Fitness and weight management

Get regular eye exams to detect problems early. All WellSense plans offer routine eye exams.
If prescribed glasses, wear them frequently. Some WellSense plans offer discounts on eyeglasses.
Wear sunglasses with UV protection.
Eat a balanced diet rich in nutrients like omega-3 fatty acids, lutein, zinc, and vitamins C and E.
Reduce screen time and take regular breaks while using computers or smartphones. Consider using blue-light blocking glasses for extended screen use.
Use proper lighting when reading or working.
Protect your eyes from injury by wearing protective eyewear during sports or hazardous activities.
For dry eyes, use artificial tear drops or try adding moisture to the air with a humidifier.
Avoid smoking, which can increase the risk of age-related eye diseases. If you need help to stop smoking, Massachusetts WellSense members can ask their doctor to refer them to QuitWorks and New Hampshire WellSense members can call QuitNow NH at 800-QUIT-NOW.

Fitness benefits

Your WellSense plan offers a fitness benefit to help you on your health journey. Benefits will vary based on your plan.

Health club reimbursement: MassHealth
Health club or fitness tracker reimbursement: Massachusetts Clarity plans, New Hampshire Medicaid
SilverSneakers® fitness benefit: Senior Care Options, New Hampshire Medicare Advantage

Copays

WeightWatchers® reimbursement

Some WellSense plans offer reimbursements for WeightWatchers® membership fees. Learn more by selecting your plan below.

Take your medicines as prescribed

Know exactly how and when to take your medications.
Take your meds on time. Use notes or a smartphone app.
Have your medication with a small meal or snack to avoid side effects.
You may need to take the medications for a long time.
Talk to your doctor before stopping medications.

Fill your medications on time

Set up automatic refills or refill reminders at your pharmacy,
Consider using our mail order pharmacy to get a three month supply of medications mailed to your home. Contact Cornerstone Health Solutions at 844-319-7588 to get started.

Monitor your blood sugar levels

Blood sugar testing shows how well your medications are working or how your food intake, exercise or illnesses are affecting your blood sugar levels.
Check blood sugar levels using a blood glucose meter. Follow your doctor’s advice on how often you need to check your blood sugar level. Keep a record of your levels to discuss with them.
If you take insulin, check your blood sugar before meals and snacks as well as before and after exercise.

Know your target blood sugar range

The American Diabetes Association recommends the following target blood sugar levels:

Before meals: 80-130mg/dl
Two hours after meals: Less than 180mg/dl

These goals vary based on your age and personal health. Ask your doctor what your specific target goal should be.

Fitness and exercise equipment

If you're a WellSense Senior Care Options or New Hampshire Medicare Advantage member, your over-the-counter (OTC) card can be used to purchase the following physical fitness & exercise equipment:

Balls/stability devices (balls, boards, etc.)
Cardio (aerobic steps, jump ropes)
Foam rollers/massage devices
Pedometers & fitness trackers
Scales (includes body fat analyzers)
Stationary bikes
Steppers & ellipticals
Strength/range of motion (bands, hand
exercisers, etc.)
Treadmills
Weights

Weight management resources

Therapy and counseling services
WellSense partners with Carelon Behavioral Health to offer therapy and counseling for our members. Carelon helps you find the right doctor or therapist for your needs and works with these providers to decide what kind of care is best for you.

Weight loss medications
If your doctor determines that you need weight loss medications, they may be covered by your WellSense plan. Consult the list of covered drugs for your plan for more information:

WellSense vision benefits

All WellSense plans provide routine, preventive vision exams. Some offer eyeglasses (lenses and/or frames), contact lenses, and additional vision services. See your plan documents below for more details.

Plan	Preventive	Lenses/Frames/Contacts	Vision services
Clarity	Preventive vision exams for children (every 12 months) and adults (every 24 months) Cost-sharing = $0	For members ages 18 and under: one pair of conventional* lenses and frames, or one pair of contact lenses, per calendar year Deductible and/or coinsurance may apply	Eye exams and treatment (to treat or diagnose a medical condition of the eye) are covered Deductible and/or coinsurance may apply
MassHealth	Comprehensive eye exams for members under 21 (every 12 months) and for members 21 and over (once every 24 months)	Prescription and dispensing of ophthalmic materials, including eyeglasses and other visual aids, excluding contacts	Vision training Ocular prosthesis Contacts, when medically necessary, as a medical treatment for a medical condition such as keratoconus Bandage lenses
Senior Care Options	One routine eye exam per year Glaucoma screening (one per year for high risk members) Screening for diabetic retinopathy (one per year for diabetic members)	One pair/set of eyeglasses (prescription lenses, frames, a combination of lenses and frames ) or contact lenses up to the allowed amount per calendar year is covered $325 allowance per year towards the purchase of eyewear and upgrades through our vision care provider, VSP	Outpatient physician services for the diagnosis and treatment of diseases and injuries of the eye, including treatment for age-related macular degeneration One pair of eyeglasses or contact lenses after each cataract surgery that includes insertion of an intraocular lens
New Hampshire Medicaid	Refraction eye exam to determine the need for eyeglasses (one per year)	One pair of eyeglasses per year Transition lenses for members with ocular albinism Contact lenses (for specific conditions only) Trifocal lenses (for specific conditions only)	Eye care services by an ophthalmologist, optometrist or optician Eye exams to diagnose and monitor medical conditions of the eye Ocular prostheses, including artificial eyes and lenses
New Hampshire Medicare Advantage	Routine vision exam ($0 copay)	Medicare-covered eyewear: $0 copay $150-$300 allowance every year toward the purchase of one pair of eyeglasses, contact lenses or hardware upgrades through our vision care provider, VSP	Medicare-covered vision services, including: A yearly glaucoma screening and diabetic eye exam Outpatient physician services for the diagnosis and treatment of diseases and injuries of the eye, including treatment for age-related macular degeneration One pair of eyeglasses or contact lenses after each cataract surgery that includes insertion of an intraocular lens Deductible and/or coinsurance may apply for all other Medicare-covered vision services