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Compare plan-specific extras 

Medicare Advantage dental, vision, OTC and fitness benefits

Some Medicare Advantage plans may include benefits beyond Original Medicare, such as routine dental care, routine vision and eye exams, fitness programs, and over-the-counter allowances. These benefits are not included with every plan and can vary by location and eligibility.

Benefits that may be offered

What additional Medicare Advantage benefits can include

Use these categories as a comparison checklist, not as a promise that a particular plan includes every item.

Dental

Routine dental care

Some plans may cover cleanings, exams, X-rays, fillings, dentures, or other services. Networks, annual allowances, frequency limits, and member costs vary.

Vision

Eye exams and eyewear

Some plans may include routine eye exams or an allowance for glasses or contact lenses. Check provider networks, frequency, allowance amounts, and copays.

Fitness

SilverSneakers and other programs

SilverSneakers may be included at no additional cost with select participating Medicare Advantage or Medicare Supplement plans. Eligibility, locations, classes, and amenities vary.

OTC

Over-the-counter allowances

Some plans may provide an allowance or card for eligible health products. Amounts, covered items, benefit periods, ordering methods, and participating retailers vary.

Plan premium

$0-premium plans

Some Medicare Advantage plans may have a $0 plan premium in certain areas. Members generally must continue paying the Medicare Part B premium, and other plan costs can still apply.

Cost sharing

$0 copays for certain services

A plan may have a $0 copay for specific covered services under stated conditions. Other services may have copays, coinsurance, deductibles, network requirements, or prior authorization.

Medicare and Medicaid

Extra support for people who qualify for both programs

People with both Medicare and Medicaid may qualify for a Dual Eligible Special Needs Plan, often called a D-SNP, that helps coordinate benefits. Medicaid eligibility and assistance are determined by each state.

OTC and other allowances

Some D-SNPs may offer an OTC benefit or other plan-specific allowances. They are not guaranteed. Eligibility, dollar amounts, covered items, retailers, and benefit periods vary by plan.

Costs and coordination

Depending on eligibility, Medicaid may help with certain Medicare costs, but rules differ by state and level of assistance. A plan should never be described as having no cost without reviewing the person's eligibility and current plan documents.

Gala Health serves Massachusetts, New York, Michigan, Ohio, and Virginia. Medicaid rules and Medicare Advantage plan availability vary by state, county, and service area. Learn more from Medicare.gov's Medicaid guidance.

Before you enroll

How to compare an additional benefit

  • Confirm that the benefit is included in the exact plan, plan year, and county you are considering.

  • Check participating dentists, eye-care providers, fitness locations, pharmacies, or retailers.

  • Review allowances, visit limits, covered items, copays, coinsurance, and authorization requirements.

  • Ask whether unused allowance amounts roll over and how frequently a benefit resets.

  • Read the current Summary of Benefits and Evidence of Coverage before relying on a benefit.

You can also check eligibility directly through SilverSneakers when comparing a participating plan.

Compare benefits without losing sight of your care

We can help you review provider networks, prescriptions, total costs, and additional benefits in Medicare Advantage plans available in your area.

Reviewed August 2026. Gala Health is not connected with or endorsed by the U.S. government or the federal Medicare program. We do not offer every plan available in your area. Benefits, costs, allowances, participating providers and retailers, eligibility, and availability vary by plan and service area. Review the plan's current Summary of Benefits and Evidence of Coverage for details.