Virginia Premier Medicare Advantage Elite (HMO SNP)
About Virginia Premier
For over 20 years, Virginia Premier have been supporting the Virginia community, currently serving over 220,000 Medicaid members state wide. In 2016, they launched Medicare Advantage Elite (HMO SNP), a Medicare / Medicaid dual eligible plan. In 2020, they expanded to all counties in the state of Virginia.
Virginia Premier’s network includes:
Key Network Providers:
Virginia Premier Medicare Advantage Elite (HMO SNP)
What is a Medicare Dual Eligible Special Needs Plan?
A Dual Eligible Special Needs Plan (DSNP) is a type of Medicare Advantage Plan. The benefits offered, provider choices, and list of covered drugs are designed specifically for Duals in the Commonwealth Coordinated Care Plus (CCC Plus) program. These plans have care coordinators who will work with members to coordinate Medicare and Medicaid services.
What is the eligibility for Virginia Premier Medicare Advantage Elite (HMO SNP)?
What are the advantages of choosing a D-SNP plan?
Advantage Elite Plan Benefits
$0 Monthly Plan Benefit
$7,550 Annual Out of Pocket Max
$0 PCP/ Specialist Office Visit
Routine Vision – MLTSS Supplemental Benefit
$250 for eyewear or contacts every year
Routine Hearing/hearing aids – $0 copay, 1 exam per year, $1250 allowance every 3 years
Dental – $3,000 per year for fillings, crowns, extractions, implants, dentures
Routine Footcare – 8 Routine Visits Annually
Routine Chiropractor – 6 Routine Visits Annually
Fitness – Paid in full with network facility
OTC – $1,400 year/$350 quarter
Meal Delivery – MLTSS Supplemental Benefit
Nurse Hotline – MLTSS Benefit
What Services Does Medicare Cover and What Services Does Medicaid Cover?
1
Medicare
Inpatient hospital care (including psychiatric inpatient), outpatient care physician and specialists services (including psychiatric outpatient visits), skilled nursing facility care, home health care, hospice care, prescription drugs, durable medical equipment, etc.
2
Medicaid (CCC Plus)
Medicare coinsurance and deductibles, hospital and skilled nursing when Medicare benefits are exhausted, long term nursing facility care (custodial), community based long term services and supports, over the counter medicines, incontinence products, community mental health services, addiction and recovery services, etc.
Get contracted for the Virginia Premier Plan
A more focused care plan to ensure your customers receive the needed help to manage their health