Our Medicaid and Medicare Advantage (HMO D-SNP) health plans cover doctor visits, emergency care, hospital stays and prescriptions. Check your benefit plan to determine if these services are available. Si tiene problemas para leer o comprender esta o cualquier otra documentacin de UnitedHealthcare Connected de MyCare Ohio (plan Medicare-Medicaid), comunquese con nuestro Departamento de Servicio al Cliente para obtener informacin adicional sin costo para usted al 1-877-542-9236(TTY 711) de lunes a viernes de 7 a.m. a 8 p.m. (correo de voz disponible las 24 horas del da, los 7 das de la semana). Nelson, Click here, Monday Friday | 8:00 am 8:00 pm, excluding certain holidays, Monday Friday | 7:30 am 9:00 pm, excluding certain holidays. Hampton City, Contact the Medicaid office in your county/region to apply for Medicaid or to find out more about Non-Emergency Transportation. Medicare dual eligible special needs plans, Governor Northam Outlines Plans for Novel Coronavirus (COVID-19), 2023 UnitedHealthcare Dual Complete Choice (PPO D-SNP). King William, Mathews, Dinwiddie, Plus, you can see any provider outside the network nationwide that participates in Medicare and accepts the plan. Riders are only able to carry one bag onto the vehicle; bag must fit in riders lapno exceptions. Staunton City, Powhatan, Alexandria City, Southeastrans arranges transportation for all Georgia Medicaid Members residing in counties located in the North and Atlanta regions of the State. Colonial Heights City, Craig, Limitations, co-payments, and restrictions may apply. King George, Nottoway, $175a month on a prepaid card for OTC and covered groceries in-store or online, $75a month on a prepaid card for OTC and covered groceries in-store or online, Up to$2000for covered types of preventive and comprehensive dental, Up to 84 meals for 28 days, delivered one time a year after a hospital stay. Scott, Washington, Find Medicare Advantage, Medicare Supplement or Prescription Drug Plans at, Individual & Family ACA Marketplace Plans Disclaimer, UnitedHealthcare Connected for MyCare Ohio (Medicare-Medicaid Plan), UnitedHealthcare Connected (Medicare-Medicaid Plan), UnitedHealthcare Connected general benefit disclaimer, UnitedHealthcare Senior Care Options (HMO SNP) Plan. We do this through innovation, strategic partnerships, industry-leading healthcare. Answer a few quick questions to see what type of plan may be a good fit for you. Find a doctor, specialist, or pharmacy near you. Buckingham, Shenandoah, Bristol City, We also have information for your rights upondisenrollment. Caroline, You will have certain rights, as well as responsibilities, as a member of a Virginia Premier Medicare Advantage plan. Nottoway, Harrisonburg City, Lancaster, Clarke, This information, however, is not an endorsement of a particular physician or health care professional's suitability for your needs. Except during an emergency, you must fill your prescriptions at one of our network pharmacies if you want our plan to help you pay for them. . Henrico, Most dual plans also give you more benefits and features than you get with Original Medicare. 8 a.m. to 8 p.m. local time, 7 days a week 1-866-622-7982 TTY 711. Bedford, Lynchburg City, If you would like access to a specific group NPI/API instead, please enter it in the field provided. Tazewell, Patrick, Alexandria City, There may be steps you need to take to keep your coverage. Sussex, One adult escort or attendant may accompany a Member if he or she has the same origin and destination as the rider and requires assistance for some medical reason. Northumberland, Learn about dual health plan benefits, and how theyre designed to help people with Medicaid and Medicare. Galax City, Have questions? Colonial Heights City, Amelia, Collectively, Optima Health and Virginia Premier provide health insurance coverage to over 875,000 members through a full suite of commercial . Gloucester, Highland, James City, Greene, All rights reserved. Rockingham, a. Payspan or portal issues should be directed to your Provider Service Rep for your area. Louisa, Plans are insured through UnitedHealthcare Insurance Company or one of its affiliated companies, a Medicare Advantage organization with a Medicare contract and a contract with the State Medicaid Program. 888-357-6863 (TTY: 711) Please enter your Plan ID located on your member ID card. You must be eligible for Medicare and have full or partial Medicaid coverage in one of the following categories VA: QMB only, Are you 65 years or older but dont qualify? King And Queen, * Your costs may be as low as $0, depending on your level of Medicaid eligibility. You can call Member Services and ask us to make a note in our system that you would like materials in Spanish, large print, braille, or audio now and in the future. UnitedHealthcare Connected for One Care (Medicare-Medicaid Plan). Loudoun, Bath, For more information contact the plan or read the Member Handbook. Suffolk City, Highland, Spotsylvania, Radford City, For expedited registration, please provide a Claim number and the Total Billed Charges on the claim when creating your account. Virginia Premier/Kaiser Permanente Elite Individual Plan, Virginia Premier/Kaiser Permanente Members, Virginia Premier Kaiser Permanente Providers, Prescription Drug Coverage Determination Request, Addiction and Recovery Treatment Services, Need to register for a new account? Bristol City, A copy of the Medicaid card with the members name and an eligibility date; One of the following letters from Social Security Administration showing Extra Help and effective date. Llame al1-866-633-4454, TTY 711, de 8am. Smyth, Learn how to enroll in a dual health plan. Tazewell, Bedford, Norton City, Wise, Prince George, Nelson, Henry, Harrisonburg City, Rappahannock, Rockbridge, Staunton City, Benefits, List of Covered Drugs, pharmacy and provider networks and/or copayments may change from time to time throughout the year and on January 1 of each year. If you don't already have this viewer on your computer,download it free from the Adobe website. This handbook will help you understand your benefits and how you can get help from Virginia Premier. Fairfax, Henrico, UnitedHealthcare Connected for MyCare Ohio (Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and Ohio Medicaid to provide benefits of both programs to enrollees. Charlotte, Culpeper, Greensville, Call 855-880-3480 to arrange non-emergency medical transportation services to covered . Amherst, oxygen, escort, over-sized wheelchair, etc.) To be eligible for a Medical Assistance Program, you must meet the financial and non-financial eligibility conditions for that program. Prince Edward, Louisa, There may be providers or certain specialties that are not included in this application that are part of our network. Virginia Premier salary trends based on salaries posted anonymously by Virginia Premier employees. You may pay a higher copay or coinsurance when you see an out-of-network provider. How do I access the member portal? UnitedHealthcare Community Plan of Virginia FAMIS program is for children up to age 19. King William, In order to register for an account, if you would like access to all group NPIs/APIs under a single Tax ID, please enter your Tax ID only. Halifax, Lee, This dual health plan is for people who qualify for both Medicaid and Medicare Parts A & B (Original Medicare). Carroll, Williamsburg City, Manassas City, If you would like access to a specific group NPI/API instead, please enter it in the field provided. Puede obtener este documento de forma gratuita en otros formatos, como letra de imprenta grande, braille o audio. Roanoke, Petersburg City, Sussex, You receive services through the CCC Plus home and community based services waiver (formerly referred to as the Technology Assisted and Elderly or Disabled with Consumer Direction (EDCD) Waivers). With respect to all information viewed or obtained from this site, I agree to comply with all applicable federal and state laws regarding the confidentiality and integrity of health and medical records. Lets update your browser so you can enjoy a faster, more secure site experience. Greensville, Salem City, Organizations Filed Purposes: VIRGINIA PREMIER HEALTH PLAN IS COMMITTED TO ENSURING OUR MEMBERS RECEIVE THE HIGHEST QUALITY MEDICAL SERVICES FROM OUR PHYSICIANS, HOSPITALS, AND OTHER HEALTH CARE PROVIDERS. Cumberland, Northumberland, Gloucester, information in the online or paper directories. This handbook will help you understand your benefits and how you can get help from Virginia Premier. Brunswick, For their service, the driver will be reimbursed for their gas expense. UnitedHealthcare Connected for One Care (Medicare-Medicaid Plan) is a health plan that contracts withboth Medicare and MassHealth (Medicaid) to provide benefits of both programs to enrollees. Middlesex, Do you or someone you know have Medicaid and Medicare? Martinsville City, How do I contact Virginia Premier? Search job titles. The benefit information is a brief summary, not a complete description of benefits. Foster Care and Adoption Assistance Child under age 26, Pregnant women including two months post delivery. H9877_0919-MS19-700016_2022 CMS ACCEPTED 01/30/2022. Virginia Premier Member Service Representative Reviews. You are important to us. Chesterfield, Hanover, Charlottesville City, Powhatan, Mecklenburg, Norton City, Louisa, Llame al 1-800-256-6533, TTY 711, de 08:00 a. m. a 08:00 p. m., hora local, de lunes a viernes (correo de voz disponible las 24 horas del da,/los 7 das de la semana). Gloucester, Clarke, Frederick, Need to register for a new account? *** IMPORTANT *** VIEW OUR COVID-19 INFORMATION HUB. Provider Services Numbers. Tazewell, Fluvanna, Radford City, Looking for the federal governments Medicaid website? Appomattox, Buckingham, New Kent, The Gas Reimbursement Program allows friends or family to transport our members to and from appointments. They are our new pharmacy benefit manager (PBM), replacing Elixir. Richmond City, and Grayson, Page, Hanover, Have questions? 1,001-5,000 employees Headquarters Richmond, VA Type Nonprofit Founded 1995 Specialties health insurance Locations Primary 600 East Broad Street Suite 400 Richmond, VA 23230, US Get directions. Richmond City, Rockbridge, How do I enroll in a plan for myself or my family? DMAS. The exceptions are care for a medical emergency, urgently needed care, out-of-area renal (kidney) dialysis services and services that are found upon appeal to be services that we should have paid or covered. Emporia City, . Giles, Virginia Premier Premier Members: CCC Plus Premier Members: Handbook (2021) - English Contacting Virginia Premier CCC Plus Member Services: 1-877-719-7358 (TTY: 711) Language Interpretation - Interpretacin de Lengua: 1-877-719-7358 (TTY: 711) (Learn more) Falls Church City, Danville City, This includes full compliance with the Health Insurance Portability and Accountability Act of 1996 (HIPAA), the HITECH Act, and the Virginia Health Records Privacy Act, and applicable regulations to these laws. By responding to this offer, you agree that a representative may contact you. Click here. Dinwiddie, You will receive an email within 3-5 business days with your username and temporary password. Clarke, Bland, If you have any problem reading or understanding this or any other UnitedHealthcare Connected for MyCare Ohio (Medicare-Medicaid Plan) information, please contact our Member Services at 1-877-542-9236(TTY 711,) from 7 a.m. to 8 p.m. Monday through Friday (voice mail available 24 hours a day/7 days a week) for help at no cost to you. York. To learn more about our Gas Reimbursement Program, please call us at: Virginia Premier:1.855.880.3480 (TTY: 711). Highland, La llamada es gratuita. For more information contact the plan or read the Member Handbook. Chesapeake City, Need to register for a new account? Buckingham, Spotsylvania, The helpline is available Monday through Friday, 8:30 a.m. to 6 p.m. Say, "I want Virginia Premier!" In force or discontinued within members home community is available in the.. 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