Getting care

We make it easy to find and use all the services included in your PriorityMedicare D-SNP health plan.

Vision, dental and hearing coverage

Your plan includes routine vision from EyeMedSM providers, hearing coverage from TruHearingTM providers and preventive dental services through Delta Dental®.

Drug coverage

This plan has no deductible, so you'll pay these amounts for your drugs.
Tier 1: preferred generic drug is the lowest tier and includes preferred generic drugs. $0
Generic drugs: includes generic drugs and brand drugs treated as generic. $0, $1.45 or $4.15 or 15% of the total cost of the drug.
All other drugs: $0, $4.30 or $10.35 or 15% of the total cost of the drug.

Cost share will vary on your LIS status. Specialty drugs are available in a 30-day supply at a time.

What drugs are covered

Medication Therapy Management

Keep up to date on the medications you need with our Medication Therapy Management (MTM) program. We work with specially trained area pharmacists to help you get the best results from your medications while keeping your out-of-pocket costs down. These pharmacists do much more than dispense drugs: they review your current medications and go over any questions you may have.

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Over-the-counter (OTC) allowance

Your plan includes a quarterly over-the-counter (OTC) allowance so you can purchase non-prescription health and wellness products. This allowance does not rolloverfrom quarter to quarter.

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OTC Plus on PriorityMedicare D-SNP + Kroger

Your plan includes a monthly OTC Plus allowance that allows you to purchase over-the-counter items and if eligible, healthy food and produce from Kroger stores. You can also use this monthly allowance to purchase OTC items online or by phone.

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