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Plan Comparison table key:
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2027 Plan Comparison
Benefits and Services
|
Medicare Total Advantage Plan (MAP) (HMO D-SNP) | Medicare Health Advantage Plan (HMO D-SNP) | Medicare Select Advantage Plan (HMO) |
|---|---|---|---|
| Over-the-Counter (OTC) Card, Grocery, Home Utilities, Gas-at-the-Pump, and Rent/Mortgage Assistance, Pest Control, Indoor Air Quality Products, Public Transportation | |||
| Flex Benefits | |||
| Dental Services | |||
| Vision Services | |||
| Hearing Services | |||
| Primary Care Visit | |||
| Specialist Visit | |||
| Preventive Care | |||
| Prescription Drugs - Part D | |||
| Non-Emergency Medical | |||
| Non-Medical Transportation | |||
| Urgent Care | |||
| Emergency Care | |||
| Mental Health and Substance Use Disorder services | |||
| Personal Care | |||
| Consumer Directed Personal Assistance Services (CDPAS) | |||
| Social Day Care | |||
| Adult Day Health Care | |||
| Home Delivered Meals | |||
| Medical Supplies and Equipment | |||
| Rehabilitation Therapies (Physical Therapy, Occupational Therapy and Speech Pathology) | |||
| Home and Bathroom Safety Devices | |||
| Acupuncture (above Medicare coverage) | |||
| Worldwide Emergency / Urgent Care Coverage | |||
| Fitness Membership | |||
| Nurse Line |
Cost sharing and deductibles may vary based on the level of Medicaid and Extra Help that the beneficiary receives. Food & produce (grocery items), gas-at-the-pump, utilities, rent/mortgage assistance, pest control, indoor air quality products, public transportation, transportation for non-medical needs are 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 (e.g., diabetes, chronic heart failure, cardiovascular disorder, chronic and disabling mental health conditions, stroke, or other eligible conditions), and meet coverage criteria. Not all Members enrolled in the VillageCareMAX Medicare Health Advantage or Medicare Select Advantage plans may qualify. Members enrolled in the VillageCareMAX Medicare Total Advantage plan will qualify. Some dental service limits and prior authorization requirements apply. VillageCareMAX is an HMO plan with Medicare and New York State Medicaid contracts. Enrollment in VillageCareMAX depends on contract renewal.
New York Medicaid Choice is New York State's managed care enrollment program. Call 1-800-505-5678 (TTY: 1-888-329-1541) for more information.
