2022 Benefits & Services

Benefits

VillageCareMAX Medicare Health Advantage Plan (HMO D-SNP) members get all covered Medicare and many non-Medicare benefits. Your Care Manager will work with you and your providers to meet your needs. You receive Medicare-covered benefits and extra benefits such as:

$140 per month ($1,680 per year) on your Over-the-Counter (OTC) card to purchase approved non-prescription drugs and health-related items
Preventive dental services including oral exams, X-rays, cleanings & fluoride treatments (one every six months)
$2,000 per year for comprehensive dental services such as dentures, crowns and oral surgery
1 eye exam per year
$350 per year for eyewear (eye glasses and contact lenses)
36 one-way trips per year to medical appointments
1 routine hearing exam per year
$1,500 per year for 2 hearing aids limited to $750 per ear
34 acupuncture visits per year (limit 4 visits per month)
Fitness Membership at participating locations or home fitness kits if you prefer to work out at home
Physician Call Line with 24 hour access to speak to a doctor about your non-emergency health related concerns
Doctors visits
$0 preventive services including bone mass measurement, diabetes screenings, cancer screenings, flu shots, and glaucoma tests
Diagnostic testing including X-ray, EKG, MRI, CT Scans)
Inpatient hospital and skilled nursing facility services
Worldwide Emergency/Urgent Care / Emergency Transportation coverage limited to $50,000 per year
Durable Medical Equipment (DME) and supplies
One additional pair of diabetic shoes per year above the Medicare limit
Medicare Part D prescription drug coverage

You can learn more about the services that are available to VillageCareMAX Medicare Health Advantage members, by downloading and reviewing the following booklets, or contacting us at 1-800-469-6292 (TTY users call 711). We are available 7 days a week, from 8:00 a.m. to 8:00 p.m. to answer your questions.

2022 Summary of Benefits
2022 Evidence of Coverage

This information is not a complete description of benefits. Premium, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Limitations, copayments, and restrictions may apply. Benefits, premiums and/or co-payments/co-insurance may change on January 1 of each year. Contact the plan for more information.


Who Can Join

You can join in VillageCareMAX Medicare Health Advantage Plan if you:

  • Live in Bronx, Brooklyn, Manhattan or Queens
  • Have Medicare Parts A and B
  • Have Medicaid

How To Join

There are three ways to join:

  1. Call VillageCareMAX to schedule an appointment with a licensed sales agent. Call us at 1-800-469-6292 (TTY 711), 7 days a week 8 am to 8 pm.
  2. Download and complete an Enrollment Request Application. Download it in English (coming soon), Spanish [Español] (coming soon), or Chinese [中文] (coming soon). Complete the form and send it to us by mail to VillageCareMAX, 112 Charles Street, New York, NY 10014
  3. Medicare beneficiaries may also enroll in VillageCareMAX Medicare Health Advantage (HMO D-SNP) through the CMS Medicare Online Enrollment Center located at https://www.medicare.gov. Call 1-800-Medicare 1-800-633-4227 (TTY: 1-877-486-2048).
Page Last Updated: 10/18/2021