Beneficios del estilo de vida

 

Apoyando las opciones de salud

Apoyar su salud y bienestar incluye brindarle las opciones necesarias para llevar un estilo de vida saludable. Su salud va más allá de visitar a su médico de cabecera, y Banner Medicare Advantage incluye beneficios sólidos que cubren múltiples aspectos de su bienestar.

Did you know your oral health is vital to your overall health? According to the American Heart Association, cardiovascular conditions such as clogged arteries and stroke have been linked to inflammation caused by oral bacteria. That’s why Banner Medicare Advantage includes the following preventive dental health benefits at no additional cost to members:

Banner Medicare Advantage Prime HMO and Plus PPO

  • Periodic, extensive, or limited problem-focused oral exam – 2 every 12 months
  • Limited oral exams – up to 2 every 12 months
  • Comprehensive oral exams – 1 every 36 months
  • Cleaning, periodontal maintenance, or full-mouth scaling – 2 every 12 months
  • Fluoride treatment – 1 every 12 months
  • Bitewing x-ray(s) – 1 every 12 months
  • Intraoral complete, vertical bitewing, or panoramic images – 1 every 36 months
  • Palliative (emergency treatment)
Banner Medicare Advantage Dual D-SNP
  • Periodic, Limited, or Comprehensive oral exam – 1 every 6 months
  • Cleaning – 2 every calendar year
  • Fluoride treatment – 1 every 12 months
  • Bitewing x-ray(s) – 1 set every 12 months

Banner Medicare Advantage members also have the option of purchasing comprehensive dental health benefits such as dental prosthetics, endodontics, oral surgery and more.  

Beneficios de la aptitud física: La aptitud física se presenta de muchas maneras, y usted y su médico de cabecera deben decidir qué tipo de ejercicio o actividades físicas son seguras para usted. Como miembro de Banner Medicare Advantage , puede disfrutar del programa Silver&Fit® de Envejecimiento Saludable y Ejercicio sin costo adicional. El programa Silver&Fit le brinda las herramientas digitales y el apoyo personalizado que necesita para disfrutar de un mejor equilibrio en su vida. Comience su camino envejecimiento saludable con una membresía gratuita a un gimnasio o a la YMCA en un centro participando , además de un kit de ejercicios para el hogar al año. Para obtener más información, visite www.SilverandFit.com .

Silver&Fit es proporcionado por American Specialty Health Fitness, Inc., una subsidiaria de American Specialty Health Incorporated (ASH). Silver&Fit es una marca registrada federalmente de ASH.

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Nutrition and appropriate levels of activity are key to regaining and maintaining optimal health. As a Banner Medicare Advantage member, you’ll have access to free benefits to support optimal nutrition and fitness when you need it most. 

In-Home Meal Program: Arriving home after a stay at a hospital or skilled nursing facility is a great feeling. But, unlike those inpatient facilities, home generally does not include a care team to prepare meals, among other things. Banner Medicare Advantage works with Mom’s Meals to ensure your body has the nutrition needed to support optimal recovery. You may qualify to receive up to 12 nutritionally-balanced frozen meals. For more information, visit www.momsmeals.com.

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If you are enrolled in a Banner Medicare Advantage plan and have complex health needs, you may be able to participate in a Medication Therapy Management (MTM) program. MTM is a service offered by Banner Medicare Advantage at no additional cost to you.

The MTM program helps you and your doctor make sure that your medications are working. It also helps us identify and reduce possible medication problems.

To take part in this program, you must meet certain criteria set forth in part by Medicare. These criteria are used to identify people who have multiple chronic diseases and are at risk for medication-related problems. If you meet these criteria, we will send you a letter inviting you to participate in the program and information about the program, including how to access the program. Your enrollment in MTM is voluntary and does not affect Medicare coverage for drugs covered under Medicare.

To qualify for our MTM program, you must meet ALL of the following criteria: 

  • Have at least 3 of the following conditions or diseases: Chronic Heart Failure (CHF), Diabetes, Dyslipidemia, Hypertension, Asthma, Chronic Obstructive Pulmonary Disease (COPD), AND
  • Take at least 8 covered Part D medications that are chronic/maintenance medications, AND
  • Are likely to have medication costs of covered Part D medications greater than $4,696 per year.

To help reduce the risk of possible medication problems, the MTM program offers two types of clinical review of your medications:

Targeted medication review: at least quarterly, we will review all your prescription medications and contact you, by phone or mail, and/or your doctor if we detect a potential problem.

Comprehensive medication review: at least once a year, we offer a free discussion and review of all of your medications by a pharmacist or other health professional to help you use your medications safely. This review, or CMR, is provided to you confidentially via telephone by MedWiseRx, which provides this service on behalf of Banner Medicare Advantage. This review requires about 30 minutes of your time. Following the review, you will get a written summary of this call, which you can take with you when you talk with your doctors. This summary includes:

Medication Action Plan (MAP): The action plan has steps you should take to help you get the best results from your medications.

Personal Medication List (PML): The medication list will help you keep track of your medications and how to use them the right way.

If you take many medications for more than one chronic health condition, call our Customer Care Center to see if you’re eligible for our MTM program. 

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Banner Medicare Advantage works with Monogram Health to help members with Chronic Kidney Disease (CKD) and End Stage Renal Disease (ESRD). Monogram provides in-home care management services for patients with late stage CKD and ESRD at no additional cost for Banner Medicare Advantage members. Visit https://www.monogramhealth.com for more information.

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Monogram Health Flyer

Banner Medicare Advantage has partnered with Healthy Benefits by Solutran to give you easy access to your over the counter (OTC) benefits. With Banner Medicare Advantage, you will receive a quarterly allowance on your OTC card. You can also use this card to access discounts on everyday products. Click Here to discover discounts and learn more about the benefits you’ll have.

Easy Ways to Shop:

  • In-Store: Shop in participating stores such as Albertsons, CVS, Fry’s, H Mart, Safeway, Walgreens, and Walmart
  • Online: Click Here to order items anytime online using the OTC catalog. Orders will be shipped to you at no extra charge. Please allow approximately 2-5 business days for delivery.
  • Phone: Order items by phone using the OTC catalog: (855) 577-1359, TTY 711, 8 a.m. to 8 p.m., 7 days a week from October to March; and Monday through Friday from April to September.
  • Mobile App: Order items by using the Healthy Benefits+ mobile app. Information on downloading the mobile app will be provided with the OTC catalog.

Programs are available in English and Spanish | Las programas están disponibles en inglés y español

Our Banner Medicare Advantage plans will include additional benefits – at no cost to you – through our Healthy Living programs. We have designed these programs to promote healthy living in the way you desire most to help you enjoy an active, independent lifestyle. View the booklet below for more details.

Banner Medicare Advantage HMO and PPO

Banner Medicare Advantage Dual

Banner Medicare Advantage members who have been diagnosed with diabetes are eligible for the Dial into Diabetes program. This diabetes self-management program is available at no cost and includes telephonic education and support from a team of diabetes specialists, including dietitians, nurses, health care navigators, diabetes educators, health partners, and pharmacists. View the program flyer below for more details.

Wellness Classes are available to our Banner Medicare Advantage members at no cost. Classes will be available throughout the year both in person as well as online. You may choose to participate in one of three classes:

  1. Know Your Health Numbers
  2. Healthy Cooking – Simplified
  3. Nutrition for a Healthy Heart

View the program flyer below for more details.