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Benefits

VNSNY CHOICE Total 2022 Benefits

VNSNY CHOICE Total (HMO D-SNP) combines Medicare Advantage and Medicaid Long Term Care for people who need help with day-to-day tasks (such as bathing, dressing, walking, and preparing food) to remain safely in their homes and communities.

With VNSNY CHOICE Total there is $0 cost to you — $0 plan premiums, $0 deductibles, and $0 copays for services you receive from our network of providers. And, you can keep your doctors, specialists, and home health aide.*

OTC & Grocery Card – Makes Healthy Living Easier
Use your CHOICE Total Over the Counter (OTC) & Grocery Card to buy OTC and grocery items at stores in your community — or get easy home delivery! You can even use your card to order healthy prepared meals or boxes of fresh produce! You’ll get up to $2,160/ year ($180/mo) for the healthy things you need.

VNSNY CHOICE Total Benefits

2022 Benefits Overview
Monthly Plan Premium
$0
Primary & Specialist Doctor Visits
$0
Prescription Drug Coverage
$0
Over-the-Counter (OTC) & Grocery Card
$180 per month ($2,160 per year)
Dental
$0 copay for preventive** care; up to $1,500/year for comprehensive dental care
Vision
$0 for routine eye exam, $300/year for eyeglasses (frames and lenses) or contacts
Hearing
$0 for exam, $1,400 every 3 years for hardware
Acupuncture
$0 for up to 30 visits/year***
Transportation
Unlimited to approved healthcare locations
Gym Membership
SilverSneakers®
Worldwide Coverage
Up to $50,000/year for emergency services and urgent care
Telehealth
Yes
24/7 Nurse Hotline
Yes
Long-Term Services and Supports (including Home Health Aide, Nursing, and Social Work)
$0
Flex Card
A $750/year debit card ($187.50/quarter) toward expenses above the maximum covered amount for dental, hearing, vision, or fitness.^

 

*As long as the provider is in the network.
**
Preventive dental care covered by Medicaid.
***Additional acupuncture visits for chronic low back pain covered by Medicare.
^Other types of goods and services not eligible.

For more information about the many benefits of CHOICE Total, see the Summary of Benefits and Evidence of Coverage in the Member Materials section.