VillageHealth (HMO-POS C-SNP)
If you've been diagnosed with end-stage renal disease, including pre- and post-transplant care, VillageHealth is a special needs plan designed to meet your needs. As a member, you’ll have your own nurse to work with you, your family and your doctors to coordinate and manage your healthcare needs. Plus, you’ll enjoy many benefits not included with Original Medicare, such as:
• Vision care & eyewear
• Dental coverage that lasts all year long
• Transportation
• Over-the-counter products
• Respite care for caregivers
• and more!
A Special Needs Plan for those diagnosed with End-Stage Renal Disease, including pre- and post-transplant patients.
Monthly Premium
$33.20
Primary Care Office Visits
$0
Maximum Out-Of-Pocket (MOOP)
$7,550
Specialist Office Visits | $0 - Nephrologists 20% for other specialists |
Inpatient Hospital Care | $1,556 deductible (days 1-60) (PA)$389 per day (61-90)$778 per day (91-150-LRD) |
Outpatient Surgery | 20% |
Urgent Care Services | $0 (U.S. Only) |
Emergency Care | 20% (up to $90)($0 if immed.)(U.S. only) |
Prescription Tier 1: Preferred Generic | Preferred:$0 Standard:$3 |
Prescription Tier 2: Generic | Preferred:25% Standard:25% |
Prescription Tier 3: Preferred Brand | Preferred:25% Standard:25% |
Prescription Tier 4: Non-Preferred Drug | Preferred:25% Standard:25% |
Prescription Tier 5: Specialty Tier | Preferred:25% Standard:25% |
Prescription Tier 6: Select Care Drugs | Not Applicable |
There are Plenty of Ways to Enroll.
When you're ready to sign up you can call us or enroll directly online. During the Annual Enrollment Period, you can enroll October 15 - December 7.
Explore Enrollment OptionsHours are 8 a.m. to 8 p.m., seven days a week from October 1 to March 31
From April 1 to September 30, hours are 8 a.m. to 8 p.m. Monday through Friday. Messages received on holidays and outside of our business hours will be returned within one business day.