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Personalized Care Team

Your Registered Nurse Care Coordinator helps ensure seamless communication and collaborative care with regular, personalized in-room visits; coordinated clinical care; and direct member access

Over-the-Counter Allowance

$300 quarterly allowance to spend on eligible health products using the Simpra Benefits Mastercard® Prepaid Card

Transportation Services

$0 copay and 8 one-way trips to approved health-related locations

Hearing Care

$0 copay and $2,000 hearing aid credit for both ears combined every 2 years

Vision Care

$0 copay for eye exam and up to $230 eyewear credit every year

Social Companion Support

$0 copay and up to 55 hours of social visits for eligible residents. Social Companions spend time with members and offer conversation, help with activities or phone calls. Your RN Care Coordinator will help determine if you are eligible.

Podiatry

$0 copay and 6 routine foot care visits every year

Prescription Medication

Prescription drug coverage, plus pharmacy coordination and monitoring

Skilled Nursing Facility Care

No 3-day hospital stay required

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A Simpra representative will contact you to answer your questions.

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    Your request will be considered active for 12 months
    from the date you submit it.

    Simpra Advantage Nursing Home Plan is a PPO I-SNP with a Medicare contract. Enrollment in Simpra Advantage depends on contract renewal. Simpra Advantage complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.

    Eligibility rules apply to some supplemental benefits. Not all members qualify. Visit the Find a Plan tab to download the Evidence of Coverage for this plan for complete benefit descriptions including eligibility requirements for Special Supplemental Benefits for the Chronically Ill (SSBCI). SSBCI for this plan is the Social Companion Support benefit.

    The Benefits Mastercard® Prepaid Card is issued by The Bancorp Bank N.A., Member FDIC, pursuant to license by Mastercard International Incorporated and card can be used for eligible expenses wherever Mastercard is accepted. Valid only in the U.S.No cash access. This is not a gift card or gift certificate. Prepaid cards are distributed as a gratuity without the payment of any monetary value or consideration. This card cannot be used to pay for prescription drugs or products that are not eligible. Product exclusions include alcohol, tobacco, firearms and gift cards. If you would like to buy items that are not eligible, you will need to use another form of payment.

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