2024 Benefits That Cover you head to toe.

If you are looking for coverage to begin before January 1, 2024, please click here.

The Experience Health Medicare Advantage SM (HMO) plan includes valuable extras like these:

Up to $600 OVER-THE-COUNTER (OTC) BENEFIT

Up to $150/quarter to help you with over-the-counter medications, health and wellness products and first aid supplies.

Choose from hundreds of quality products including:

  • First aid supplies

  • Cold and flu remedies

  • Pain relievers and vitamins

  • And more

Order online, by phone or mail

 Shipping is FREE!

To request a catalog be mailed to you, please call 1-866-311-3607 (TTY:711)

SilverSneakers® Fitness Membership

Enjoy Fitness and Lifestyle benefits — included at NO cost to you.

Membership to thousands of fitness locations: over 190 in the Triangle!

  • Group Exercise classes for all abilities

  • Fun activities outside the gym

  • SilverSneakers® On-Demand online workout videos

  • SilverSneakers GO™ mobile app

Meals-at-Home Program ($0 copay)

Up to 20 home-delivered meals at no charge to you for an inpatient stay in either a Hospital or Skilled Nursing Facility

  • Your choice from a menu of meals

  • Includes heart-healthy and carb-conscious selections and other all-American favorites!

  • Order when you wish: up to 7 days before or 30 days after discharge

Transportation Assistance ($0 copay)

  • Knowing you can get to your doctor matters, for your health and peace of mind

  • With Transportation Assistance, you get up to 12 one-way rides, to and/or from approved locations such as your doctor of pharmacy

  • Make your appointments worry-free

  • For non-emergency trips only

IN-HOME Assistance ($0 copay)

This benefit includes up to 6 hours per month of in-home assistance, helping you with things such as:

  • Meal preparation

  • Bathing and grooming

  • Medication reminders

  • Light housekeeping

This benefit supports Instrumental Activities of Daily Living (IADLs).

PERSONAL EMERGENCY RESPONSE System ($0 copay)

  • Lets you call for help at the push of a button

  • Alerts emergency responders and updates family

  • You don’t have to fear those times when you’re by yourself

  • Maintain your lifestyle and peace of mind

Mental Health

  • $0 copays for outpatient individual or group visits and group therapy sessions with a mental health provider through our provider network

  • Experience Health’s Care Support Team can help members find a provider based on their needs, preference and coverage

  • Because great mental health is important to great physical health

Acupuncture

A benefit that’s becoming more and more popular.

  • $50 reimbursement allowance per visit for up to 20 visits per year. $20 visits for chronic lower back pain.

  • Your choice of any NC-licensed acupuncturist


$2,000 FLEXIBLE DENTAL BENEFITS

With No Dental Network — see any dentist you prefer!

$500 Preventive Dental Care reimbursement allowance each year — use as you see fit toward:

  • Oral Exam and Cleanings

  • Dental X-ray(s), Fluoride Treatments and more

$1,500 Comprehensive Dental Care reimbursement allowance each year — use as you see fit toward:

  • Fillings, Restorations

  • Crowns, Root Canals or other care

FLEXIBLE VISION BENEFITS

Routine Eye Exams — $0 copay

Eyewear — $300 annual allowance, use as you wish for:

  • Contact Lenses

  • Eyeglass Frames

  • Eyeglass Lenses

HEARING BENEFITS

Routine Hearing Exams — $0 copay
Hearing Aids†† — Members enjoy deep discounts that can save you hundreds of dollars.

  • $599 low member copay: Advanced 32-channel models

  • $899 low member copay: Premium 48-channel models

  • Multiple models to choose from, including rechargeable ($50 for rechargeable option)

  • All with smartphone connectivity and 3-yr. warranty

Coverage provided by TruHearing 

††Hearing aid purchase includes: first year of follow-up provider visits, 60-day trial period, 3-year extended warranty and 80 batteries per aid for non-rechargeable models.

Worldwide Travel Coverage

You’re covered for Urgent and Emergency Care across the USA and across the world:

  • $60 copay for Urgent Care

  • $120 for Emergency Room

  • $295 copay for Ambulance

Contact our Worldwide Care experts for assistance in coordinating further care.

Home Safety Devices

  • $0 copay for up to two products per year

  • You can install additional safety precautions to help prevent accidents

  • Contact plan for an approved list of products

A full list of eligible devices can be found in the OTC catalog.