2023 Additional Benefits

Committed to meeting your health care needs.

In addition to providing coverage if you ever need medical services, we want to help you stay healthy and improve your overall well-being. Health New England Medicare Advantage also offers various tools and clinical programs designed to help our members stay healthy, seek care, manage complex health conditions and manage medications.*

*Medication management for members enrolled in a Health New England Medicare Advantage plan with prescription benefits.

Dental Allowance

Dental Allowance

A benefit worth smiling about.

Dental Benefits

Mom's Meals

Mom's Meals

Food delivered to your door.

Meal Service

MTM

MTM

Medication Therapy Management program for Medicare Advantage members.

MTM Benefit

Healthy Directions

Healthy Directions

WebMD portal for health and wellness resources and more.

Access WebMD

Teladoc

Teladoc

Get access to U.S. board-certified physicians 24/7/365 through Teladoc.

Access 24/7 Care

EyeMed

EyeMed

Coverage for eye exams, contacts and glasses.

Vision Care Benefits

TruHearing

TruHearing

Coverage for hearing aids.

Hearing Benefits

Over-the-Counter

Over-the-Counter

Over-the-counter items available through Optum.

OTC Allowance

Get Support for Managing Complex Conditions with our Care Management Team

Our Care Management programs are available to help members with long-term health challenges. Experienced care managers and care coordinators will help manage your care and your relationships with physicians and health care providers. If you are going through a period of illness or managing a chronic health condition, we encourage you to take advantage of this special program to manage your health and help reduce your health care costs. Once enrolled into a program, a nurse or social worker will work with you to help you manage your health condition and risk factors through regular phone calls and check-ins.

  • Behavioral Health (including depression, mental health, substance use disorder and social case management)
  • Complex Care Management
  • Care Coordination
  • Disease Management (including asthma, chronic obstructive pulmonary disease, congestive heart failure, coronary artery disease, diabetes and hypertension)
  • Diabetes and Congestive Heart Failure Care Management Program For members who have been diagnosed with both Diabetes and Congestive Heart Failure (CHF), you may be eligible to enroll in our Diabetes/CHF Care Management Program. Please talk to your doctor. Upon enrollment and successful completion of the Diabetes/CHF Care Management Program, you will be eligible for copayment reimbursement for visits with your primary care provider, endocrinologist, podiatrist, cardiologist, certified diabetic educator, and nutritional counselor.
  • Falls Prevention Program For members who have an abnormality of gait diagnosis or are at risk for falling, you may be eligible to enroll in our Falls Prevention Program. Please talk to your doctor. The goals of this program are to decrease falls, thereby preventing injuries and hospital or rehab stays, and maintain your independence. Upon enrollment and successful completion of the Falls Prevention Program, you will be eligible for copayment reimbursement for your physical and occupational therapy.
    • Do you think you are at risk for falling? Use this resource to evaluate your risk for falling and bring with you to your next PCP visit
  • Kidney Health Management Program We partner with Healthmap Solutions to deliver comprehensive care for members with chronic kidney disease (CKD) and end-stage renal disease (ESRD). Healthmap’s Kidney Health Management (KHM) program works with your doctor to identify and support your health needs, while helping you manage your chronic condition.
  • Opioid Treatment Program Services Members with opioid use disorder (OUD) can receive coverage of services to treat OUD through an Opioid Treatment Program. 

This program is available to help Medicare Advantage members plan a smooth transition after a hospital stay. We offer one-on-one support from a certified nurse at no additional cost. The nurse offers coaching that will help guide you before and during your transition to home or a rehabilitation facility.

Health New England works closely with Matrix Medical Network to offer a comprehensive in-home health visit at no cost to Medicare Advantage members. If you meet the criteria for eligibility, you will be contacted by Matrix to schedule a visit at your convenience in your home. The Matrix visit is nearly an hour of uninterrupted time with a licensed, board-certified medical provider who reviews your medical history and medications, and can answer your health questions. If you’d like more information about a Matrix in-home health visit, call (855) 205-0431 or go to MatrixForMe.com.

Last updated: 10/1/22