Wellcare CalViva Health Dual Align (HMO D-SNP): Medical MOOP

MOOP stands for "maximum out-of-pocket" costs, which refers to the annual limit the member will pay out of pocket.

Wellcare CalViva Health Dual Align (HMO D-SNP): Home Health Agency Care

Intermittent skilled nursing, therapy, social work, and home health aide services provided in the home to support recovery or address functional decline.

Wellcare CalViva Health Dual Align (HMO D-SNP): Podiatry Services

Podiatry is an essential service for those with vulnerable or problematic lower legs, ankles, and feet.

Wellcare CalViva Health Dual Align (HMO D-SNP): Urgently Needed Services (Urgent Care)

This is not emergency care. This is care provided at an urgent care center or by an out-of-network provider because an in-network provider is unavailable.

Wellcare CalViva Health Dual Align (HMO D-SNP): Outpatient Rehabilitation Services

Outpatient visits are most common for occupational therapy (OT), physical therapy (PT), and/or speech language therapy (ST) services.

Wellcare CalViva Health Dual Align (HMO D-SNP): Cervical and Vaginal Cancer Screening (Pap Smear and Pelvic Exam)

Many older women do not realize that other problematic vaginal and pelvic issues can be addressed during these exams, not just cancer screening.

Wellcare CalViva Health Dual Align (HMO D-SNP): Specialist Doctor Visit

Specialist doctor visits include consultations and treatments provided by healthcare professionals who specialize in specific medical fields.

Wellcare CalViva Health Dual Align (HMO D-SNP): Smoking and Tobacco Use Cessation (Counseling to stop)

Tobacco use causes cancers throughout the body, not just in the lungs of smokers. Tobacco users spend $70 per week ($280/month) on tobacco products.

Wellcare CalViva Health Dual Align (HMO D-SNP): Medicare Diabetes Prevention Program (MDPP)

A diabetes prevention program using structured health behavior change. 9 in 10 cases of diabetes can be avoided by making key lifestyle changes.

Wellcare CalViva Health Dual Align (HMO D-SNP): Outpatient Mental Health Care

Ongoing group and individual therapy sessions are critical for mental health maintenance and are offered at outpatient facilities.

Wellcare CalViva Health Dual Align (HMO D-SNP): Medicare Extra Help

This program helps cover your prescription drug costs, including premiums, deductibles, and copayments

Wellcare CalViva Health Dual Align (HMO D-SNP): Primary Doctor Visit

This includes routine appointments with a primary care provider for basic medical care, preventive services, and as needed for acute illnesses.