Members / What’s in Your Plan? / Vitality Plan
Dental
Getting regular dental care is important not only for your teeth and gums, but your overall health.
- No annual benefit maximum for Diagnostic and Preventive services, such as oral exams, cleanings, and X-rays. (Frequency and visit limits apply.)
- $0 deductible and $20 office visit copay for Diagnostic and Preventive services. Coinsurance applies for out-of-network services.
- You must use an FCL Dental participating dental provider for in-network coverage to apply.
- Comprehensive services not included unless you signed up for the optional dental rider for an additional monthly fee when you enrolled.
- Please refer to your Evidence of Coverage for details on in- and out-of-network coverage.
- Visit our Find a Provider page to find an FCL Dental provider.
- For claims questions, call FCL Dental at 1-866-756-4470.
Comprehensive Dental Rider
Here are some important reminders if you signed up for the Comprehensive Dental Rider when you enrolled in the Vitality Plan.
- There is a $45 monthly premium for this rider.
- Covers fillings, dentures, partials, crowns, gum treatments, and more.
- $100 per year deductible. Member coinsurance varies based on service.
- $1,500 annual benefit maximum (combined for in- and out-of-network services).
Refer to your Evidence of Coverage for details on covered services.
Vision
Healthy eyes and vision are important to your well-being.
- $0 copay for in-network routine eye exams. One per year.
- $125 annual eyewear allowance for frames or contact lenses (combined in- and out-of-network).
- $0 copay for lens upgrades (standard progressive lenses, polycarbonate lenses, scratch-resistant coating, and UV protection).
- Members can use their eyewear allowance toward non-prescription sunglasses or blue- light filtering glasses.
- Please refer to your Evidence of Coverage for details on in- and out-of-network coverage.
How to use your in-network vision benefit:
- Create an account at vsp.com. Review your personalized benefit information.
- Find a HealthTeam Advantage provider who’s right for you.
- At your appointment, tell them you have VSP and present your HealthTeam Advantage Member ID card. There are no claim forms to complete when you use an in-network provider.
If you choose an out-of-network provider, call VSP at 855-492-9028 or your Healthcare Concierge for more information.
Getting Started
Search for VSP providers or create your account at vsp.com/advantageretail.
Hearing
Good hearing is important to your health and safety.
TruHearing providers must be used for routine in-network hearing benefits and hearing aids:
- $0 copay for in-network routine hearing exam. One exam per year (in- or out-of-network).
- Coverage includes up to two (2) hearing aids per year.
- Copays for hearing aids range from $399-$899 in-network. There is a 75% coinsurance out-of-network.
- Rechargeable battery options available on select styles ($50 per aid in-network).
- $0 copay for in-network hearing aid fitting/evaluation visits for up to one year after purchase.
- Please refer to your Evidence of Coverage for details on in- and out-of-network coverage.
Getting Started
- Find a participating TruHearing provider by calling 866-201-9886.
- Schedule your exam. (If you need help, contact your Healthcare Concierge.)
- Go to your exam.
- Order hearing aids if needed. Then go for a fitting and follow-up.
Check Your Hearing Online
TruHearing offers an online tool to check your hearing. This doesn’t replace seeing a provider, of course, but offers a simple screening from the comfort of your home. You will need a pair of headphones for the screening, which takes less than five minutes.
Visit TruHearing.com/HealthTeam-HS to get started.
Prescription Drugs
Find the prescription drug information you need to understand your coverage, compare your options, and get the most from your prescription drug benefits.
Use the resource below to look up medications, find a pharmacy, learn about your drug coverage, and explore your prescription drug options.
Fitness
Feel your best with SilverSneakers®
Your fitness benefit includes access to SilverSneakers in a variety of ways at no cost to you.
Activating your SilverSneakers membership is easy:
- Create an online account at SilverSneakers.com/StartHere.
- Log in to access your SilverSneakers ID number.
- Try a virtual class or visit a participating facility.
Important: Always talk to your doctor before starting an exercise program!
Please refer to your Evidence of Coverage for details on in- and out-of-network coverage.
Over-the-Counter (OTC) Allowance
Use this quarterly allowance on OTC medications and supplies.
- You will receive a prepaid debit card in the mail from NationsBenefits®.
- Activate your card by visiting HTA.NationsBenefits.com/Activate or calling 877-205-8005 (TTY 711).
- Visit HTA.NationsBenefits.com to download a catalog, see a list of participating retailers, or place an online order.
- Your allowance is $45 per quarter.
- Allowance is available at the beginning of each quarter (January 1, April 1, July 1, and October 1). Any unused allowance amounts will be forfeited at the end of each quarter and will not be carried forward to the next quarter or new plan year.
- If you have questions about your card, call NationsBenefits at 888-433-1058 (TTY 711).
- If your card is missing, call your Healthcare Concierge.
Flex Fitness
Quarterly allowance for fitness equipment or activities.
The Vitality Plan includes a $50 quarterly allowance for fitness-related activities such as personal trainer fees and items such as weights, yoga mats, and activity trackers.
- You will receive a fitness flex card loaded with your allowance, which you can use in the NationsBenefits® online store or at participating network retailers.
- You cannot carry any unused amounts of your fitness allowance to the next quarter.
- If you have not received your fitness flex card in the mail, contact your Healthcare Concierge.
- Please refer to your Evidence of Coverage for details on in- and out-of-network coverage.
Worldwide Travel Coverage
Emergency coverage while traveling outside the United States.
Coverage for urgent care or emergency care outside the U.S. and its territories includes:
- $45 copay for each urgent care visit
- $130 copay for each emergency care visit
- $50,000 maximum coverage amount per year
- Please refer to your Evidence of Coverage for details.
To use this coverage, follow these steps to be reimbursed:
- Pay for the urgent care or emergency services you receive outside the U.S. or its territories.
- Get receipts for all services provided.
- When you return to the U.S., contact your Healthcare Concierge for instructions on submitting a claim for reimbursement.
- Submit your claim within 60 days of the date you received the service.
Note: Supplemental benefits such as dental, vision, hearing, etc., are not covered outside the United States. Worldwide emergency and urgent care services do not apply to your Maximum Out-of-Pocket (MOOP).
Chiropractic Care
Routine services to support independence and vitality.
- $15 copay for routine chiropractic visits with an in-network provider.
- 50% coinsurance for routine chiropractic visits with an out-of-network provider.
- Up to 18 visits per year for routine services.
- To find a provider, visit our Find a Provider Search Tool or contact your Healthcare Concierge.
- Please refer to your Evidence of Coverage for details on in- and out-of-network coverage.
Nurse Advice Line
Registered nurses are available 24/7 to help you get the care you need.
If you’re feeling under the weather or need an opinion on where to go for care, call the 24-hour Nurse Advice Line at 877-229-8614 (TTY 800-735-8262).
Speak with a registered nurse who can evaluate your needs, help determine next steps based on your injury or illness, and answer general healthcare questions.
Important: For emergencies, always dial 911.
HEALTHCARE CONCIERGE
We’re Here for You
Your Healthcare Concierge is here to help you make the most of your benefits. Just call or email for fast, friendly assistance.
By Email
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April 1-September 30, Monday-Friday
October 1-March 31, 7 Days a Week