Essence Advantage Platinum (HMO) Benefits

Vision Coverage

The quality of your vision and your eye health are so important to your overall health and well-being. If you need correction for your vision, our Essence Advantage Platinum and Gold plans offer vision coverage through an optional supplemental plan for a low monthly premium. If you choose to add the optional supplemental plan, you’ll have a generous allowance to use on frames, lenses and contacts. But, our vision coverage doesn’t end there.

Because an eye exam can tell your doctors so much about your overall health, our optional vision coverage covers routine checkups and visits with vision specialists to make sure your eyes (and the rest of you) are healthy.

Dental Coverage

It’s easy to put on a smile. It’s not always easy—or affordable—to make sure your smile is healthy and pain free. At Essence, we want to make sure that anything that affects your health is covered and that also means your teeth. Issues with your teeth can really wear on you both physically and financially; that’s why our plan offers dental coverage through an optional supplemental plan for a low monthly premium.

Whether you simply need coverage for preventive dental services such as exams, X-rays and fluoride treatments, or you want more comprehensive coverage for things like fillings, extractions, root canals, dentures and more, we have a plan for you.

Flexible Benefits Card

When you’re an Essence Healthcare member, you’ll get a generous quarterly allowance to use on health-related OTC items. Your allowance is loaded onto a Flexible Benefits Card that you can use in retail stores and online.

Silver&Fit^®

Staying active can help you live your life to the fullest. That’s why we’ve partnered with Silver&Fit to give you free access to participating gyms, health clubs and a host of different classes for any fitness level.

Whether you want to work out at the gym, at home or outside, it’s all possible with Silver&Fit. If you want structure and guidance, in-person classes are available and include a range of options from classic strength-training workouts to yoga, swimming, dance and more.

And if the gym isn’t your thing, you can take advantage of live workouts and on-demand options at home, or join one of the Silver&Fit small group exercise classes outside of the gym in your community. Sometimes all it takes to get moving are the right options.

From national gyms to local community centers, there are over 15,500 fitness locations nationwide to choose from. And that’s good to know because you can use your Silver&Fit membership at any participating fitness center anywhere in the country—just another perk of being an Essence Healthcare member.

Transportation and Travel Coverage

Seeing your doctor on a regular basis is important, and we never want your ability to get to your appointments to be an issue. That’s why we include free transportation services to doctors and authorized medical facilities as part of your plan membership. If you need to go to the pharmacy to pick up a prescription, our transportation service can help with that, too.

Using your transportation benefit is simple and easy. As an Essence Healthcare member, you’ll be given a number to call to schedule your trip. Just provide where and when you want to go. And a driver will be there to take you to your destination. And if you have any special transportation needs, such as a wheelchair, they can help you with that, too.

Going out of town, visiting friends and family in another state, or maybe traveling abroad? Rest easy knowing that if you get sick or injured while away from your home, your emergency or urgent-care services are covered.

Home-Delivered Meals

Proper nutrition is important to your health—especially after a stay in the hospital. That’s why we offer our Gold and Platinum plan members meal delivery at no cost following surgery or an inpatient hospital stay. We also provide these services to members with chronic conditions, such as diabetes, COPD and some cardiovascular disorders. This benefit is designed so you can spend more time recovering and less time worrying about meal preparation.