Part D Prescription Drug Coverage
Jade features Part D Prescription Drug Coverage, including $0 copays for Tier 1 preferred generic drugs, Tier 6 vaccines and common over-the-counter (OTC) drugs – even through the coverage gap!
You select the benefits to add to already-built-in comprehensive medical and prescription drug (Part D) coverage.
Here’s how it works: In addition to core supplemental benefits listed below, you select a total of FIVE additional supplemental benefits to add to your plan.
Part D Prescription Drug Coverage
Jade features Part D Prescription Drug Coverage, including $0 copays for Tier 1 preferred generic drugs, Tier 6 vaccines and common over-the-counter (OTC) drugs – even through the coverage gap!
Dental Coverage
Through our partnership with Delta Dental of Ohio, you’re covered for two cleanings and exams, an X-ray plus visits for dental pain through the Delta Dental Medicare Advantage PPO network. And, New for 2023! Enhanced Dental Coverage through the Delta Dental Network!
Vision Coverage
You’ll receive an annual reimbursement to use toward the purchase of frames/lenses or contact lenses with the freedom to purchase anywhere you choose. Coverage also includes diagnostic and routine vision exams for a $0 copay.
Our plans have built-in worldwide* emergency, urgent care coverage and ambulance services too, so you can travel close to home, or around the world, worry-free.
Massage Therapy
You're covered for up to 10 therapeutic massage therapy visits.
Acupuncture
You're covered for up to 10 general acupuncture visits.
Fitness Tracker
One Fitbit® fitness tracker per calendar year. These wearable health and wellness devices encourage physical activity through accountability and achievements for better health outcomes. Each Fitbit must be ordered through SummaCare’s vendor, Tivity Health.
Toenail Trimming
Up to six visits per calendar year. Trimming performed by in-network podiatrists.
Nutrition Coaching
Up to four visits per calendar year. Services provided by a SummaCare registered dietitian or via Teladoc.
BrainHQ Memory Fitness
SummaCare is excited to offer
BrainHQ — your online headquarters
for working out your brain.
Think of it as a personal gym, where you exercise your memory, attention, brain speed, people skills, intelligence and navigation instead of your abs, delts and quads. Just as our bodies require care and exercise over the course of life, so do our brains—especially as we age. BrainHQ provides the exercise your brain needs to be at its sharpest.
SilverSneakers®
The SilverSneakers fitness program is the nation’s leading wellness program for Medicare beneficiaries. You’ll receive a fitness membership at no cost to you with access to basic amenities, group exercise classes and online resources at over 17,000 participating fitness locations.
Papa Pals
Hang Out and Help Out. Papa pairs older adults and families with Papa Pals for companionship and assistance with everyday tasks. Get help around the house, including light housework, a ride to the doctor’s office, pharmacy (or anywhere around town), help with errands or simply someone to talk to. Providing support to SummaCare Medicare Advantage members also offers relief and respite to caregivers.
Chiropractic Care
Up to 10 office visits and all
manipulations from in-network
chiropractors are included in Jade plan
coverage.
Transportation
You're covered for up to 24 one-way trips
to medical appointments. Most trips can
be scheduled in as little as 15 minutes
and you can see providers throughout
SummaCare’s 33-county service area.
Indoor Air Quality*
One air purifier per calendar year.
Benefit available to members who have
an identified high risk of adverse health
outcomes due to chronic respiratory
conditions, participate with Care
Management Services, or who meet
program criteria. The purifier must be
obtained through HOMELINK or members
will be responsible for the full cost of
the unit.
* Requires a diagnosis of COPD - including asthma, chronic bronchitis and/or emphysema.
Post-Discharge or Chronic Care** Meal Delivery
Healthy, fully-prepared, nutritious meals
created by chefs and registered dieticians
and delivered directly to your home.
Choose either 28 meals post-discharge or
84 meals for chronic care.
** Requires a diagnosis of diabetes mellitus and/or congestive heart failure.
Flex Card for Vision, Dental & Hearing
Up to $550 Benefit Bucks on your
SummaCare VISA card to be used to pay
dental, hearing or vision providers directly
for any out-of-pocket expenses you may
incur. The card is not a credit card. The
debit card may not be redeemed for cash
or used to pay for another individual’s
expenses. Unused balances will not roll over
to the next calendar year. If a provider does
not accept debit card payments or if there
is a card transaction failure, members may
submit a claim form for reimbursement
along with the original printed, itemized
provider receipt.
Healthy Grocery Allowance**
$40 allowance per month. Benefit may
be used to purchase healthy grocery
items—an essential step in managing
chronic medical conditions and helping
maintain or improve your overall health.
Items such as tobacco or alcohol
products are excluded. Unused grocery
benefit balances will not roll over to
the next month or calendar year. Make
purchases using your SummaCare
VISA card at any of more than 62,000
participating retailers nationwide.
** Requires a diagnosis of diabetes mellitus and/or congestive heart failure.
PERS (personal Emergency Response System)
The PERS (Personal Emergency
Response System), offered through
ConnectAmerica, provides 24/7
emergency assistance and care — and is
GPS-enabled to work outside the home.
Home Safety Devices
$400 for home safety devices, such as
grab bars, shower stools and more.