2021 Benefits & Services

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 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 every year
  • $350 per year for eyewear (eye glasses and contact lenses)
  • 18 one-way trips by taxi or van every 6 months
  • 1 routine hearing exam
  • $1,500 per year for 2 hearing aids limited to $750 per ear
  • 48 acupuncture visits per year
  • 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
  • Doctor 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
  • $50,000 per year for Worldwide Emergency/Urgent Coverage when you travel outside of the United States and its territories
  • 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.

2021 Summary of Benefits: English Español 中文

2021 Evidence of Coverage: English Español 

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.

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

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

There are three ways to enroll:

  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, Spanish [Español], or Chinese [中文]. 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).