Perks, Programs, and More

Medicare not including dental, hearing, or vision? That was the old way. Now there’s a new way. Simplete includes these benefits and more with all Medicare Advantage plans.

Vision Coverage

Vision Coverage

Get access to vision services beyond what Original Medicare covers, including a routine vision exam with an in-network provider. Plus, get a $150 allowance for eyewear.

Comprehensive Dental

Comprehensive Dental

Simplete members get $1,500 each year for services Original Medicare doesn’t cover. Your dentist can submit a claim for you directly to us (Simplete) using the claims information on the back of your member ID card.

Simplete plans include all Medicare-covered dental services but also offer non-Medicare-covered dental services as well. These additional benefits include but are not limited to:

  • Oral exams.
  • Cleanings.
  • X-rays.
  • Fluoride treatments.
  • Fillings.
  • Dentures.
  • Denture adjustments and repairs.
  • Crowns.
  • Treatments for gum disease.
  • Bridge work.
  • Root canals and extractions.
Hearing Benefits

Hearing Benefits

Enjoy premium hearing and hearing aid benefits at lower costs thanks to our close partnership with TruHearing®. Get a routine hearing exam for only $45 when you choose a TruHearing provider, plus lower rates on two TruHearing hearing aids per year. Limitations may apply.

Acupuncture

Acupuncture

Your plan is made with acupuncture coverage beyond what Original Medicare covers to give you more access to treatment when you need it.

  • Treatment must be for headache, neck pain or lower back pain diagnoses.
  • You don’t need prior authorization.
  • You can choose any acupuncture provider.
  • A per-visit copay may apply (varies by plan).
  • You or your provider should submit claims using the information on the back of your ID card.

You get access to up to 15 covered visits for headache and neck pain. Coverage for lower back pain treatment includes 12 initial visits with eight additional visits if you’re showing improvement through treatment. Lower back pain visits are limited to 20 per year.

For more information, see your Evidence of Coverage or call the Member Services number on the back of your ID card.

Free In-Network Preventive Care

Free In-Network Preventive Care

Annual wellness visits, routine cancer screenings, flu shots, bone mass measurements, and more are included in your plan at no extra cost.

Anytime Nurse Line

Anytime Nurse Line

Get 24/7 answers to your health questions, like whether you need to set up an appointment or see a doctor right away.

Virtual Care

Virtual Care

Talk to a board certified doctor or counselor by phone or secure video through the Hally® app, 24/7.

Fitness Benefit

Fitness Benefit

Get paid back for a variety of fitness activities. You choose how you want to work out, and we pay you back up to $360 a year. Activities include the following and more:

  • Fitness class fees.
  • Gym memberships.
  • Online fitness subscriptions.
  • Weight loss subscriptions.
  • Ski memberships.
  • Rowing.
  • Golf.
  • Bowling.
  • Tennis.
  • Pickleball.
  • Recreational league fees.
  • Pool exercise classes.
  • 5K/10K race fees.

If your fees are more than $360 a year, you pay the difference. If they’re less, we pay you back the amount you paid. Be Fit doesn’t cover fitness trackers, personal trainers or personal equipment.

With our Be Fit program, you get a free membership to Riverside Health Fitness Center or a reimbursement of up to $360 a year for a variety of fitness activities, like the following and more:

  • Fitness class fees.
  • Gym memberships.
  • Online fitness subscriptions.
  • Weight loss subscriptions.
  • Ski memberships.
  • Rowing.
  • Golf.
  • Bowling.
  • Tennis.
  • Pickleball.
  • Recreational league fees.
  • Pool exercise classes.
  • 5K/10K race fees.

If your fees are more than $360 a year, you pay the difference. If they’re less, we pay you back the amount you paid. Be Fit doesn’t cover fitness trackers, personal trainers or personal equipment.

Wellness Rewards

Wellness Rewards

What’s better than staying healthy? Staying healthy and having a $50 gift card. You can earn a gift card based on certain preventive activities you complete throughout the year.

Quit For Life

Quit For Life®

Quitting tobacco is one of the biggest positive impacts you can make on your health, so we offer this program to help you quit for good with:

  • One-on-one coaching from a quit coach
  • A personalized quit plan
  • Helpful tools, like Text2Quit™
  • Web Coach®, an online learning and support community
Assist America

Assist America

Assist America is ready to help if you have an immediate health need and are 100 miles or more from home. This service connects you to prompt, reliable medical attention and some non-medical services as needed.