How can I find out if a certain medication is covered by my plan?
VNSNY CHOICE Total covers thousands of drugs for hundreds of ailments and conditions. This includes both brand name drugs and generics. To find out if a specific drug is covered, you can use this link to the online VNSNY CHOICE Formulary Search
. Or, you can look in the VNSNY CHOICE Formulary booklet you received when you enrolled.Does my plan prescription drugs plan provide coverage through “the gap”?
Many Medicare drug plans have what’s called a coverage gap (sometimes known as “the donut hole”). This means that after you and your drug plan have spent a certain amount of money for covered drugs, you could have to pay more for your prescription drugs (up to a certain limit).
I take a lot of different medications for my conditions; how can I learn more about them?
VNSNY CHOICE Total has a program that may help you. It’s called the VNSNY CHOICE
Medication Therapy Management Program (MTMP), and it’s designed for members
like you who have several chronic medical conditions or take many different drugs at the same time. Learn more
How do I find a pharmacy that’s part of the VNSNY CHOICE network?
It's easy to find a participating pharmacy.
Do I have to use a network pharmacy for my medications and supplies?
Yes, plan members must use network pharmacies to access their prescription drug benefit, except in non-routine circumstances. Generally, we cover drugs filled at an out-of-network pharmacy only when you are not able to use a network pharmacy. Please see Chapter 5 in your Evidence of Coverage –“Using the plan’s coverage for your Part D prescription drugs”– for the situations when CHOICE would cover prescriptions filled at an out-of-network pharmacy.
VNSNY CHOICE Total is an HMO SNP plan with a Medicare contract. This plan is also a Medicaid Advantage Plus plan, with a contract with the New York State Department of Health. Enrollment in VNSNY CHOICE Total depends on contract renewal.
This is a Medicare-related page; some of the links will take you to non-Medicare information or to a different website.
Last updated 4/29/2019