$1000 of dental services per year
• Preventive and diagnostic services: $0 copay
• Comprehensive services: 50% coinsurance
Hearing aids
$750 in-network only
SSM FlexSpend (HMO-POS)
$
0
Monthly Part B premium reduction
FlexSpend benefit
$500 yearly
Eyeglasses
FlexSpend benefit
Dental
$1000 of dental services per year
• Preventive and diagnostic services: $0 copay
• Comprehensive services: 50% coinsurance
+ FlexSpend Benefit
Hearing aids
$750 In-Network Only
+ FlexSpend Benefit
SSM Harmony (HMO-POS) MA-only
$
50
Monthly Part B premium reduction
FlexSpend benefit^
$500 yearly
Eyeglasses
FlexSpend benefit
Dental
$1000 of dental services per year
• Preventive and diagnostic services: $0 copay
• Comprehensive services: 50% coinsurance
+ FlexSpend benefit
Hearing aids
$750 in-network only
+ FlexSpend benefit
FlexSpend benefit: Prepaid allowance on your WellFirst Wallet Card to be used toward additional dental services, vision services, eyewear, hearing services and hearing aids. Your FlexSpend benefit can be spent at any free-standing dental, vision or hearing facility. You are not restricted to in-network providers.
Out-of-network/non-contracted providers are under no obligation to treat members, except in emergency situations. Most providers are likely to accept you with the out-of-network coverage on your plan.
Call our Customer Care Center at 1-877-301-3326 (TTY:711) or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services.