality care you need from the comfort and safety of your home.
MDLIVE Telehealth Benefits
Your Care N’ Care (HMO/PPO) benefits cover MDLIVE virtual doctor visits. When your primary care physician isn’t available use MDLIVE. Get convenient care for minor illnesses and other non-emergency medical conditions-without having to leave your couch. Available 24/7.
Mom’s Meals Included Benefit
Better health begins with the meals we eat.
At Care N’ Care (HMO/PPO) health plan, we recognize the importance of having access to the right nutrition, which is why we have partnered with Mom’s Meals.
Whether recovering from a stay in the hospital or skilled nursing facility or managing a chronic condition, we ensure you get the nutrition you need for better health.
Acupuncture Included Benefit
Acupuncture for chronic lower back pain.
Care N’ Care (HMO/PPO) offers acupuncture to relieve discomfort or those having trouble controlling pain with more-conventional methods. The benefits cover up to 12 visits in 90 days for Medicare beneficiaries under the following circumstances.
For this benefit, chronic low back pain is defined as:
- Lasting 12 weeks or longer
- Nonspecific, in that it has no identifiable systemic cause (i.e., not associated with metastatic, inflammatory, infectious, etc. disease)
- Not associated with surgery
- Not associated with pregnancy
EXTRA, EXTRA!
Supplemental Dental Rider gives you additional coverage, if you need it.
Sometimes we need a little something extra to care for our teeth. Care N’ Care (HMO/PPO) offers a supplemental dental rider to fill the gap, provided by DentaQuest.
Care N’ Care’s PPO and HMO Plans help meet most of your everyday dental needs. The dental rider covers services most often used without the need for a referral or preauthorization.
Get the right plan for you.
Call one of our Medicare Specialist today at 1-800-994-1076 (TTY 711). They are available 8 a.m. to 8 p.m., CST seven days a week from October 1 – March 31, or 8 a.m. to 8 p.m., CST, Monday through Friday April 1 – September 30 to help with any questions you may have.
