Your plan gives you a $215 per quarter allowance to spend on approved out-of-pocket expenses for dental, vision, hearing and over-the-counter (OTC) products. Buy products like toothpaste, vitamins, pain relief and more. Shop online, through the catalog, or at participating retailers. It’s all included in your health plan at no cost to you.
How does the card work?
Activate your flex card before you start shopping. Use it to buy approved out-of-pocket expenses for dental, vision, hearing and OTC products. You will receive your flex card in the mail before your plan is effective. If you haven’t, please call
Funds are added to your account every three months on the first day of each quarter.
Benefit allowances can accumulate quarter-to-quarter but expire at the end of the calendar year and cannot be rolled over to the next year.
What is covered?
Dental Care
Can be used for preventive services like a cleaning or an X-ray and comprehensive services like oral surgery or a root canal
Cannot be used for procedures such as cosmetic dentistry and teeth whitening
Can be used in combination with your in-network dental benefits or with out-of-network dental providers
Eyewear
Can be used for prescription eyeglasses (frames and lenses), lenses only, frames only, an upgrade to existing glasses
Can be used for prescription contact lenses and contact lens fittings
Cannot be used for non-prescription eyewear like sunglasses or colored contact lenses
Eyewear must be purchased from a licensed optometrist or ophthalmologist’s office, or a store that focuses on eye care—like those that provide exams, write prescriptions for and sell eyeglasses.
Hearing Aids
Can be used for hearing aids that go inside or outside of the ear like devices such as Behind-The-Ear (BTE), Receiver-In-Canal (RIC) and many more.
Members have access to hearing aids offered at a discount through TruHearing (
Use your flex card when you shop thousands of participating retail stores including Walgreens, CVS, Walmart and more. Learn more about using your flex card or find participating stores near you when you visit mypres.phs.org. Note: not all retailers can accept your flex card including but not limited to Costco and Amazon.
How do I manage my account?
You have access to a full-featured website where you can access account balances, find in-network retail stores near you, and get information on specific benefits. Visit mypres.phs.org to access the flex card website.
You can also download a mobile app that will have the same functionality as the website. Use the app to easily scan products to see if they are eligible for purchase and to pull up your flex card for fast check-out at the cash register. Check account balances, order OTC products online and more! Search for “Healthy Benefits Plus” on the App Store or Google Play Store.
Additionally, plan members can call customer service at
for questions, balances and additional details about their card.
What do I do if my card is not working?
If your card does not scan or swipe at checkout, it can be manually keyed in at the register.
For fastest in-store checkout, have the cashier scan the barcode on the back of your card. If your card isn't working, make sure it is active and that you have benefits available by checking the website or mobile app. If you requested a replacement card, you must use the new card sent to you in the mail. Your old card is deactivated once you activate the replacement. If you are still having trouble, please call
Open Enrollment Period is from October 15 - December 7. You can switch your Presbyterian Medicare Advantage plan. The coverage start date is January 1 of the next year.
Medicare Advantage Open Enrollment Period is from January 1 – March 31. You can switch your Presbyterian Medicare Advantage plan. The coverage start date is the first of the month after we get your request.
Special Enrollment Period is available year-round but is only for certain situations that happen in your life, like moving to a new address, getting Medicaid, or getting Extra Help. The coverage start date varies but generally is the first of the month after we get your request.
To get started, please have your 11-digit member ID number and date of birth.
A Comprehensive Dental Plan is available for an additional monthly premium. You may enroll online anytime. Already enrolled? You don’t need to do anything.
Enroll to receive these extra benefits.
Includes all the coverage of the basic dental plan
Use services right away. No deductible or waiting period required!
$4,000 calendar-year benefit maximum (Unused portion does not carry forward to next year's benefit)
No Prior Authorization needed for covered services
Services not covered include implants, cosmetic procedures, bone grafts and tissue regeneration
