Page 24 - Prominence Member Guide - North Texas

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Additional Extra Benefits
Vision Benefit
• Prominence Medicare Advantage Members must use the National Vision Administrators (NVA) network.
• You are entitled to one $0 copay routine eye exam each calendar year with an NVA in- network provider.
• For Plus, Giveback, Diabetes & Heart and Extra Help plans, your vision benefit covers either eyeglasses or contact lenses up to $200 total. Beyond and Dual plans provide $300 per year. You will be responsible to pay any costs exceeding that amount.
Please note: You will also be responsible for all costs for services and/or materials from a provider not in the network.
If during the year, you would like an additional routine eye examination or additional eyeglasses or contact lenses, you may obtain the services or materials at a discounted rate.
To find an NVA in-network provider, please call 1-888-429-4550 (TTY:711) or visit prominencemedicare.com/vision
Hearing Aid Coverage
Hearing aid allowance: $600 per ear/per year for the Plus, Beyond, Giveback, Diabetes & Heart and Extra Help plans. The Dual plan offers $3,000 for both ears combined.
Your plan covers a routine hearing exam and the hearing aid benefit is included with no additional monthly premium.
You must receive your hearing tests from a Hearing Care Solutions network provider, where as a Prominence member you can receive:
• Comprehensive hearing exam at no charge
• Hearing aid evaluation at no charge
• Fixed, discounted pricing at multiple levels of technology
• A wide selection of fully digital instruments
• A choice of up to 9 major manufacturers
• Access to an audiology physician and product specialists to respond to your questions
or make recommendations
• A choice of more than 4,500 locations nationwide
All instruments purchased through Hearing Care Solutions include:
• Hearing aid fitting at no charge (hearing aids must be purchased from Hearing Care Solutions, who will assist you through the entire process)
• Three year manufacturer’s warranty including loss, damage & repair
• Two year supply of batteries (up to 64 cells per ear, per year)
• 60-day evaluation period
• 12 month interest-free financing available to qualified applicants.
To schedule an appointment or talk to a representative call 866-344-7756 (TTY:711). Member out-of-pocket per hearing aid amount varies based on technology level selected.
Transportation Benefit
Our Plus and Diabetes & Heart plans provide 24-one way trips to transportation to health- related locations. Our Extra Help and Dual plans offer 48 trips to health related locations. Conditions and limitations apply. To schedule transportation, please call Member Services at least 72 hours in advance.