How can I find out if a certain medication is covered by my plan?
VNSNY CHOICE Medicare plans cover 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).
VNSNY CHOICE does provide coverage through the gap if you are enrolled in VNSNY CHOICE Medicare Maximum or Medicare Preferred, but not if you are in VNSNY CHOICE Medicare Classic. If you are not certain which VNSNY CHOICE Medicare plan you’re in, please call Member Services toll-free at 1-866-783-1444, Monday – Friday, 8 am – 8 pm (TTY for the hearing impaired: 711).
I take a lot of different medications for my conditions; how can I learn more about them?
VNSNY CHOICE Medicare has a program that may help you. It’s called the 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.
This is a Medicare-related page; some of the links will take you to non-Medicare information or to a different website.
This information is not a complete description of benefits. Contact the plan for more information.
Limitations, co-payments, and restrictions may apply. Benefits, premiums and/or co-payments/co-insurance may change on January 1 of each year. Some plans are available to anyone who has both Medical Assistance from the State and Medicare. Premium, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details.
The formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary.
Last updated 3/9/2018