VillageCareMAX Medicare Advantage Plans

Speak to an Enrollment Specialist

Use the form below to schedule an appointment to learn more about the VillageCareMAX Medicare Total Advantage Plan (HMO D-SNP) and how to enroll.

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Enrollee's Information


Contact Information


By submitting this form, you authorize a VillageCareMAX sales agent to call or contact you. The person that will be discussing plan options with you is either employed or contracted by a Medicare health plan or prescription drug plan that is not the Federal government, and they may be compensated based on your enrollment in a plan. Submitting this form does NOT affect your current enrollment, nor will it enroll you in a Medicare Advantage Plan, Prescription Drug Plan, or other Medicare plan.

VillageCareMAX is an HMO plan with Medicare and New York State Medicaid contracts. Enrollment in VillageCareMAX depends on contract renewal.


Who we are and how we help you live a better life

Smiling woman with the slogan see whats possible when health care becomes personal

VillageCareMAX Medicare Total Advantage Plan is a Special Needs plan designed for members who have both Medicare and Medicaid.

We work closely with your doctors, help set up appointments, arrange for your care, monitor your medications and guide you and your family toward the best quality health care options available.

What do you get?

The plan that cares with Medicare services and extra benefits at little or no cost.

  • Over-the-counter items
  • Acupuncture
  • Dental, vision and hearing
  • Routine transportation
  • Health club membership
  • AND MORE!

Benefits

You pay no co-pays, deductibles or monthly premium for covered services.

You will pay nothing for benefits such as:

Up to $575 in FLEX benefits each year, distributed monthly (rolling over each month) and can be used towards dental, vision, or hearing in addition to standard coverage.

 

Up to $300 per month ($3,600 per year) on your Over the Counter (OTC) card to purchase health-related items, approved non-prescription drugs including OTC COVID-19 tests and OTC hearing aids, Gas-at-the-Pump, Rent/Mortgage Assistance, Grocery Items, and Home Utilities including gas, electric, water, and internet/telecommunications.

 

$0 copay, no allowance limit.
Up to 24 one-way (12 round trips) per year for transportation for Non-Medical Needs.
Acupuncture (above Medicare coverage) $0 copay; 54 visits per year limit to 5 visits per month ($80 limit per visit).
Eye exam $0 copay.
$350 for eyewear unlimited contacts, 1 pair of glasses, lenses, and frames per year.
Fitness Membership at participating locations or home fitness kits as well as telephone coaching.
Doctor Visits
Preventive services including bone mass measurement, diabetes screenings, cancer screenings, flu shots, and glaucoma tests.
Long term services and supports including Personal Care, Private Duty Nursing, Social Day Care, and Home Delivered Meals.
Personal Emergency Response System (PERS)
Physical therapy, occupational therapy and speech & language therapy visits.
Diagnostic testing (including X-ray, EKG, MRI, CT Scans).
Inpatient hospital and skilled nursing facility services.
Medicare & Medicaid Covered Behavioral/Mental Health Services 
Up to $50,000 per year for Worldwide Emergency/Urgent Care Coverage and Emergency Transportation when you travel outside of the United States and its territories.
Durable Medical Equipment (DME) and supplies.
Medicare Prescription Drug Coverage (Part D), including supplemental drug coverage for select cough suppressants and erectile dysfunction medications with convenient delivery options.

Food & produce (grocery items), utilities, gas-at-the-pump, rent/mortgage assistance, and transportation for non-medical needs are a part of Special Supplemental Benefits for the Chronically Ill (SSBCI). In order to be eligible to receive SSBCI benefits, enrollees must be determined to be chronically-ill, have a chronic condition (i.e. diabetes, chronic heart failure, cardiovascular disorder, chronic and disabling mental health conditions, stroke and/or other eligible conditions not listed), and meet coverage criteria.

You can learn more about the services that are available to VillageCareMAX Medicare Total Advantage members, by downloading and reviewing the following booklets or contacting us at 1-855-296-8800 (TTY users call 711). We are available from 8:00 a.m. to 8:00 p.m. to answer your questions.

This information is available for free in other languages. Please call our member services number at 1-855-296-8800 (TTY: 711) during the hours of 8:00 am to 8:00 pm, 7 days a week. You can get this information for free in other formats, such as large print, braille, or audio. You must continue to pay your Medicare Part B premium. This information is not a complete description of the benefits.


Who Can Join

You can join VillageCareMAX Medicare Total Advantage Plan if you:

  • Are 18 years of age or older
  • Have full Medicaid, Medicare Part A, and Part B
  • Live in Brooklyn, Bronx, Manhattan, Queens, Staten Island, Nassau, or Westchester
  • Eligible for nursing home level of care (as of the time of enrollment) 
  • Require community-based long term care services for a continuous period of more than 120 days

How To Join

Call VillageCareMAX to schedule an appointment with an assessment nurse and licensed marketing representative.

Call us at 1-800-469-6292 (TTY 711), 7 days a week 8 am to 8 pm for more information.

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