health and wellness activities.  
Wigs (related to chemotherapy 
treatment) 
Up to an unlimited maximum benefit 
per year. 
SilverSneakers ®fitness program 
Basic fitness center membership 
including fitness classes.  17 
H1036_SB_MAPD_HMO_235000_2023_M Summary of Benefits H1036235000SB23 To find out more about the coverage and costs of Original Medicare, look in the current “Medicare &You” 
handbook. View it online at  http://www.medicare.gov or get acopy by calling 1-800-MEDICARE (1-800-633-4227),