2025 Medicare Plans: More Benefits and Support For Your Patients

October 15, 2024

VNS Health Medicare Advantage plans are designed to meet the needs of people facing complex health and financial challenges. Our plans include extra benefits to make health care more affordable and easier to access for this population as well as allowances to help members buy health items they need. We’re pleased to introduce our benefits for 2025.

All VNS Health Medicare plans offer:

  • Dental, hearing, vision, routine podiatry, and acupuncture coverage
  • Transportation to and from health appointments. (For VNS Health Total, Medicaid provides transportation) 
  • Home-delivered meals after a hospital stay 
  • The support of a multi-disciplinary Care Team who can help members follow their providers’ treatment plan as well as connect them to community services and supports

Below are some highlights for 2025. For more complete information, see our brochure or vnshealthplans.org.

EasyCare (HMO)

For people with Medicare. Extra Help (or Low-Income Subsidy) lowers prescription drug costs for those who qualify.  

  • $0 Primary Care copay to encourage members to receive routine care 
  • New for 2025: all members will pay $0 for most generic prescription drugs. Members who are eligible for full Extra Help will pay $0 for all covered drugs, including brands, generics, and insulins*  
  • Over-the-counter (OTC) allowance of $160/quarter

EasyCare Plus (HMO D-SNP)

For people with both Medicare and Medicaid.

  • $0 copays for doctors, hospitals, labs, and more** 
  • $0 for all covered prescription drugs: brands, generics, and insulins*  
  • Allowance for over-the-counter (OTC) items and groceries*** of $235/month  
  • A Flex allowance of $37.50/month that can be used for utilities*** and more 

Total (HMO D-SNP)

Integrates Medicare Advantage and Medicaid Managed Long Term Care (MLTC) for people who need ongoing help with daily living activities of daily living to remain safely at home.

  • $0 for medical care and prescription drugs 
  • Allowance for over-the-counter (OTC) items and groceries*** of $310 per month   
  • A Flex allowance of $65/month that can be used for utilities*** and more 
  • $0 for long-term services and supports, including Home Health Aide, Nursing, Social Work and more 
  • One integrated plan reduces administrative burdens for providers and patients

Patients interested in learning about our plans can:

  • Call 1-866-414-6715 
    TTY users, call: 711 
    7 days a week, 8 am – 8 pm 
Compare Plans

*$0 copays for Tier 1 & Tier 6 generic drugs. Refer to the 2025 Prescription Drug copay table for more information. 

**Depending on level of LIS or Medicaid eligibility 

***Grocery and utility benefits are part of a special supplemental program for the chronically ill and not all members qualify. Chronic illnesses include diabetes, dementia, heart failure, lung disorders, stroke, and other conditions. Eligibility for this benefit cannot be guaranteed based solely on your condition. All applicable eligibility requirements must be met before the benefit is provided. For details, please contact us. 

Last updated 04/01/2025.