Dental, Vision & Hearing

Dental

Don’t worry, CareSource Medicare Advantage also covers your smile. No matter which plan you choose, preventive dental services have $0 copay.

2020 Dental Coverage

 CareSource Advantage® Zero Premium (HMO)CareSource Advantage® (HMO)
 $1,000 Annual Limit For Comprehensive
 Covered/
Not Covered
Copay/
Coinsurance
Covered/
Not Covered
Copay / Coinsurance
Preventive DentalCovered$0 CopayCovered$0 Copay
Comprehensive Dental (Outside Medicare Covered)Not CoveredN/ACovered$0 Copay / 30-50% Coinsurance, $1000 limit

Vision

CareSource has partnered with EyeMed Vision Care® to bring a Medicare Advantage vision benefit solution that offers more…

  • Access to EyeMed’s Insight network, a vision network made up of the right mix of independent providers, national retail and regional retail providers, including:
    • Independent Provider Network, LensCrafters, Pearle Vision, Target Optical, Sears Optical and JCPenney Optical
  • Service that is always open to new patients and without an appointment

  • Locations with extended evening and weekend hours in convenient locations

  • Online solutions that allow members and their caregivers, to evaluate options at home and reduce stress at the provider office

  • Benefit options that offer more flexibility, choice and savings

2020 Vision Benefits

CareSource Advantage® Zero Premium (HMO)CareSource Advantage® (HMO)
Routine Exam with Dilation as Necessary$0 copay$0 copay
Exam to Diagnose and Treat Diseases and Conditions of the Eye$50 copay$50 copay
$100 allowance per year toward eyeglass frames, eyeglass lenses or contact lenses$130 allowance per year toward eyeglass frames, eyeglass lenses or contact lenses
Eyewear (includes frames and lenses, 1 every year; in lieu of contacts)$0 copay; $100 allowance$0 copay; $130 allowance
Contact Lenses (conventional) 
in lieu of eyeglass lenses
$0 copay; $100 allowance$0 copay; $130 allowance
Eyewear or Contact Lenses after cataract surgery$50 copay$50 copay

Additional Savings…

  • 40% off additional pair discount

  • 20% off non-prescription sunglasses

  • 15% off retail or 5% off promotional price LASIK

Hearing

CareSource has partnered with TruHearing to provide you with high-quality hearing aids and local professional care at a fraction of the cost. Traditional Medicare doesn’t offer a hearing aid benefit, leaving you to pay $2,000–3,000 per hearing aid on the retail market. Your plan covers up to two hearing aids per year.

2020 Hearing Benefits

In-NetworkCareSource Advantage® Zero Premium (HMO)CareSource Advantage® (HMO)
Routine Hearing Test

$0 copay; 1 every year$0 copay; 1 every year
Exam to diagnose and treat hearing and balance issues$50 copay$45 copay
Hearing aid fitting/evaluation$0 copay$0 copay
Hearing Aids$699/999 copay per hearing aid, one aid per ear per year$499/799 copay per hearing aid, one aid per ear per year

Call TruHearing at 1-855-205-5499 (TTY: 711) to learn more and to find a network provider.

Information about benefits and services for the 2019 plan year can be found in the 2019 Summary of Benefits, 2019 Evidence of Coverage and other documents on the Plan Documents page.