NET is a service that is provided to Georgia Medicaid Members who require transportation assistance to Medicaid-billable healthcare services and have no other means of transportation. Manassas Park City, Limitations, copays, and restrictions may apply. Lynchburg City, King And Queen, Danville City, Franklin City, Warren, NOW SELLING PAVILION IV. Puede obtener este documento de forma gratuita en otros formatos, como letra de imprenta grande, braille o audio. To be eligible you must live in the US, be a US citizen or national and cannot be incarcerated. Greensville, King William, Eligibility Salem City, You may be asked to provide additional documentation if you are institutionalized. Martinsville City, This policy has exclusions, limitations, reduction of benefits, and terms under which the policy may be continued in force or discontinued. Page, Campbell, Notice of Privacy Practices (NPP). Fauquier, Appomattox, How do I contact Virginia Premier? Portsmouth City, Some network providers may have been added or removed from our network after this directory was updated. Learn more about this new program. And your kids get extras that other plans dont offer. Hampton City, Clarke, Charles City, FAMISis Virginias health insurance program for children of eligible families including those who meet one of the following categories: You must be eligible for Medicare and have full Medicaid coverage in one of the following categories: FBDE, QMB, QMB PLUS, SLMB, SLMB PLUS. Colonial Heights City, Southampton, Optima Family Care: 844-822-8109. Page, Northampton, We offer Medicaid plans. Virginia Premier Health Plan Phone -855 652 8249 Phone -800 600 4441 Phone -800 901 0020 Phone - 800-279-1878 -844 374 9159-855 249 5025 King William, Charlottesville City, For general information about the plans in your state, visit Virginia's homepage. Stafford, You will have certain rights, as well as responsibilities, as a member of a Virginia Premier Medicare Advantage plan. Shenandoah, Fluvanna, $92,237,492. Southampton, Colonial Heights City, Bristol City, Charlottesville City, Alleghany, Fredericksburg City, However, if you qualify for Medicare or Medicaid - those options may be a better fit for you. Assistance with covered services and limitations Assistance with claim/payment information Virginia Medicaid Member . Staunton City, If you believe you have qualified for Extra Help (also called low-income subsidy (LIS) level) and you believe that you are paying an incorrect cost-share amount when you get your prescription(s) at a pharmacy; Virginia Premier has established a process that allows you to provide the evidence you already have to us. Accomack, Madison, Fredericksburg City, Southampton, Northumberland, Albemarle, 2022 Virginia Premier. Fairfax, King George, New Kent, and Update your contact information today by signing into your kp.org account or by calling Member Services at 855-249-5025 (TTY 711), Monday through Friday, 7:30 a.m. to 9 p.m. (except holidays). Send in your gas reimbursement form to our Claims Department and your driver will receive their check in the mail. For more information, call UnitedHealthcare Connected Member Services or read the UnitedHealthcare Connected Member Handbook. Spotsylvania, ATENCIN: Si habla Espaol, hay servicios de asistencia lingstica disponibles para usted y que no tienen cargo. $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? Virginia Premier Elite Individual (Medallion) or Virginia Premier Elite Family (Medallion FAMIS) 1-800-727-7536 (TTY: 711) To be eligible for a Medical Assistance Program, you must meet the financial and non-financial eligibility conditions for that program. King George, Transportation is provided to Virginia Premier members who require transportation assistance to approved healthcare services. New Kent, Starting January 1, 2023, your Virginia Premier Advantage Elite (HMO D-SNP) pharmacy benefits will be provided through Express Scripts. How do I access the member portal? Winchester City, Accomack, Amelia, Virginia Premier Elite Plus Provider Portal will sometimes glitch and take you a long time to try different solutions. Bath, This handbook is a health care and Virginia Premier Member guide that explains health care services, behavioral health coverage, prescription drug coverage, and other services and supports covered under the program. 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. and Arlington, I agree to keep confidential all information related to Virginia Premier System business, including, but not limited to, quality and risk management activities as well as other confidential or personal information concerning the medical, personal, or business affairs of Virginia Premier System and its members. Northampton, Henry, Choose View Plan to see what our plan offers your family. Puede llamar a Servicios para Miembros y pedirnos que registremos en nuestro sistema que le gustara recibir documentos en espaol, en letra de imprenta grande, braille o audio, ahora y en el futuro. Norfolk City, Scott, Southeastrans arranges transportation for all Virginia Premier Elite Plus CCC Plus Plan members residing in counties and cities located throughout Virginia. They each come with a variety of benefits, including reliable support from our customer service experts. Terms of Use | Privacy Policy | Non-Discrimination Notice | Compliance | Accessibility | Sitemap | Accreditations | HIPAA |Machine-Readable Data. Bath, Prince William, Manassas 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. You may book up to 30 business days in advance. If you have questions or need help please, contact our Provider Services department
[email protected] by calling 804-968-1529. Isle of Wight, Doctors, pharmacy, lab, imaging all under one roof 16 Urgent Care centers by November 2022, with 8 open 24/7 including lab and pharmacy See locations near you > The future of health care today The future of health care revolves around you. Middlesex, Virginia Premier and Kaiser Permanente are collaborating to create a fully integrated health care experience for Virginia residents receiving care through Medicaid. Prince George, Colonial Heights City, 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. Richmond, The information provided through this service is for informational purposes only. Language Line is available for all in-network providers. Updated Aug 14, 2021. Lunenburg, 888-357-6863 (TTY: 711) Please enter your Plan ID located on your member ID card. Wythe, Norton City, Mathews, Charlotte, Harrisonburg City, Mathews, Nelson, UnitedHealthcare Connected for One Care (Medicare-Medicaid Plan). Find a Provider. There may be providers or certain specialties that are not included in this application that are part of our network. 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. $1,792,143,648. What does it take to qualify for a dual health plan? To better serve you, we have direct phone numbers for Aetna, Virginia Premier, and DMAS members. When you are a member, you also get no-cost extra benefits. Welcome Go to My Account Join Home; Search Golf Properties; Advertising Rates; . We do not guarantee that each provider is still accepting new members. This dual health plan is for people who qualify for both Medicaid and Medicare Parts A & B (Original Medicare). Offering the highest levels of service and consumer ease in the industry. Roanoke, Radford City, Alleghany, Frederick, To access your Care Plan, Terms of Use | Privacy Policy | Non-Discrimination Notice | Compliance | Accessibility | Sitemap | Accreditations | HIPAA |Machine-Readable Data. When you need to get there Sometimes a friend can help. Powhatan, Have questions? Richmond City, 2022 Virginia Premier. Prince Edward, Amherst, Northumberland, Highland, Caroline, Bristol City, Virginia Medicaid members will soon be part of Cardinal Care - a single system of care for all of our 2 million members. . Rappahannock, Augusta, For over 20 years, Virginia Premier has provided high-quality Medicaid coverage to the individuals and working families of Virginia. King William, Roanoke City, Fairfax City, Culpeper, This is not a complete list. Spotsylvania, Puede llamar a Servicios para Miembros y pedirnos que registremos en nuestro sistema que le gustara recibir documentos en espaol, en letra de imprenta grande, braille o audio, ahora y en el futuro. What is health insurance and why is it important? Stafford, This plan is a voluntary program that is available to anyone 65 and older who qualifies for MassHealth Standard and Original Medicare. Frederick, Plans that provide special coverage for those who have both Medicaid and Medicare. Charlotte, Our Virginia Commonwealth Coordinated Care Plus (CCC Plus) Plan is for adults who need extra support and care. Accomack, Using out-of-network providersWith few exceptions, you must pay for services you receive from providers who are not part of the Virginia Premier network unless Virginia Premier has approved these services in advance. Terms of Use | Privacy Policy | Non-Discrimination Notice | Compliance | Accessibility | Sitemap | Accreditations | HIPAA |Machine-Readable Data. For more information, call UnitedHealthcare Connected Member Services or read the UnitedHealthcare Connected Member Handbook. Lee, Galax City, The helpline is available Monday through Friday, 8:30 a.m. to 6 p.m. Say, "I want Virginia Premier!" Hopewell City, Pulaski, We pay for rides to and from medical visits. To schedule transportation, members should book at least three (3) business days in advance of the appointment date. Pulaski, Norfolk City, What is health insurance and why is it important? The Gas Reimbursement Program allows friends or family to transport our members to and from appointments. We also offer dual health plans for people with both Medicaid and Medicare. 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. This handbook is a health care and Virginia Premier Member guide that explains health care services, behavioral health coverage, prescription drug coverage, and other services and supports covered under the program. Tazewell, Need to register for a new account? Pittsylvania, King George, Answer a few quick questions to see what type of plan may be a good fit for you. This handbook will help you understand your benefits and how you can get help from Virginia Premier. If you don't find the provider you are searching for, you may contact the provider directly to verify participation status with UnitedHealthcare's network, or contact Customer Care at the toll-free number shown on your UnitedHealthcare ID card. The average Virginia Premier salary ranges from approximately $62,684 per year for a Member Service Representative to $101,899 per year for a Manager. Orange, Stafford, Manassas Park City, We will provide you with information to help you make informed choices, such as physicians' and health care professionals' credentials. The formulary, pharmacy network and provider network may change at any time. Were here to help. There may be steps you need to take to keep your coverage. Patrick, Puede obtener este documento de forma gratuita en otros formatos, como letra de imprenta grande, braille o audio. We do not make any representations regarding the quality of products or services offered, or the content or accuracy of the materials on such websites. Orange, Southeastrans arranges transportation for all Virginia Premier members residing in counties and cities located throughout Virginia. Call 855-880-3480 to arrange non-emergency medical transportation services to covered . . Valuable information and tips to help those who care for people with both Medicaid and Medicare, Medicaid 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? 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. Virginia Premier provides these resources to help you learn more about the wide range of quality healthcare services we offer to our Medicare members. a. Payspan or portal issues should be directed to your Provider Service Rep for your area. Lunenburg, 888-357-6863 ( TTY: 711 ) please enter your plan located. 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