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Not yet a member?
Call Member Services at 602-586-1730 or 1-877-436-5288 (TTY 711). We’re here for you 8 a.m. to 8 p.m., 7 days a week.
Beyond Original Medicare
With Mercy Care Advantage, you get more benefits beyond Original Medicare. Here are some highlights. Read more about them later on this page.
Dental care
We’re now covering dentures for the first time ever. Learn about everything from cleanings and oral exams to fluoride treatments and X-rays.
Over-the-counter (OTC) benefit
It’s easy to save money and support your health with the OTC benefit for nonprescription medicine or supplies. Every month, you can get up to $100 of OTC products.
Vision care
Keep your eyes as healthy as they can be. Get one eye exam each year at $0 copay and $300 toward glasses (frames and lenses) and contact lenses every year.
Rides
Need a ride to your health visit? You have up to 42 one-way rides or 21 round-trip rides every year.
Even more benefits
You get these benefits too, beyond Original Medicare.
Need a little adjustment? See a chiropractor for up to 12 routine visits every year at $0 copay.
View the 2024 Dental Benefit Guide
Taking care of your teeth is part of good health. You can use these preventive benefits for $0 copay:
- One cleaning every six months
- One fluoride treatment every six months
- One oral exam every six months
- One set of X-rays per year
- One full mouth/Panorex X-ray every three years
You get comprehensive dental coverage with a $5,000 limit each year. Until you reach the limit, you have no copay on:
- Extractions (pulling teeth)
- Crowns
- Fillings
- Root canals
- Dentures
- Some periodontic treatments (for gums and bone that surrounds and supports teeth)
- Some oral and maxillofacial surgeries (to treat disease, fix injuries or correct problems in the face, jaw or mouth)
Denture coverage includes:
- Removable dentures
- Relines
- Rebases
- Repairs
- Adjustments
- Anesthesia
You don’t need prior authorization (PA). This means you don’t need approval from your plan beforehand.
Our dental providers work with DentaQuest. Need help finding a network dentist? Call us at 602-586-1730 or 1-877-436-5288 (TTY 711). We’re here for you 8 a.m. to 8 p.m., 7 days a week.
For routine hearing health or extra help. Get one hearing exam per year at $0 copay. Plus, you can get up to $1,900 every two years for your hearing aids. Also with $0 copay.
Variety isn’t just the spice of life. Eating a different range of foods supports your health, too. After you leave the hospital (discharge), you can get 14 packaged home-delivered meals from Mom's Meals.
- You can choose your meals in your discharge planning process.
- You’ll get meals at your home within 24 to 72 business hours after Mom’s Meals gets notice.
- Mom's Meals will make a welcome call within 24 to 48 hours to schedule your meal delivery date.
Want more info? Call us at 602-586-1730 or 1-877-436-5288 (TTY 711).
Call the Nurse Line with your general health questions 24 hours a day, 7 days a week. It doesn’t take the place of your primary care physician (PCP), so be sure to follow up later.
Call us at ${MCA_MS_phone_1} or ${MCA_MS_phone_2} (TTY 711). We're here for you ${MCA_MS_hours}. After hours, choose the option to “speak to a nurse.”
It’s easy to save money and support your health with the OTC benefit.
You can get OTC drugs with no prescription for minor health problems. You get $100 dollars a month for OTC nonprescription drugs and health and wellness goods.
What OTC products can I get?
You can get OTC drugs and other health and wellness items like:
- Blood pressure monitors
- Cough, cold and allergy products
- Digestion, laxatives and antacid products
- First aid
- Pain relief (aspirin, ibuprofen and naproxen)
- Skin care
- Vitamins
Generic drugs are as safe and effective as brand-name drugs. It’s FDA-approved and costs you less.
Check the 2024 OTC Catalog English (PDF) | Spanish (PDF)
How do I get OTC products?
You can order OTC products once a month from the comfort of home. Allow 7 to 10 business days for delivery. You pay nothing for shipping. Just order:
- Online
- By phone: Call OTC Health Solutions at 1-833-331-1572. You’ll need to give your name and member ID when you call.
Or shop in person anytime. Check the catalog for items at some CVS Pharmacy® stores.
Helpful info about your OTC benefit
- Any amount you don’t use expires at the end of each month.
- You can get one blood pressure monitor each year.
- You can get up to 5 of any other items each time you shop.
Questions? Call OTC Health Solutions at 1-833-331-1572. They can answer questions, give you product info and help with your order. Or call us at ${MCA_MS_phone_1} or ${MCA_MS_phone_2} (TTY 711). We're here for you ${MCA_MS_hours}.
Don’t forget about your feet. We cover a routine visit every three months at $0 copay.
Did you know that you can get rewards when you take care of your health? We’ll show you steps you can take for better health. The more you do, the more you'll earn. Get started with rewards.
You have up to 42 one-way rides or 21 round-trip rides every year.
You can use rides for these benefits:
- Chiropractic
- Dental
- Hearing aids
- OTC items at some CVS Pharmacy® stores
- Podiatry
- Vision
- Wellness programs
Set up a ride to your health visit at least 3 days before. If you call on the same day as your visit, we may not be able to arrange a ride in time. Call us at ${MCA_MS_phone_1} or ${MCA_MS_phone_2} (TTY 711). We're here for you ${MCA_MS_hours}.
What is telehealth?
Telehealth is when we use technology to give health care, info or education at a distance. You connect with a provider with two-way audio and video. We work with MDLIVE to give you telehealth. So your visit is secure (private).
How to sign up
You can sign up:
- Online: Create an account. You can make an appointment 24 hours a day, 7 days a week.
- By phone: call MDLIVE at 1-888-918-1769 (TTY 1-800-770-5551)
Once you have an account, you can browse doctor profiles. You can also see open appointment times and schedule a visit with a provider. Or have a video visit from 7 a.m. to 9 p.m., 7 days a week.
For a video visit, you need to have an Arizona address. You also need to be in the state of Arizona during your appointment. State law doesn’t allow phone-only visits.
Our vision benefit preferred provider is Nationwide Vision. To find a provider, use the phone number listed in the contact quick reference chart. If you receive vision benefit services from a provider who is not contracted with Nationwide Vision, you will have to ask the plan to reimburse you.
The vision benefit includes at $0 cost:
- Diagnostic eye exam (includes diabetic eye exams) – Medicare covered
- Glaucoma screenings – Medicare covered
- Eyewear – Medicare covered (coverage after cataract surgery)
- Routine eye exam (refraction) – 1 exam every year
- Routine contact lenses/eyeglasses (lenses and frames) Up to a $300 combined allowance every year*
*If you get eyewear that costs more than your allowance, you’ll have to pay the difference. And your plan won’t reimburse you for the extra amount.
We partner with the Foundation for Senior Living for your wellness program.
The program offers:
- Exercise classes for all fitness levels
- A “Quit Coach” to help you quit smoking
- Nutrition education with a registered dietitian
- Diabetes prevention and education with a diabetes educator
The wellness program has a few locations in your area. You can call these numbers to register for one or more of the programs in your county:
- Maricopa County: 602-285-0505, ext. 321 or ext. 177
- All other Arizona counties: 1-866-375-9779, ext. 321 or ext. 177
You can call Monday to Thursday, 8 a.m. to 8 p.m., or Friday: 8 a.m. to 5 p.m.
This information is not a complete description of benefits. The formulary, pharmacy network and/or provider network may change at any time. You will receive notice when necessary. You must receive all routine care from plan providers. This is general health information and is not meant to replace care or advice you get from your doctor. Always ask your doctor or other health care provider for information about your own health care needs.
Participating physicians, hospitals and other health care providers are independent contractors and are neither agents nor employees of Mercy Care Advantage. The availability of a provider cannot be guaranteed, and the provider network is subject to change. You will receive notice when necessary.
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Need more language help?
Call Member Services at ${MCA_MS_phone_1} or ${MCA_MS_phone_2} (TTY 711). We’re here for you ${MCA_MS_hours}.