We partnered with Delta Dental to provide you dental benefits with no waiting periods or deductibles.
See the Dental Certificate of Coverage for a full list of covered dental procedures.
We partnered with Papa, a company that connects you with screened and trained Papa Pals. Pals provide assistance with organization, light housework, technology and transportation.
We cover 120 hours per year of Papa services. Pals can support you either in your home or virtually. You can call Papa to enroll at 888-282-7665.
We cover $60 quarterly to be used towards the purchase of eligible over-the-counter (OTC) health and wellness products. This benefit is available at the beginning of each quarter (January, April, July, October). Unused dollars will not carry forward to the next quarter.
Your OTC card can be used to purchase items such as:
You can shop:
After you receive your OTC card in the mail, visit Medline or download the OTC app to see the list of all participating retailers, a full list of covered items and to check your card balance.
See the OTC Overview for more details about the program.
We partnered with Lyft to cover 24 one-way personal rides each year to medical appointments and to the pharmacy. If you'd like a ride to an upcoming appointment, call the Customer Care Center and see our Lyft instructions to set up service.
If you are discharged from the hospital or skilled nursing facility, you are eligible to receive 14 meals delivered to your door. If meals are not coordinated through your care manager as part of discharge planning, reach out to the Customer Care Center to access the Moms Meals benefit.
The One Pass fitness benefit includes:
We cover one $0 routine vision exam.
On SSM FlexSpend and SSM Harmony plans, you can use your $500 FlexSpend benefit on eyewear at in-network or freestanding vision providers.
We cover one $0 routine hearing exam and a $750 hearing aid allowance per year at in-network hearing aid providers.
On SSM FlexSpend and SSM Harmony plans, you can use your $500 FlexSpend benefit on hearing aids at in-network or freestanding hearing aid providers.
You can earn up to $150 rewards for completing healthy activities.
Here's how it works:
See Living Healthy Overview for more information about the program and how to log into Living Healthy.
Log into the Member Portal to access Living Healthy Rewards.
We cover 10 routine footcare visits every calendar year. This includes treatment of the foot which is generally considered preventive, i.e., cutting or removal of corns, warts, calluses or nails. You pay your plan’s specialist copay for routine footcare services.
We cover 12 routine chiropractic visits every calendar year.
We provide coverage for emergency and urgently needed services outside of the United States. Members must pay out-of-pocket for worldwide urgent and emergency care services and then request reimbursement by submitting a member paid claim form. Your pay your plan’s emergency copay for emergency and urgently needed services outside of the United States.
Experienced registered nurses are always available to answer your questions and concerns. Nurses are available 24 hours a day, 365 days a year. Call if you're unsure if you need to see a doctor, or if you have other health related questions.
With an SSM Health e-visit you can get a diagnosis, a treatment plan and a prescription if needed for common conditions like upper respiratory infection or allergies, urinary tract infections, tick bites and skin problems from anywhere in Illinois or Missouri at any time. See conditions treated and complete an online health interview. An SSM Health provider will respond within one hour during office hours or first thing the next morning if after hours.