You may qualify for $200 every 3 months for food and produce items if you have one or more chronic conditions, like Diabetes, Asthma, Heart conditions and many other conditions.

*This benefit is part of the Special Supplemental Benefits for the Chronically Ill program (SSBCI). Members with diabetes mellitus, chronic and disabling mental health conditions, cardiovascular disorders, chronic lung disorders, neurologic disorders, and other eligible conditions not listed may qualify to receive this benefit. Eligibility for this benefit cannot be guaranteed based solely on your condition. All applicable eligibility requirements must be met before the benefit is provided. For more details, please contact us at 833-949-0266.

Full list of conditions covered under the Special Supplemental Benefits for the Chronically Ill (SSBCI) benefit:

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You will get a letter if you qualify for this benefit. If you qualify, the food and produce allowance is added to your flexible benefit card every 3 months.

If you already have a flexible benefit card, continue to use the same card. You will not receive a new one. If you are a new member, your card will come with funds already on it. You will need to activate it before you can use it for the first time.

To see if you are already receiving the benefit, log in to your MyBenefitsCenter.com account and check your balance.

If you are not receiving the benefit and think you qualify, reach out to our Customer Service team 833-949-0266 or 503-574-5076 (TTY: 711).

Your plan includes a $0 prescription deductible, $0 or low copays, $0 vaccinations and 100-day refills. Check your Summary of Benefits for a complete overview of your prescription drug benefits.

Pharmacies

We work with over 34,000 preferred pharmacies, so you can find one that works best for you. To find a preferred pharmacy near you, visit: TheProvidenceAdvantage.com/Locations. Or sign up for mail-order to skip the pharmacy line.

Mail-order³

Mail-order makes it easy to get your prescriptions delivered right to your home. Ask your doctor to write a 100-day prescription and send it to one of the pharmacies below. Set up and manage your account online or call the phone numbers listed to get started.

Costco Mail Order Pharmacy
Costco.com/Home-Delivery
Call (800) 607-6861 Monday to Friday, 5:00 a.m. to 7:00 p.m. (Pacific Time) Saturday, 9:30 a.m. to 2:00 p.m. (Pacific Time)

Postal Prescription Services
PPSRX.com
Call (503) 797-2100 or (800) 552-6694 Monday to Friday, 6:00 a.m. to 6:00 p.m. (Pacific Time) Saturday, 9:00 a.m. to 2:00 p.m. (Pacific Time)

³The formulary and pharmacy network may change at any time. You will receive notice when necessary.

Your Medicaid plan includes preventive dental care such as cleanings, checkups, and more. Refer to your Oregon Health Plan (Medicaid) benefits for a full list of covered services, or to find an in-network Medicaid dentist.

Your Providence Medicare Advantage D-SNP plan includes a $450 dental allowance every 6 months. Use this allowance to help pay for dental expenses not already covered by your Medicaid plan, like crowns, root canals and gum treatments.

The $450 dental allowance is loaded onto your flexible benefit card every 6 months. Visit any dentist you like – you’re not limited to a network.

If you already have a flexible benefit card, continue to use the same card. You will not receive a new one. If you are a new member, your card will come with funds already on it.  You will need to activate it before you can use it for the first time.

Your plan includes a $0 eye exam and $150 allowance for eyeglasses and contact lenses⁴

Keep your eyes healthy with regular exams and new glasses or contacts. Visit any qualified provider that accepts Medicare for your vision care.

⁴For any costs beyond the $150 allowance, you will need to pay the additional amount out-of-pocket.

You may qualify for a special program where you pay $0 for 24 one-way trips to help you get around. Non-medical transportation helps get you to places like the grocery store, pharmacy, salon, and many more. Travel up to 25 miles each way.

You will get a letter if you qualify for this benefit.

To schedule your first ride with Kaizen Health, or to learn more, call 844-556-3730.

*This benefit is part of the Special Supplemental Benefits for the Chronically Ill program (SSBCI). Members with diabetes mellitus, chronic and disabling mental health conditions, cardiovascular disorders, chronic lung disorders, neurologic disorders, and other eligible conditions not listed may qualify to receive this benefit. Eligibility for this benefit cannot be guaranteed based solely on your condition. All applicable eligibility requirements must be met before the benefit is provided. For more details, please contact us at 833-949-0266 or 503-574-5076 (TTY: 711).

Full list of conditions covered under the Special Supplemental Benefits for the Chronically Ill (SSBCI) benefit:

English | Spanish | Vietnamese | Russian | Simplified Chinese 

Your plan includes a $40 over-the-counter (OTC) allowance every three months to purchase OTC items like band-aids, cough syrup, and much more with your flexible benefit card. You can also order approved items by phone, web, or from our mail-order catalog with no shipping costs.

Use your card like a debit card at stores such as Walgreens, Fred Meyer, Walmart and the Dollar Store.

The $40 OTC allowance is automatically added to your flexible benefit card every 3 months.

If you already have a flexible benefit card, continue to use the same card. You will not receive a new one. If you are a new member, your card will come with funds already on it.  You will need to activate it before you can use it for the first time.

To order a catalog, or see a full list of approved items and retail locations, visit MyBenefitsCenter.com. Have your flexible benefit card ready to log in.

You and your caregiver can access over 20,000 gyms, join virtual classes at home or on-the-go, and change your fitness location anytime, all at no cost with your One Pass™ fitness program.

Sign up and get your personal member code and find a gym near you at YourOnePass.com or call (877) 504-6830, Monday to Friday, 6 a.m. to 7 p.m. (Pacific Time). 

Get emergency help any time, any day at no-cost to you. By pressing the help button, you will be connected to a response center. They can send you help, call a neighbor or family member, or connect you with a nurse from Providence.

Sign up today at Providence.ConnectAmerica.com or call (877) 909-4882.

After a hospital stay your recovery should be your focus, and nutritious meals are an important part. You can have two meals per day for 28 days delivered to your door after each hospitalization at no cost. Delivery is available nationwide.

To learn more or request meals after a hospital stay, visit MomsMeals.com/ProvMa.

To receive discounts on healthy meals every day, visit MomsMeals.com/ProvMa and use Promo Code: ProvMA or call (877) 508-6667.

Earn extra money to spend on your flexible benefit card by completing different health incentives.

$50 for completing your Health Risk Assessment¹

We will add $50 to your flexible benefit card to use on OTC items when you complete a Health Risk Assessment. This is a list of questions we ask you that help us identify the care you are getting now and what extra care you might need. You may receive a call or a form in the mail.

Once you complete your Health Risk Assessment, you can work with a Care Manager to:

• Create a personal care plan for you
• Understand your healthcare needs
• Coordinate care with your healthcare team

To schedule your Health Risk Assessment or to speak with a Care Manager, call (800) 662-1121 (TTY: 711) Monday to Friday, 8 a.m. to 5 p.m. (Pacific Time).

$50 for completing your Annual Wellness Visit²

Your health is our priority. Complete your Annual Wellness Visit, and we will add $50 to your flexible benefit card.

To schedule your Annual Wellness Visit, call your Primary Care Provider. 

You’ll also earn $25 per calendar year, for each completed activity below³:

• Diabetic eye exam
• Diabetic kidney health evaluation
  

¹ Funds will be automatically loaded to your card within 3 months after your doctor submits a claim. You must redeem your funds in the program year they are earned. Any funds that are not redeemed within 90 days after year end, or after your coverage with Providence Health Assurance ends, will be forfeited.

² If you are not able to complete a visit with your PCP, our Annual Wellness Visit partner, Advantmed, may contact you to schedule a convenient in-home visit. You do not need a second visit with Advantmed if you have a pending appointment with your PCP.

³ A member must be 18-75 years old (diabetic eye exams) or 18-85 years old (diabetic kidney health evaluation) and have been diagnosed with diabetes in the past 2 years to receive the incentive. 

Your plan includes a flexible benefit card to help pay for healthcare expenses, including dental, over-the-counter (OTC) items, and even groceries.

• If you already have a flexible benefit card, continue to use the same card. You will not receive a new one.
• If you are a new member, your card will come with funds already on it. You will need to activate it before you use it for the first time.
  

Your plan includes:

• $450 dental allowance every 6 months. This allowance will be loaded onto your card every 6 months. This money can go towards any dental service that is not covered by Medicaid, such as root canals.
• $40 per quarter over-the-counter (OTC) allowance, automatically added to your card every 3 months. OTC items include things like band-aids, cough syrup, pain relief and thousands of other items.
• $200 Food and produce allowance if you qualify* added to your card every 3 months (up to $800 per year).
• $50 after you have completed a health risk assessment.
• $50 for completing an annual wellness visit with your primary care doctor.
  

You can also earn extra money that will be added to your card by completing health incentives.

Helpful Tips
Here are some tips to help you keep track of what items are covered and to make sure your card has enough money before you shop.

Check the catalog
For many items, like ibuprofen, only one size or quantity is approved. Search the online catalog to find approved items, sizes, and quantities. Find the catalog and other helpful tips at TheProvidenceAdvantage.com/OTC. 

Use the app

With the OTC Network app, you can take the guesswork out of using your flexible benefit card. Track your balance, search for items, find a retailer, or shop online. You can even scan items when you are at the store to make sure they are approved.

Download the OTC Network app in the App Store or Google Play.

IMPORTANT: Be sure to use your funds before January 1, 2027. Funds do not roll over from year to year.