Prince William, Sussex, Roanoke City, Lancaster, Colonial Heights 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. Prince William, our Member Services staff at 855-249-5025 (TTY 711) for help at no cost to you. Prince William, Arlington, Virginia Premier now covers your hearing benefits. Bristol, For additional information regarding the Virginia Premier Medicare Advantage network, please see your plansEvidence of Coverage. Henrico, Fairfax, Franklin, King William, Lunenburg, Danville City, Copyright 2022 Southeastrans. Use "Doctor Lookup" to see if your doctor is in our network or to find a new one. Administrative services provided by United HealthCare Services, Inc. or its affiliates. 3. Spotsylvania, Scott, If you would like access to a specific group NPI/API instead, please enter it in the field provided. Alleghany, UnitedHealthcare Community Plan of Virginia FAMIS program is for children up to age 19. Washington, Chesapeake City, We join technology and smart business practices to offer a new standard in human transportation delivery services. This policy has exclusions, limitations, reduction of benefits, and terms under which the policy may be continued in force or discontinued. Hanover, To initiate the BAE review complete the Best Available Evidence Request Form or for further assistance please call Virginia Premier at 1-877-739-1370 (TTY: 711) or see theCenters for Medicare & Medicaid Services (CMS) websitefor more information. Martinsville City, James City, Staunton City, If you should have portal concerns and need technical support, then you can contact 1-877-814-9909. b. Wythe, The Virginia Premier Medical Home is a new model of care that aims to provide the most comprehensive healthcare for patients in need. Puede obtener este documento de forma gratuita en otros formatos, como letra de imprenta grande, braille o audio. La llamada es gratuita. All rights reserved. If you would like access to a specific group NPI/API instead, please enter it in the field provided. 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. What are network providers?Network providers are doctors, nurses, and other health care professionals that you can go to as a member of our plan. Our Medicaid and Medicare Advantage (HMO D-SNP) health plans cover doctor visits, emergency care, hospital stays and prescriptions. Charlottesville City, Unless otherwise required, benefits are available only when services are delivered through a Designated Virtual Network Provider. Brunswick, Call1-866-633-4454, TTY 711, 8 am - 8 pm., local time, Monday - Friday (voicemail available 24 hours a day/7 days a week). Greene, Charlotte, Northumberland, Your health information is kept confidential in accordance with the law. Travel outside a members home community is available only when those specialized services are not available within members home community. Russell, Richmond City, Craig, Choose View Plan to see what our plan offers. Portsmouth City, Dinwiddie, Virginia Premier now covers your hearing benefits! Virginia Premier Member Service Representative Reviews. How do I enroll in a plan for myself or my family? You receive services through any of the three waivers serving people with developmental disabilities (Building Independence, Family & Individual Supports, and Community Living Waivers), also known as the DD Waivers. Virginia Premier is offering EFT services through PaySpan. Buena Vista City, Lexington City, . Chesterfield, Patrick, Deutsch | Tagalog | | Srpsko-hrvatski | | | Lynchburg City, Frederick, Click here. All Rights Reserved. Select from the options below to access your secure member account. King And Queen, Preventive checkups and shots are covered. Loudoun, To learn more about our Gas Reimbursement Program, please call us at: Virginia Premier:1.855.880.3480 (TTY: 711). Arlington, Cumberland, Middlesex, James City, There may be providers or certain specialties that are not included in this application that are part of our network. DMAS. Virginia Premier and Kaiser Permanente are collaborating to create a fully integrated health care experience for Virginia residents receiving care through Medicaid. Covington City, TheProvider & Pharmacy Directories list the providers and pharmacies in the Virginia Premier network. Middlesex, The call is free. Virginia Premier Health Plan Medicare Plans: 844-822-8115. If you are eligible for Medicaid and choose to receive your care from Virginia Premier with Kaiser Permanente, . Surry, Louisa, Southampton, Wise, Transportation is provided to and from medical appointments only. Norton City, You can choose your childs doctor. Northampton, Surry, Manassas City, Buena Vista City, The Virginia Association of Counties strives to partner with companies and organizations whose products and services greatly benefit and improve member Counties. Need to register for a new account? Manassas Park City, 8 a.m. to 8 p.m. local time, Monday-Friday 1-844-752-9434 TTY 711. Charles City, There may be steps you need to take to keep your coverage. Washington, Buchanan, 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. The home, which was Los servicios Language Line estn disponibles para todos los proveedores dentro de la red. Lee, Dinwiddie, Choose View Plan to see what our plan offers your family. For more information, call UnitedHealthcare Connected Member Services or read the UnitedHealthcare Connected Member Handbook. Roanoke City, $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. Isle of Wight, Need to register for a new account? You're a U.S. citizen or a legal resident who has lived in the U.S. for at least five consecutive years. $230 a month to buy healthy food and OTC products or pay utility bills, $0copay on covered generic and brand-name prescriptions including home delivery, Up to$2500for covered types of preventive and comprehensive dental, Have questions? York. How do I find an in network doctor or hospital? Washington, 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. 1,2, With many plans, pay a $3 (or less) copay on Tier 1 generic drugs at Walgreens. Petersburg City, Petersburg City, * Your costs may be as low as $0, depending on your level of Medicaid eligibility. UnitedHealthcare Connected benefit disclaimer. Charlotte, This is not a complete list. Chiropractic services with a small copay are covered. and Call 855-880-3480 to arrange non-emergency medical transportation services to covered medical services at least five (5) business days in advance of the appointment date. If you have questions or need help please, contact our Provider Services department atvphpnetdev@virginiapremier.comor by calling 804-968-1529. Warren, To schedule transportation, members should book at least three (3) business days in advance of the appointment date. Northampton, To learn more about our Gas Reimbursement Program, please call us at: Virginia Premier: 1.855.880.3480 (TTY: 711) Fairfax City, Access to specialists may be coordinated by your primary care physician. THROUGH OPERATIONAL EXCELLENCE, OUR DEDICATED TEAM WILL PROMOTE MEMBER-FOCUSED . Chesterfield, Bedford, Rockbridge, Starting January 1, 2023, your Virginia Premier Advantage Elite (HMO D-SNP) pharmacy benefits will be provided through Express Scripts. Assistance with covered services and limitations Assistance with claim/payment information Virginia Medicaid Member . Hopewell City, La llamada es gratuita. La llamada es gratuita. Radford City, Norfolk City, H9877_0919-MS19-700016_2022 CMS ACCEPTED 01/30/2022. This email box is for members to report potential inaccuracies for demographic (address, phone, etc.) By responding to this offer, you agree that a representative may contact you. Suffolk City, 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). Caroline, Powhatan, If you are a provider who would like to join our network, complete the, If you have a claims question, please call please call us at, To contact the Provider Relations department, please email. Danville City, Goochland, Offer not available on the following items: photo orders, prescriptions, tobacco, dairy, alcohol, liquor departments, phone/prepaid/gift cards, money orders/transfers, transportation passes, lottery tickets, charitable donations, pseudoephedrine or ephedrine products, newspapers, magazines, stamps, home medical equipment and durable medical equipment products, pharmacy items and services, Prescriptions Savings Club membership fee, and items or services submitted to insurance for reimbursement or where otherwise limited by law. Carroll, Southeastrans offers public transportation vouchers and fuel/gas reimbursement as an alternative. The helpline is available Monday through Friday, 8:30 a.m. to 6 p.m. Say, "I want Virginia Premier!" Waynesboro City, Plus, get member-exclusive discounts, like 20% off Walgreens-brand health and wellness products.1,3,4, Have Questions? 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? Alleghany, Fauquier, Dinwiddie, The benefits described may not be offered in all plans or in all states. All for a $0 plan premium. Nelson, Manassas Park City, You can get this document for free in other formats, such as large print, braille, or audio. Has your address or contact information changed? Salem City, Check your benefit plan to determine if these services are available. Its easy. New Kent, Pay $0 with many plans when you see your network primary care provider for things like annual checkups, shots and screening, and help managing chronic conditions.1, With many plans, you get unlimited $0 virtual urgent care visits with a doctor whos trained to provide online care. If you have MassHealth Standard, but you do not qualify for Original Medicare, you may still be eligible to enroll in our MassHealth Senior Care Option plan and receive all of your MassHealth benefits through our SCO program. Fauquier, Fluvanna, If CMS hasnt provided an end date for the disaster or emergency, plans will resume normal operation 30 days after the initial declaration. Buckingham, Scott, Newport News City, Medicaid provides free or low-cost health coverage to low-income individuals and their families. By logging in to this portal, I affirm that I have read, understand and agree to abide by the following terms and conditions: I certify I am a health care provider, an employee of a health care provider, a business associate of a health care provider, or an employee of a business associate, and the purpose of my access to any Virginia Premier System is related to the provision or payment of health care services. Headquartered in Virginia Beach, VA, Sentara Health Plans is the health insurance division of Sentara Healthcare, offering health plans through its subsidiaries, Optima Health and Virginia Premier. Enrollment Bland, Page, Mecklenburg, Wythe, Hampton City, The Gas Reimbursement Program allows friends or family to transport our members to and from appointments. Powhatan, Some plans may require copayments, deductibles and/or coinsurance for these benefits. Fluvanna, Manassas City, October 1March 31 | 7 days a week | 8 a.m. 8 p.m. April 1September 30 | MondayFriday | 8 a.m. 8 p.m. On certain holidays and weekends April 1 through September 30, your call will be handled by our automated phone system. UnitedHealthcare offers Individual & Family ACA Marketplace plans in Virginia. How do I enroll in a plan for myself or my family? Get the most out of your insurance plan and save money by choosing a provider in your network. Northumberland, Learn about dual health plan benefits, and how theyre designed to help people with Medicaid and Medicare. Louisa, Madison, Amelia, Lynchburg City, Before selecting a specific dual health plan, review the plans full or partial Medicaid coverage requirements. Learn more about these Virginia Medicaid services: Find our member handbook, newsletters, frequently asked questions and more. Puede obtener este documento de forma gratuita en otros formatos, como letra de imprenta grande, braille o audio. 23219 For Medicaid Enrollment Web: www.coverva.org Tel: 1-833-5CALLVA TDD: 1-888-221-1590 And you get many services to help with daily activities at home that other Virginia Commonwealth Coordinated Care Plus (CCC Plus) Medicaid plans dont offer. Shenandoah, Southampton, Charles City, Virginia Beach City, Prince George, Virginia Premier CompleteCare (Medicare-Medicaid Plan), a Commonwealth Coordinated Care Plan: Call us at 1-855-338-6467 to get a printed copy of the directory.

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