Benefits

VNS Health EasyCare (HMO) is designed to give you everything regular Medicare offers plus important extra benefits, including coverage for prescription drugs, dental, vision, and more.

We understand that you want to know in advance what your health care will cost. That’s why when EasyCare members need to pay for health care services, they usually pay a set dollar amount — called a copay — for services. See the Summary of Benefits and Evidence of Coverage on the Plan Materials page for details.

EasyCare Benefits

2025 Benefits Overview

Monthly plan premium (Part C)

$0

Primary doctor copays

$0

Specialist doctor copays

$35

Monthly premium for prescription drugs (Part D)

As low as $0*

Prescription drug copays

$0 for most generic drugs**

Over-the-Counter (OTC) allowance

$160/quarter for OTC items

Dental

$2,500/year for dental care

Vision

$0 copay for eye exams, $300/year for eyewear

Hearing

$0 copay for hearing exam, $1,500 every 3 years for hearing aids

Acupuncture

20 visits/year***

Routine podiatry

6 visits/year

Transportation to approved health care locations

11 round trips/year

Gym membership

SilverSneakers^®

Worldwide coverage

Up to $50,000/year for emergency services and urgent care

Telehealth

Yes

24/7 nurse hotline

Yes

Home-delivered meals after a hospital stay

28 meals over a 2-week period. Up to 3 inpatient hospital visits/year

 
*Depending on your level of LIS eligibility.
**$0 copays for Tier 1 & Tier 6 generic drugs. Refer to the 2025 Prescription Drug 2025 copay table for more information.
***Additional acupuncture visits for chronic low back pain covered by Medicare.

For more information about the many benefits of EasyCare, see the Summary of Benefits and Evidence of Coverage in the Plan Materials section.