As a Complete member, you are eligible for more of the important health care benefits you need including dental, vision, hearing, podiatry, and behavioral health. There are no out-of-pocket costs for covered services provided by Complete participating providers. Best of all, there’s no need to leave your long-term care facility to receive available services. 

DENTAL BENEFITS

Members are eligible for the following dental benefits:

  • Every 3 Months: Topical Flouride • Perio Maintenance • Irrigation
  • Every 6 Months: Oral Exam • Cleaning
  • Every 12 Months: Bitewing X-Ray • Dental/Partial Reline and Adjustments • Interim Carries (per tooth)
  • Every 24 Months: Composite and Amalgam Fillings
  • Every 36 Months: Full-mouth X-Ray Series • Non-Surgical Scaling • Debridement

Additional services are available as necessary, including emergency dental, extractions as needed, new dentures/partials (every 36 months, with initial six-month waiting period). A $500 Deductible applies for services performed by Non-Participating Providers.

VISION BENEFITS

Members are eligible for the following vision benefits:

  • Every 12 Months: Comprehensive examination • Frames • Lenses (including progressive/no-line multifocal lenses and photochromatic/auto-darkening lenses) • Fundus photo • Anterior segment photo
  • Per Plan Sponsor: Replacement of frames and lenses mid-year based on accident or loss.
  • As Needed: Repair, maintenance of existing eyewear

A $100 Deductible applies for services performed by Non-Participating Providers.

HEARING BENEFITS

Members are eligible for the following hearing benefits:

  • Every 6 Months: Routine ear exam • Routine cerumen removal
  • Every 12 Months: Hearing/Speech Audiometry Evaluation • Comprehensive audiogram • Tympanometry
  • Every 24 Months (six month waiting period applies): Hearing aid
  • As Needed: hearing aid programming or adjustments

A $225 Deductible applies for services performed by Non-Participating Providers.

PODIATRY BENEFITS

Members are eligible for the following podiatry benefits up to six times each year:

  • Routine podiatric examination for individuals without a documented and diagnosed condition of diabetes
  • Trimming, cutting, or debridement of nails
  • Paring of hyperkeratotic lesion
  • Care and service for mycotic nails

A $150 Deductible applies for services performed by Non-Participating Providers.

BEHAVIORAL HEALTH BENEFITS

Members are eligible for the following behavioral health benefits up to six times each year:

  • Behavioral health/Social skills/Psychiatric screening evaluation and assessment through in-person or secure tele-med application

A $100 Deductible applies for services performed by Non-Participating Providers.