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Option 1 |
Option 2 |
MLTC Plus |
| Medical Benefits |
As a member of VNS CHOICE Medicare, you will receive all of the services that are covered by Medicare in one health plan. These include the following:
Physician services (primary care and specialists)
Hospital inpatient services
Inpatient and outpatient surgery
Emergency services
Prescription drug coverage
Home health care
Post-acute skilled nursing facility services
Rehabilitation services:
-Physical therapy
-Occupational therapy
-Speech therapy
Diagnostic tests, radiology and lab services
Durable medical equipment
Podiatry services
Prosthetic devices
24 hour nurse hotline
Preventive services, including but not limited to:
- Colorectal screening exams
- Mammograms
- Pap smears and pelvic exams
- Prostate cancer screenings
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Option 1 |
Option 2 |
MLTC Plus |
| Prescription Drug Benefits |
VNS CHOICE Medicare has an extensive formulary that includes thousands of medications and provides complete coverage for its members, click here to learn more about our prescription drug coverage |
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Option 1 |
Option 2 |
MLTC Plus |
| Supplemental Benefits |
- 4 round trips per quarter to and from plan approved locationsyour medical appointments
- Hearing aids every 3 years
- Coverage for eyeglasses, frames and lenses every year
- International emergency medical coverage
- Coverage for routine medical care while traveling outside the United States
- 4 round trips per quarter to and from plan approved locations your medical appointments
- 16 round trips to and from your medical appointments
- 4 routine podiatry visits
- 2 wellness visits each year from a nurse or health care professional
- Annual physicals
- Assistance identifying and applying for entitlement programs such as rental and heating.
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$500 per ear (or $1000 total) towards hearing aids every year.
$100 towards eyeglasses, frames and lenses every year.
- Annual physicals
- Unlimited transportation to get medical care or health related services
You are covered for medically necessary Long Term Care Benefits including:
-Personal care services
- Private duty nursing
- Nutritional services and nutritional supplements
- Medical Social Services
- Social and Environment Supports, including home modifications
- Home-delivered Meals
- Adult Day Health Care
- Social Adult Day Services
- Personal Emergency Response System (PERS)
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| Unlimited generic prescriptions with $0 co-payments ($3.10 for brand name). |
- Free health club membership, fitness programs, and wellness education
- 12 visits for alternative therapies, including chiropractor, acupuncturist, personal trainer, or massage therapist
- Comprehensive dental benefits that include services not available from your Medicaid benefit
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Option 1 |
Option 2 |
MLTC Plus |
| Summary of Benefits |
Click here for VNS CHOICE Medicare - Option 1 and 2 Summary of Benefits |
Click here for VNS CHOICE Medicare - Option 1 and 2 Summary of Benefits |
Click here for VNS CHOICE Medicare - MLTC Plus Summary of Benefits |
| Evidence of Coverage |
Click here for VNS CHOICE Medicare - Option 1 Evidence of Coverage |
Click here for VNS CHOICE Medicare - Option 2 Evidence of Coverage |
Click here for VNS CHOICE - MLTC Plus Evidence of Coverage |
| Provider Directory |
Click here to search for a provider.
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| Pharmacy Directory |
Click here to search for a pharmacy.
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| Formulary |
Click here to search for a formulary.
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