Coverage & Benefits

Premera Medicare Advantage coverage

Medicare Advantage plan documents

If you’re a Premera Medicare Advantage member and need to find your plan name, check your Premera ID card.

Below you’ll find commonly used documents, such as the Annual Notice of Change (ANOC), Summary of Benefits and the Evidence of Coverage (EOC).

Keep your mouth looking and feeling young! All plans have preventive and comprehensive dental embedded. You can expect the following and more:

• A $0 copay for routine preventive dental services such as oral exams, cleanings and X-rays
• A $25 annual deductible for covered comprehensive dental services such as fillings, crowns and dentures (as annual comprehensive deductible applies for in-network and out-of-network services)
• Routine oral exams and cleanings
• Periodontal maintenance

According to the Code of Federal Regulations and the Centers for Medicare & Medicaid Services guidelines, hearing aids or exams for the purpose of prescribing, fitting, or changing hearing aids are excluded from coverage under Original Medicare. Premera Medicare Advantage plans help you keep your retirement money safe by paying for costs not covered by Original Medicare alone, like hearing aids.

Hearing Care Solutions (HCS) delivers quality hearing care and hearing instruments at the greatest value to meet your lifestyle needs and includes an annual benefit of $1,000 per ear per year toward hearing aids.

Through Hearing Care Solutions, members receive:

• A hearing aid fitting at no cost
• A 60-day evaluation period to make sure everything feels right
• 1 year of follow-up care at no charge, with the original provider
• Choose from up to 9 major manufacturers

All instruments purchased through Hearing Care Solutions receive:

• 2-year supply of batteries for nonrechargeable devices (up to 64 cells per ear, per year)
• 3-year manufacturer’s warranty, including loss, damage, and repair
• 12-month interest-free financing, available to qualified applicants

To contact Hearing Care Solutions, call 866-344-7756 or visit hearingcaresolutions.com.

Maintain your vision and eye health as you age with Premera vision benefits.

All plans include a routine eye exam and diabetic retinopathy screening once per calendar year. Up to a $250 hardware allowance to purchase lenses and frames or contacts.