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Benefits

VNS Health Total 2024 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

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 utilities, and certain dental, hearing or vision expenses**
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^
Transportation
Unlimited to approved health care locations
Gym membership
SilverSneakers®
Telehealth
Yes
24/7 Nurse Hotline
Yes
Long-term services and supports
Yes (including home health aide, nursing, and social work)
Worldwide Coverage
Up to $50,000/year for emergency services and urgent care

 

*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 covered by Medicaid.
^Additional acupuncture visits for chronic low back pain covered by Medicare. 

For more information about the many benefits of Total, see the Summary of Benefits and Evidence of Coverage in the Member Materials (2023 and 2024) section.