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Benefits

VNS Health Total 2023 Benefits

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

2023 Benefits Overview
Monthly Plan Premium
$0
Primary Doctor Copays
$0
Specialist Doctor Copays
$0
Prescription Drug Coverage
$0*
Over-the-Counter (OTC) & Grocery Card
$232 per month**
Dental
$0 copay for preventive care; $3,000/year for comprehensive dental care***
Vision
$0 for routine eye exam, $300/year for eyewear
Hearing
$0 for exam, $1,500 every 3 years for hearing aids
Acupuncture
30 visits/year^
Routine Podiatry
6 visits/year
Transportation
Unlimited to approved healthcare locations
Gym Membership
SilverSneakers®
Telehealth
Yes
24/7 Nurse Hotline
Yes
Flex Card
A $750/year debit card toward certain dental, vision, or hearing expenses.†
Long-Term Services and Supports
Yes (including Home Health Aide, Nursing, and Social Work)

 

*Depending on your level of Medicaid eligibility.
**The grocery benefit is part of a special supplemental program for the chronically ill and not all members qualify.
***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 Total, see the Summary of Benefits and Evidence of Coverage in the Member Materials (for 2022 and 2023) section.