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NEW 2022 Extra Benefits

When you choose an ATRIO or Saint Mary's ATRIO PPO plan, you get the below extra benefits that Original Medicare does not cover. If you join one of our Medicare Advantage Special Needs Plans, you get extra benefits like OTC and Moms Meals.

Benefits

Dental and Fitness Benefits with a NEW Flex Card

ATRIO is offering a flex card program which works just like a debit card to pay for your dental and fitness benefit. Depending on which plan you chose will depend on how many flex dollars you get to spend on covered dental and gym membership fees. You will have a certain amount to use for each. Every time you use the flex card, the amount will be deducted from your card like a debit card. Just swipe your Flex card to pay for services!

  • Dental: You will receive $750, $1,000, or $1,250 (depending on plan choice and service area) - Use these Flex dollars to help pay for preventive and comprehensive dental services with any dental provider.
  • Fitness Benefit: You will receive $250 or $550 (depending on plan choice) - Use these flex dollars to help pay for gym membership fees.

To view your Flex Card balance, report a lost card, request a new card, or have other questions about the Flex Card benefit, go to the Flex Portal or call 1-800-371-2119 (TTY 711), Monday-Friday, 8 a.m. to 11 p.m. EST. This benefit is being administered by Wex.


Routine Vision

Vision coverage is administered through VSP® Vision Care. As a member, you will receive access to care from great eye doctors, quality eyewear, and the affordability you deserve.

You receive an annual routine eye exam and up to a $150 allowance towards eyewear every 2 years.

To locate a VSP provider, visit vsp.com/advantageonly

VSP Customer Service: 1-844-344-0572

VSP Flyer


Routine Hearing

Routine Hearing services are provided by Amplifon. Receive an annual routine hearing exam and coverage of top-level hearing aids at affordable prices. Members pay a $699 - $999 copayment per hearing aid, up to 2 per year.

You must see an Amplifon provider to use this benefit. To find an Amplifon provider near you, visit amplifonusa.com/lp/atriohp or call 1-866-375-0563 (TTY 711) Monday through Friday 8 a.m. to 5 p.m. PST.

Amplifon Program Overview

Amplifon Frequently Asked Questions


Meals

Better health begins with meals we eat. We recognize the importance of having access to the right nutrition, which is why we have partnered with Mom’s Meals to provide you meals after an inpatient or skilled nursing facility stay, and for those receiving home health services. If approved through prior authorization, you pay $0 for up to two (2) meals per day for 14 calendar days (28 total meals) once per year.

In addition, if you are just interested in eating healthier and receiving ready to heat and eat meals at your doorstep, our members can order meals online (for up to $8.99 per meal), pay out-of-pocket for those meals, but receive FREE shipping on every order. That’s a $15 savings for our members. Eating healthy just got easier!

  • Menus are health-specific, designed to support nutritional needs of the most common health conditions
  • Meals arrive refrigerated to your home; just heat and enjoy in 2 minutes or less
  • Contact Customer Service to find out more information or request prior authorization for meals after a qualifying event

Visit momsmeals.com/ATRIO to order meals that you will pay for out-of-pocket with free shipping


Over-the-Counter Items

Convey provides our members with a robust Over-the-Counter Items benefit. Member's receive a quarterly credit of $35 - $90 (depending on plan choice and service area) to buy over-the-counter items from a list of eligible products. Place an order online, over the phone, or by mail through the OTC Catalog.

Talk to your healthcare provider to see if OTC items are the right choice for you. Below are just few a examples of the popular OTC drugs and items available:

  • Pain relievers, including Tylenol (acetaminophen), Ibuprofen, Lidocaine cream/patch, and diclofenac gel
  • Heartburn medicines, including Tums, Pepcid AC, and Prilosec (omeprazole)
  • Antihistamines/decongestants for allergy or cold symptoms
  • Eye drops for lubricating or cleansing

To place an order, go to atriootcshop.com or call Convey to speak to an OTC advocate at 1-855-253-5768 (TTY 711), Monday - Friday, 8 a.m. to 11 p.m. EST

OTC Catalog

OTC Flyer

For a complete list and description of benefits, including extra benefits, refer to your Evidence of Coverage booklet.