Benefits
VillageCareMAX Medicare Select Advantage Plan (HMO) members get all covered Medicare and many non-Medicare covered 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:
and 23% for preferred brand names
Cost sharing and deductibles may vary based on the level of Medicaid & Extra Help that the beneficiary receives. Food & produce (grocery items), gas-at-the-pump, utilities, rent/mortgage assistance, pest control products, indoor air quality products, ride share, public transportation, transportation for non-medical needs. 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 may qualify. Some dental service limits and prior authorization requirements apply.
You can learn more about the services that are available to VillageCareMAX Medicare Select Advantage Plan members, by downloading and reviewing the following booklets, or contacting us at 1-855-296-8800 (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.
2026 Summary of Benefits
2026 Evidence of Coverage
This information is not a complete description of benefits. Premiums, 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 the VillageCareMAX Medicare Select Advantage Plan if you:
- Are not receiving Medicaid
- May or may not receive Extra Help
- Live in Bronx, Brooklyn, Manhattan, Queens, Staten Island, Nassau, Westchester, or Putnam
How To Join
There are three ways to join:
- Call VillageCareMAX to schedule an appointment with a licensed sales agent. Call us at 1-855-296-8800 (TTY 711), 7 days a week 8 am to 8 pm.
- 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
- Medicare beneficiaries may also enroll in VillageCareMAX Medicare Select Advantage Plan (HMO) 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.
