Group 3

The Special Needs plan built for you. 

A Medicare Advantage Special Needs Plan and Medicaid Advantage Plus (MAP) Plan, Hamaspik Medicare Choice serves dual-eligible individuals (Medicare and Medicaid) with all Medicare Part A and Part B covered services, prescription drug coverage, long-term care services, and a host of additional benefits — all with $0 premiums.

  • Premiums & copays $0
  • Prescriptions $0
  • Outpatient services $0
  • Emergency care $0

  • OTC - Over-The-Counter Health Items (Over $2,500 annually)

  • Healthy Food and Produce Benefit ($900 annually)

          * Eligible members may use $75.00 per month of their “Over the Counter benefit" for the purchase of food and produce.

  • Help with Your Utility Bills ($900 annually)

          * Eligible members may use $75.00 per month of their “Over the Counter benefit" to pay for your monthly utility expenses.

#Over-The-Counter Health Items (Over $2,500 annually)

Your membership in Hamaspik Medicare Choice includes coverage for Over-the-Counter (OTC) health products.

  • Members may receive up to $215 per month in benefits.
  • Hamaspik Medicare Choice covers all of the OTC products that are approved by Medicare.
  • When you enroll, you will receive a pre-loaded debit card, which is valid for purchase at plan approved retail locations. Just activate the card by calling the toll-free number
    on the card, and you can start to use your benefits.
  • You can use your benefits card at many local pharmacies and department stores.
  • If you prefer, you can also order your OTC items online or by phone, and your purchase will be shipped to your home for no additional charge.

Healthy Food and Produce Benefit ($900 annually)

Hamaspik Medicare Choice is pleased to offer this special supplemental benefit for our members who have chronic illnesses. We want to offer this benefit because healthy food is especially important if you suffer from these medical conditions.

  • Eligible members may use $75.00 per month of their “Over the Counter Health Product (OTC)” benefit, for the purchase of food and produce.
  • When you enroll, you will receive a pre-loaded debit card, which is valid for purchase at plan approved retail locations. Just activate the card by calling the toll-free number on the card, and you can start to use your benefits.
  • You can use your benefits card at many local stores.
  • Click here to review a list of the types of products that you can purchase.

To determine if you are eligible for these benefits:

If you have been diagnosed with three or more chronic conditions (listed below), you may be eligible for the Healthy Food and Produce benefit. We will determine if you are eligible based on information provided by your physician(s) and your annual Health Risk Assessment. 

 

Groceries

Help with Your Utility Bills ($900 annually)

Hamaspik Medicare Select can assist you with your monthly utility bills, including electric, gas, water, and phone services. This special supplemental benefit is available to our members who have chronic illnesses, because maintaining your connections to vital services is an important factor in keeping you healthy.

  • Eligible members may use $75.00 per month of their “Over the Counter Health Product (OTC)” benefit to pay for your monthly utility expenses.
  • When you enroll, you will receive a pre-loaded debit card, which can be used at your local utility provider to pay by mail, online, or in person.
  • Just activate the card by calling the toll-free number on the card, and you can start to use your benefits.
Bills

Health & fitness services

Regular exercise is an important factor in remaining as healthy as possible. Your Hamaspik Medicare Select membership includes access to a wide selection of fitness options, provided by our partner “Silver and Fit.” Your fitness benefits include:

  • Participation in one of our contracted gyms and fitness centers throughout the service area and nationally.
  • Exercise classes, through live on-line classes and thousands of on-line videos.
  • One home fitness kit, from a selection of wearable fitness trackers, weights, yoga equipment, pilates equipment, or swimming equipment.
  • One-on-one unlimited coaching sessions by phone.

Through our vast network of highly skilled providers, members of Hamaspik Medicare Choice (HMO D-SNP) are entitled to everything Medicare offers, plus many of your Medicaid benefits, and more:

  • Visits to your primary care physician
  • Visits to specialists
  • Inpatient & outpatient hospital care
  • Emergency & urgent care
  • Ambulance services
  • Home health services
  • Durable medical equipment
  • Mental health services(inpatient & outpatient)
  • Comprehensive dental plan
  • 24-hour nurse hotline
  • Outpatient lab and diagnostic test
  • Acupuncture

 
  • Physical therapy, occupational therapy, and speech/language pathology
  • Dental care
  • Hearing health services
  • Eye Exams & Eyewear
  • Over-the-counter health items($215 monthly)
  • Healthy food and produce
  • Assistance with household utility costs
  • Personal care services (including CDPAS)
  • Adult day care services
  • Meal delivery
Excer

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