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. The types of dental care that may be covered by your CareSource Advantage plan can include teeth cleanings, exams, x-rays and other services. CareSource has partnered with DentaQuest to administer dental benefits. You can find a network dental provider or dental specialist by visiting FindADoctor.caresource.com or by contacting DentaQuest directly.

2022 Dental Coverage

 

CareSource Advantage® Zero Premium (HMO)

CareSource Advantage® (HMO)

 

Covered/
Not Covered

Copay/
Coinsurance

Covered/
Not Covered

Copay / Coinsurance

Preventive Dental

Covered

$0 Copay

Covered

$0 Copay, $1,000 annual limit shared with comprehensive coverage

Comprehensive Dental (Outside Medicare Covered)

Not Covered

N/A

Covered

30-50% Coinsurance, $1,000 annual limit shared with preventive coverage

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, as well as many regional and national retail providers, including:
    • Independent Provider Network, LensCrafters, Pearle Vision and Target 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

2022 Vision Benefits

CareSource Advantage® Zero Premium (HMO)

CareSource Advantage® (HMO)

Routine Exam with Dilation as Necessary

$0 copay, one per year

$0 copay, one per year

Exam to Diagnose and Treat Diseases and Conditions of the Eye

$50 copay

$50 copay

Eyewear & Contact Lenses (includes frames and lenses, one every year)

$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 or Contact Lenses after cataract surgery

$50 copay

$50 copay

Call EyeMed at 1-866-248-2011 (TTY: 711) to learn more and to find a network provider.

Additional Savings…

  • 20% off additional pair discount
  • 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 obtained from a TruHearing provider..

2022 Hearing Benefits

In-Network

CareSource Advantage® Zero Premium (HMO)

CareSource Advantage® (HMO)

Routine Hearing Test

$0 copay, one routine hearing exam every year

$0 copay, one routine hearing exam every year

Exam to diagnose and treat hearing and balance issues

$50 copay

$45 copay

Hearing aid fitting/evaluation

$0 copay, three hearing exams for fitting/evaluation for hearing aid(s)

$0 copay, three hearing exams for fitting/evaluation for hearing aid(s)

Hearing Aids

$699/999 copay, one hearing aid per ear per year. Maximum coverage amount: No plan coverage limit

$499/799 copay, one hearing aid per ear per year. Maximum coverage amount: No plan coverage limit

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