Members / What’s in Your Plan? / Plan I
Dental
Dental
Getting regular dental care is important not only for your teeth and gums, but your overall health.
- No annual benefit maximum for non-Medicare covered Diagnostic and Preventive services, such as oral exams, cleanings, and X-rays. (Frequency and visit limits apply.)
- $100 annual deductible for Comprehensive dental services.
- $1,500 annual benefit maximum for Comprehensive dental services (combined for In- and Out-of-Network Services.)
- Members must use a Dominion Dental participating dental provider for in-network coverage to apply.
- Refer to the Dental Code Quick Reference Guide for administrative coverage details, covered dental procedures and associated dental codes, and frequency and visit limits.
- Refer to your Evidence of Coverage for details on covered services.
- Visit dominiondentists.com/healthteamadvantage to find a Dominion Dental provider.
- For claims questions, call Dominion Dental at 833-208-3848.
Hearing
Hearing
Good hearing is important to your health and safety.
TruHearing providers must be used for routine hearing benefits and hearing aids:
- $25 copay for routine hearing exams. One exam visit per year.
- Up to two (2) TruHearing-branded hearing aids per year.
- Copays for hearing aids range from $299–$799.
- Rechargeable battery options available on select styles ($50 per aid).
- $0 copay for hearing aid fitting/evaluation visits for up to one year after purchase.
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.
Vision
Vision
Healthy eyes and vision are important to your well-being.
- $25 copay for in-network routine eye exams. One per year.
- $125 annual eyewear allowance for frames or contact lenses.
- $0 copay for lens upgrades (standard progressive lenses and scratch-resistant coating).
Using your vision benefit is easy:
- 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 plan details.
Getting Started
Search for VSP providers or create your account at vsp.com/advantageretail.
Over-the-Counter
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 $60 per quarter.
- Your 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.
Fitness
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!
Explore Classes Near YouIn-Home Support
In-Home Support
Friendly helpers offer support with everyday tasks.
We partner with Papa to provide you with in-home, non-medical support services and companionship provided by a Papa Pal.
Papa Pals may assist with house tasks, pet help, companionship, technology help, transportation, and exercise.
- $0 copay for up to 30 hours per year of Papa Pal services.
- To schedule a visit, call Papa at (855) 303-3349 (TTY 711). The initial call will include a brief assessment to help match you with a Papa Pal based on your interests and needs.
- All services must be provided by Papa.
- Learn about Papa’s safety and community guidelines by visiting papa.com/members.
In-Home Meals
In-Home Meal Delivery
Get the support you need with meal assistance.
- Coverage includes up to 28 meals (2 meals per day over a 14-day period) from NationsMarket™.
- Qualifying events include surgery or discharge from an inpatient hospitalization or skilled nursing stay.
- Your Care Management team can work with your healthcare provider to coordinate this benefit.
- Please contact your Healthcare Concierge if this benefit is not initiated by your provider after a qualifying event.
Nurse Advice Line
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.
Worldwide Travel
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:
- $0 copay for each urgent care visit
- $0 copay for each emergency care visit
- $50,000 maximum coverage amount per year
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).
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
8am-8pm
April 1-September 30, Monday-Friday
October 1-March 31, 7 Days a Week