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Benefits

VNS Health Total 2025 Benefits

VNS Health Total (HMO D-SNP) combines Medicare Advantage and Medicaid Long Term Care for people who need help with day-to-day tasks (such as bathing, dressing, walking, and preparing food) to remain safely in their homes and communities.

With VNS Health Total, there is $0 cost to you — $0 plan premiums, $0 deductibles, and $0 copays for services you receive from our network of providers. And you can keep your doctors, specialists, and home health aide.*

VNS Health Total Benefits

2025 Benefits Overview

Monthly plan premium (Part C)
$0
Primary doctor copays
$0
Specialist doctor copays
$0
Monthly premium for prescription drugs (Part D)
$0
Prescription drug copays
$0
Healthy Extras Card
OTC/Grocery and Flex allowances on one card
$310/month (up to $3,720/year) for OTC/Grocery**
$65/month (up to $780/year) for Flex** to help pay for utilities and other expenses
Dental
$3,500/year for preventive and comprehensive dental care
Vision
$0 copay for routine eye exam, $350/year for eyewear
Hearing
$0 copay for exam, $2,000 every 3 years for hearing aids
Acupuncture
30 visits/year***
Routine podiatry
6 visits/year
Gym membership
SilverSneakers®
Telehealth
Yes
24/7 Nurse Helpline
Yes
Long-term services and supports
Yes (including home health aide, nurse, and social worker)
Worldwide coverage
Up to $50,000/year for emergency services and urgent care
Home-delivered meals after a hospital stay
28 meals over a 2-week period (post-discharge, inpatient only). Up to 3 inpatient hospital visits/year

 

*As long as the provider is in network.
**Grocery and utility benefits are part of special supplemental benefits for the chronically ill and not all members qualify. Chronic illnesses include diabetes, dementia, heart failure, lung disorders, stroke, and other conditions. Eligibility for this benefit cannot be guaranteed based solely on your condition. All applicable eligibility requirements must be met before the benefit is provided. For details, please contact us.
***Additional acupuncture visits for chronic low back pain are covered by Medicare. 

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