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.
Compare plan-specific extras
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
Use these categories as a comparison checklist, not as a promise that a particular plan includes every item.
Dental
Some plans may cover cleanings, exams, X-rays, fillings, dentures, or other services. Networks, annual allowances, frequency limits, and member costs vary.
Vision
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 may be included at no additional cost with select participating Medicare Advantage or Medicare Supplement plans. Eligibility, locations, classes, and amenities vary.
OTC
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
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
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
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.
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.
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
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.
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.