Wellness programs

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.

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.

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

Help to quit smoking

It’s never too late to quit smoking! Quitting smoking starts to improve your health almost immediately, with the benefits growing the longer you remain smoke free. Plus, quitting at any time can give back years to your life that would be lost by continuing to smoke.

Your WellSense health plan includes counseling services for members who want to quit smoking. You can also call 1-800-QUIT-NOW to get help quitting from QuitNow in both Massachusetts and New Hampshire.

Help managing your weight

Our plans offer a variety of fitness and weight management resources, including health club and WeightWatchers® membership reimbursements, fitness trackers, exercise equipment, therapy and counseling services, and more. Benefits vary by plan.

Learn more about your fitness and weight management benefits.

Help getting your vaccines

Your WellSense plan allows you to get many immunizations (vaccines) at no cost to you, including COVID-19, flu, human papillomavirus (HPV) and shingles.

You are also encouraged to see your primary care provider (PCP) for a well visit/annual physical once per year (more often for children) and ask for any covered screenings that may apply to you.

See the list of covered screenings, vaccines and well visits.

Help during pregnancy and postpartum

Sunny Start helps moms and babies get the care they need during and after pregnancy, including:

Help with scheduling doctor visits and transportation to appointments
Access to a registered nurse skilled in caring for pregnant women and new babies
Breastfeeding and other postpartum support, and more.

Learn more about the Sunny Start program.

Help managing stress

We recognize the importance of mental and emotional well-being as a crucial part of your overall health. Our partnership with Carelon Behavioral Health provides access to an extensive network of therapists, counselors, psychologists and psychiatrists that can help you manage your stress.

Learn more about how we can help support your behavioral health.

Self-management tools

We've developed these tools to help manage your health. Call Member Service if you need a printed copy.