Stay healthy

Health and wellness

Living a healthy life starts with taking good care of yourself. And keeping your life in step with good health doesn't have to be tricky. Explore the wide range of resources, support, and services available to our Medicare Advantage members in 2025.

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Dental, vision, and hearing

Staying healthy includes taking care of your oral health, vision, and hearing. That's why all of our 2025 Medicare Advantage plans offer robust dental, vision, and hearing benefits. There are NO copays for routine in-network dental, vision, and hearing exams; hearing aid fittings and evaluations; and more. And other in-network dental, vision, and hearing services are much more affordable, too.

Regular dental care not only keeps your smile intact and your mouth healthy; it also helps catch other potential health problems before they become more serious. Taking care of your vision can help prevent falls and maintaining good hearing can reduce your risk of social isolation and dementia.

Members receive access to benefits such as:

• $0 copay for one in-network oral exam and teeth cleaning every six months and — new for 2025! — two dental consultations every 12 months
• Annual allowance for comprehensive in- or out-of-network dental services including implants, fillings, root canals, crowns, partial bridges, dentures, anesthesia during oral surgery, and more
• $0 copay for one in-network routine eye exam every year
• One pair of eyeglasses (frames and lenses) or contact lenses covered per year:
  • Eyeglasses are covered in full when purchased from the Davis Vision Collection
  • $200 allowance to pay for eyeglasses when purchased from Visionworks^®1
  • $100 allowance to pay for eyeglasses when purchased from a Davis Vision provider
  • Or a $100 allowance every year for contact lenses (instead of eyeglasses)
• $0 copay for one in-network routine hearing exam every year
• Unlimited hearing aid fittings and evaluations for the first year — at no cost through TruHearing

Visit our Find a doctor, dentist, or pharmacy page to find a participating AmeriHealth Medicare Dental Network dentist, Davis Vision provider, or TruHearing provider.

Learn more about routine dental, vision, and hearing coverage by reviewing your 2025 Evidence of Coverage (EOC).

Primary care provider

Primary care is an important part of staying healthy — and a primary care provider (PCP) can be your main partner in doing just that! A PCP will get to know your health history and medical issues, and provide basic medical care, including annual health checkups. They will also answer your health-related questions and helps coordinate services with specialists and other providers.

AmeriHealth Medicare PPO plans don't require you to choose a PCP, but it's still a good idea as they will help coordinate your care. Whether you choose a PCP or not, you don't need a referral to visit a specialist.

You may choose a PCP who's in our network or one who isn't, but you'll generally pay less with an in-network PCP.

To find in-network doctors, hospitals, and other health care centers use our online Find a Provider tool.

Find a provider

Preventive care

Many health conditions are easier and less expensive to manage when they're detected early. That's why visiting your PCP and prioritizing preventive care is so important!

An annual wellness visit with your PCP is available at no cost — so schedule yours today! During this visit, you can:

• Review your medical and social history
• Identify any risk factors you might have for various health conditions
• Learn about recommended preventive screenings, tests, and vaccines

AmeriHealth Medicare Advantage plans pay for a yearly checkup with your PCP. They also pay for many preventive screenings at no cost to you, including tests for:

• Breast cancer
• Bone mass
• Colorectal cancer
• Diabetes
• Eye problems
• Kidney disease
• High blood pressure

And you can also get common shots to protect you from diseases at no cost. (Note: Most shots covered by Part B and D are free for you.)

View a list of preventive screenings, vaccines, and other preventive care services at Medicare.gov.

AmeriHealth Care Card

Available to all AmeriHealth Medicare Core PPO, AmeriHealth Medicare Enhanced PPO, and AmeriHealth Medicare Secure PPO members, your AmeriHealth Care Card is a convenient way to save money and access your quarterly over-the-counter (OTC) allowance and annual dental, vision, and hearing (DVH) flex benefit allowance. Two allowances, on one card.

Quarterly over-the-counter (OTC) benefit allowance

Your OTC benefit includes a quarterly allowance preloaded on your AmeriHealth Care Card to spend on eligible OTC health and wellness items at participating stores. Use your allowance to pay for things like cold and allergy medications, first aid supplies, blood pressure cuffs, and more. View our top 30 OTC products available for purchase.

Shop at a participating store or from home!

• In-store: Visit mybenefitscenter.com, use the OTC Network^® App, or call the Member Help Team for a full list of participating stores and eligible products.
• Online: Shop online at conveybenefits.com/ah. View the Convey Catalog for a list of available items.
• By phone: Call 1-833-684-8472 (TTY/TDD: 711) to place your order with a Convey OTC specialist, Monday through Friday, 8 a.m. to 11 p.m.

Your OTC allowance is provided quarterly (every three months) and does not roll over to the next quarter if it is not used.

Annual dental, vision, and hearing (DVH) flex benefit allowance

In addition to the OTC benefit, eligible plan members receive an annual DVH allowance preloaded on their AmeriHealth Care Card to pay for out-of-pocket dental, vision, and hearing expenses. Services and products must be provided by a licensed dental, vision, or hearing provider that accepts the AmeriHealth Care Card. Your allowance does not roll over to the next benefit year.

Learn more about the OTC and DVH flex benefit allowances.

Have questions about your AmeriHealth Care Card and how it works?

Take a look at our frequently asked questions for answers! Or call the Member Help Team.

Telemedicine

Save time and money with telemedicine through Teladoc Health

It's not always easy or convenient to go to a health appointment. With Teladoc Health, you can get virtual care from wherever you are — with a $0 copay!

General medical care: You have 24/7 access to board-certified doctors who can diagnose and treat non-emergency conditions such as sinus infections, flu, sore throats, allergies, earaches, pink eye, and more.

Mental health care: Schedule visits with a licensed therapist, psychologist, or psychiatrist and get support for depression, anxiety, stress, grief, and more.

Dermatology: Connect online with a board-certified dermatologist who can provide timely answers to questions about new or chronic skin conditions like rashes, acne, eczema, and rosacea.

Get care from the comfort of your home via your computer, tablet, or smartphone. Visits are available in several languages through an interpreter, including American Sign Language (ASL).

Learn more about your 2025 Telemedicine benefit.

Fitness membership

Stay active with a free fitness membership through One Pass^®!

A One Pass membership gives you access to physical, social, and mental fitness programs. You can visit one of the many gyms in the One Pass network (including local YMCAs), take in-person or virtual classes, attend social events and classes, receive a fitness kit shipped right to your door, get access to brain workouts, and more!

Getting started with One Pass is simple

Create a One Pass account to get your unique One Pass member code and access all that One Pass offers, both in person and online.

To get started visit youronepass.com or call One Pass at 1-877-504-6830 (TTY/TDD: 711), Monday through Friday, 9 a.m. to 10 p.m.

To locate a participating gym near you, visit Find a gym near you.

Learn more about this fitness benefit.

Personal health visits

AmeriHealth has contracted with Complex Care Solutions, an independent company, to offer you a personal health visit at no cost. A personal health visit can help you stay up to date with your health care in between your regular doctor's visits. It is meant to support your overall health in addition to, not as a substitute for, any other doctor's appointments you have scheduled.

This in-person or virtual appointment is with a licensed medical professional and will last about 45 minutes to one hour. The medical professional will perform a detailed physical exam, review and discuss your health history, and address any questions or concerns you have. They will always share your exam results with your regular doctor.

As a bonus when you complete your personal health visit, you'll be mailed a gift card! Participation in this program is not mandatory, and the visit will not affect your health benefits or premiums.

AmeriHealth rewards*

Doing the right thing for your health is full of rewards. As a Medicare Advantage member, you may be eligible to redeem rewards from some of your favorite retailers.

We created this program to make it easy — and extra rewarding — to stay healthy. It all starts with an Annual Wellness Visit available at no cost to redeem your first reward. Then, you can redeem rewards for additional activities.

Behavioral Health Care Navigation

As an AmeriHealth Medicare Advantage member, you have access to behavioral health services and resources. Our trained Behavioral Health Care Navigators are here to help you:

• Understand your needs and provide information about treatment options
• Find in-network care and connect you with a provider quickly
• Offer support during difficult times
• Connect you to the right resources, to ensure the coordination of your behavioral health needs

Members should call the number on the back of your member ID card under Mental Health/Substance Abuse. Members can also call 1-800-809-9954 (TTY/TDD: 711) to reach our Behavioral Health Care Navigation team.

Registered Nurse Health Coaches and Case Managers

Set, achieve, and maintain your health goals with an AmeriHealth Registered Nurse Health Coach available at no additional cost! Members have 24/7/365 access to speak with a Registered Nurse Health Coach.

Health Coaches and Case Managers are specialized registered nurses and licensed social workers who will work with you to:

• Answer your health-related questions
• Assist you in managing chronic health condition(s)
• Identify emerging health risks
• Follow your doctor's treatment plans
• Navigate your health journey
• Access support for stress, depression, or anxiety

To get started, call 1-888-968-7241 (TTY/TDD: 711) 24 hours a day, seven days a week.

Enhanced Disease Management services

Health Coach services provide extra help to eligible members with chronic health conditions. You may be referred to a Health Coach by your treating physician, or a Health Coach may call you to assess your overall health and well-being.

You have the right to opt in or opt out of these services. Simply advise your Health Coach or case manager at any time if you wish to end your relationship with them. You may also call the number on the back of your member ID card and ask that you not be contacted by a Health Coach or behavioral health case manager in the future.

Transportation to health visits

Our transportation benefit provided by Roundtrip makes it easier for you to get to and from your essential health visits at no cost. Receive 12 one-way rides (or 6 round-trip rides) per benefit year to plan-approved facilities. Available for AmeriHealth Medicare Core PPO and AmeriHealth Medicare Enhanced PPO plan members.

Book and manage your rides through the Roundtrip Rider app or call 1-877-587-4309 (TTY/TDD: 711). Representatives are available 24/7.

You can also go to roundtriphealth.com/ah for quick start guides, FAQs, and to visit the Roundtrip online portal.

Learn more about the transportation benefit.

 

¹An affiliate of AmeriHealth has a financial interest in Visionworks, an independent company.

 

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Website last updated: 2/10/2025