VNS Health 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 VNS Health 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.*

VNS Health Total Benefits

2024 Benefits Overview

Monthly plan premium

$0

Primary doctor copays

$0

Specialist doctor copays

$0

Prescription drug coverage

$0

Over-the-Counter (OTC) and Grocery Card

$266/month (up to $3,192/year)**

Flex Card

$760/year to help pay for certain utilities and dental, hearing, and vision expenses**

Dental

$0 copay for preventive care, $3,000/year for comprehensive dental care***

Vision

$0 copay for routine eye exam, $300/year for eyewear

Hearing

$0 copay for exam, $1,500 every 3 years for hearing aids

Acupuncture

30 visits/year^

Gym membership

SilverSneakers^®

Telehealth

Yes

24/7 Nurse Helpline

Yes

Long-term services and supports

Yes (including home health aide, nurse, and social worker)

Worldwide coverage

Up to $50,000/year for emergency services and urgent care

Home-delivered meals after a hospital stay

28 meals over a 2-week period (post-discharge, inpatient only). Up to 3 inpatient hospital visits/year

 

*As long as the provider is in network.
**This benefit is part of special supplemental program for the chronically ill and not all members qualify. Other types of goods and services not eligible.
***Preventive dental care is covered by Medicaid.
^Additional acupuncture visits for chronic low back pain are covered by Medicare. 

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