Supplemental Benefits

Dental

Golden State Medicare Health Plan offers benefits beyond Original Medicare, including dental coverage. We contract with Liberty Dental Plan to provide care with in-network dentists.

Liberty Dental Plan also expands its Virtual Dental Services (TeleDentistry) in response to COVID-19. This means you have remote access to a broad spectrum of dental care needs through several digital and telecommunication technologies. Clinicians are accessible by phone or computer from anywhere to address emergency and urgent dental needs.

For more information, go to Liberty Dental Plan’s Teledentistry information page. To find a dentist in your area, go to www.LibertyDentalPlan.com, or call Liberty Dental at (888) 703-6999 between 8am-5pm, Monday-Friday.

To view a list of covered dental services, refer to your 2020 Evidence of Coverage (EOC) booklet on our website at www.gsmhp.com/2020-Plan-Materials, or to request one in print, call us at (877) 541-4111 (TTY: 711) 8am-8pm, daily.


Vision

Golden State Medicare Health Plan members are covered for a routine eye exam through an in-network provider. In addition to annual eye exams, the plan also covers $150 for eyewear every 2 years on a reimbursement basis.

To find an optometrist or optician in your area, refer to your 2020 Provider and Pharmacy Directory on our website at www.gsmhp.com/2020-Plan-Materials, or to request one in print, call us at (877) 541-4111 (TTY: 711) 8am-8pm, daily.

To view a list of covered vision benefits, refer to your 2020 Summary of Benefits on our website at www.gsmhp.com/2020-Plan-Materials.


Acupuncture & Chiropractic Services

Golden State Medicare Health Plan partners with American Specialty Health (ASH) to provide acupuncture and chiropractic benefits.

To obtain an authorization, talk to your Primary Care Physician (PCP) for a referral and they will submit one to ASH for you. Once a request has been submitted by your PCP, you can contact ASH to check the referral status at (800) 678-9133.

To find a specialist in your area, refer to your 2020 Provider and Pharmacy Directory on our website at www.gsmhp.com/2020-Plan-Materials, or call us to request one in print at (877) 541-4111 (TTY: 711) 8am-8pm, daily.

To view a list of covered acupuncture benefits, refer to your 2020 Summary of Benefits on our website at www.gsmhp.com/2020-Plan-Materials.


Gym membership (Silver & Fit)

Stay active! Golden State Medicare Health Plan partners with Silver & Fit to provide you with no cost membership at a participating fitness facility. You can select a fitness club or exercise center from one of Silver & Fit’s network of contracted facilities. You can also opt for the Home Fitness program and receive a wearable fitness tracker.

To get more information on participating fitness facilities or to request an at-home fitness kit, go to www.SilverandFit.com, or call Silver and Fit at (877) 427-4788 (TTY: 711) 5am-6pm, Monday-Friday.


Transportation

Need a ride? Golden State Medicare Health Plan provides you with no cost transportation for health-related visits only. You can schedule 48 one-way trips to plan-approved location within 30 miles every year.

To schedule your ride in advance, call us at (877) 541-4111 (TTY:711) 8am-8pm, daily.


Hearing Aids

If you need hearing aids, Golden State Medicare Health Plan covers routine hearing exams every year. Additionally, we offer up to $400 for hearing aids every two years with authorization.

To find a specialist in your area, refer to your 2020 Provider and Pharmacy Directory on our website at www.gsmhp.com/2020-Plan-Materials, or to request one in print, call us at (877) 541-4111 (TTY: 711) 8am-8pm, daily.


Over-the-Counter (OTC)

Golden State Medicare Health Plan offers over-the-counter benefits on a reimbursement basis. To get more information on your OTC benefit, refer to your 2020 Summary of Benefits on our website at www.gsmhp.com/2020-Plan-Materials.

To review qualifying OTC information, go to www.gsmhp.com/Plan-Resources-and-Forms, or call us at (877) 541-4111 (TTY: 711) 8am-8pm, daily.

Last Update : 05/02/2020