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Preventive Dental Services through Delta Dental

Our individual Medicare health plans cover certain preventive dental care through Delta Dental of California and its DeltaCare(R) USA Dental HMO program. Some basic preventive, diagnostic, and periodontal services are covered such as two oral exams and cleanings per year. Refer to your Evidence of Coverage for full benefit details. To learn more about your assigned dentist or select a new dentist online, visit deltadentalins.com, under “Find a dentist” enter your home ZIP code and select “DeltaCare USA Medicare” as your network. You can also call Delta Dental Customer Service at 1-877-644-1774 (TTY 711), Monday through Friday, 8 a.m. to 8 p.m. EST; 7 days a week, October 1 - March 31, 8 a.m. to 8 p.m. EST.

Our Medicare Medi-Cal health plans cover comprehensive dental care through Delta Dental of California and its DeltaCare® USA Dental HMO program at no cost to dual-eligible beneficiaries. Refer to your Evidence of Coverage for full benefit details. To learn more about your assigned dentist or select a new dentist online, visit deltadentalins.com, under "Find a dentist" enter your home ZIP code and select "DeltaCare USA Medicare" as your network. You can also call Delta Dental Customer Service at 1-877-644-1774 (TTY 711), Monday through Friday, 8 a.m. to 8 p.m. EST; 7 days a week, October 1 - March 31, 8 a.m. to 8 p.m. EST. In addition, certain dental services, including but not limited to cleanings, fillings, and dentures, may also be available through the Medi-Cal Dental Program or FFS Medi-Cal. For information on Medi-Cal dental coverage, call 1-800-322-6384 (TTY 1-800-735-2922). You may also visit the website at smilecalifornia.org.

Silver&Fit® Healthy Aging and Exercise Program [See footnote 1]

The Silver&Fit program is available to Medicare Individual Plan members as part of our optional Advantage Plus package. Enroll here. To learn more, download the Advantage Plus brochure or visit www.SilverandFit.com or call Silver&Fit toll-free at 1-877-750-2746 (TDD/TYY 711), Monday through Friday, 5 a.m. to 6 p.m. Pacific time.

The Silver&Fit program is also available to Senior Advantage Medicare Medi-Cal (HMO D-SNP) plan members.

We cover routine eye exams (eye refraction exams) to determine your needs for vision correction and to provide a prescription for eyeglass lenses or contact lenses.

Our Kaiser Permanente Senior Advantage Value (HMO) and Senior Advantage Enhanced (HMO) plans include eyewear coverage. We cover prescription eyeglasses and contact lenses once every 24 months. Your supplemental benefits include an allowance to use toward the purchase of eyewear from a plan optical facility, such as Vision Essentials by Kaiser Permanente. A prescription is required.

Your allowance can be used to pay for the following items:

• Eyeglass lenses when a network provider puts lenses into a frame.
• Eyeglass frames when a network provider puts two lenses (at least one of which must have refractive value) into the frame.
• Contact lenses, fitting, and dispensing.

To learn more about the eyeglasses and contact lenses that we offer, visit our Vision Essentials website at kp2020.org. This benefit allowance may also be increased if you are enrolled in Advantage Plus. See your Evidence of Coverage for more details and information on the allowance included with your Medicare health plan.

Dual-eligible members in Medicare Medi-Cal plans get a $350 eyewear allowance to use toward the purchase of prescription eyeglasses and contact lenses once every 12 months from a plan optical facility, such as Vision Essentials by Kaiser Permanente. A prescription is required. See your Evidence of Coverage for more details and information on the allowance included with your Medicare health plan.

Get OTC health and wellness products delivered to your home. You can use your quarterly benefit to order:

• Vitamins and minerals
• Allergy, cough, and cold remedies
• Antacids, laxatives, and stomach aids
• Pain relievers and fever reducers
• First aid kits, joint supports, and incontinence products
• Blood pressure monitors and thermometers
• Diabetic supplies such as compression stockings and sharps containers

To learn more, visit kp.org/otc/ca, download our OTC product catalog (PDF), also available in Chinese [中文本] (PDF) or call us at 1-833-569-2360 (TTY 711) Monday through Friday, 7 a.m. to 5 p.m.

Refer to your Evidence of Coverage for full benefit details and information on the allowance applicable to your Medicare health plan.

Our Medicare Individual Value and Enhanced plans include hearing aid coverage. We cover the evaluation and fitting for hearing aids, visits to verify that your hearing aid conforms to your prescription, and visits for hearing aid adjustments and cleaning at no cost. This benefit includes an allowance per hearing aid, per ear once every 36 months, depending on your plan type to use toward a hearing aid purchase from a network audiology provider. A prescription is required. See your Southern California Provider Directory for a list of network audiology providers.

This benefit allowance will increase if you are enrolled in Advantage Plus. See your Evidence of Coverage for more details and information on the allowance included with your Medicare health plan.