Start Saving Today! 2022 EmblemHealth VIP Special Needs (HMO D-SNP) plans
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Start Saving
Today!
2022 EmblemHealth VIP
Special Needs (HMO D-SNP) plans
+
Our EmblemHealth VIP Special Needs Plans are for people who have Medicare and Medicaid, Medicare cost-sharing assistance. These plans give you all the benefits of Original Medicare, plus Part D prescription drug coverage. If you’re entitled to Medicare Part A, enrolled in Medicare Part B, and make less than $16,000 a year, you should take advantage of our plans and start saving today.
EmblemHealth VIP Dual
(HMO D-SNP)
Plan highlights
• No referrals required
• You pay nothing each month for this plan
• $0 primary care doctor visits
• $0 specialist doctor visits
Extra benefits
• No annual limit for preventive and
comprehensive dental services
•U p to $550 eyewear allowance every
three years, varies by county
•U p to $300 hearing aid allowance every
three years, varies by county
• $ 0 acupuncture for up to 10 additional
visits beyond lower back pain coverage
• SilverSneakers® fitness program
Monthly over-the-counter (OTC), includes
NEW food items
•
Queens counties
•
Richmond, Rockland, Sullivan, Ulster, and
Westchester counties
• GET
FOOD
UP TO INCLUDED
To join EmblemHealth VIP
Dual (HMO D-SNP), you
must have full Medicaid
and live in one of the following counties
in our service area: Bronx, Dutchess,
Kings, Nassau, New York, Orange, Putnam,
Queens, Richmond, Rockland, Suffolk,
Sullivan, Ulster, and Westchester.EmblemHealth VIP Dual Select (HMO D-SNP) Plan highlights • No referrals required • You pay nothing each month for this plan • $0 primary care doctor visits • $0 specialist doctor visits Extra benefits • No annual limit for comprehensive dental services •U p to $100 eyewear allowance per year • Up to $750 hearing aid allowance per year • $ 60 monthly over-the-counter (OTC) card • $ 0 acupuncture for up to 10 additional visits beyond lower back pain coverage To join EmblemHealth VIP Dual Select (HMO D-SNP), you must have full Medicaid and live in one of the following counties in our service area: Bronx, Dutchess, Kings, Nassau, New York, Orange, Putnam, Queens, Rockland, Suffolk, Sullivan, Ulster, and Westchester.
EmblemHealth VIP
Solutions (HMO D-SNP)
Plan highlights
• No referrals required
• You may pay $0-$42.40 each month
for this plan (based on your level of
Extra Help)
• $0 primary care doctor visits
• $0 or $30 specialist doctor visits
Extra benefits
• Preventive dental services
• Up to $200 eyewear allowance per year
• Up to $350 hearing aid allowance per year
• $0 acupuncture for up to 10 additional
visits beyond lower back pain coverage
To join EmblemHealth VIP Solutions
(HMO D-SNP), you must have partial or
full Medicaid and live in one of the
following counties in our service area:
Bronx, Dutchess, Kings, Nassau,
New York, Orange, Putnam, Queens,
Richmond, Rockland, Suffolk, Sullivan,
Ulster, and Westchester.EmblemHealth VIP Dual
Reserve (HMO D-SNP)
Plan highlights
• No referrals required
• You pay nothing each month for this plan
• $0 primary care doctor visits
• $0 specialist doctor visits
Extra benefits
• $ 147 monthly over-the-counter (OTC) card,
includes NEW food items
• $0 telehealth primary care doctor visits
To join EmblemHealth VIP Dual Reserve
(HMO D-SNP), you must have full Medicaid
and live in one of the
GET
following counties in UP TO
FOOD
INCLUDED
our service area: Bronx,
Kings, New York, and
Queens.
Are you ready to save?
Our plan can help you save
money with just one call.
800-447-9169 (TTY: 711)NEED MORE INFORMATION? READY TO TAKE THE NEXT STEP? Please contact your licensed sales representative. Or, call EmblemHealth at 800-447-9169 (TTY: 711), October 1 through March 31: 8 am to 8 pm, seven days a week. April 1 through September 30: 8 am to 8 pm, Monday through Friday. Notes
55 Water Street, New York, NY 10041-8190 emblemhealth.com/medicare Health Insurance Plan of Greater New York (HIP) is an HMO/HMO D-SNP plan with a Medicare contract and a contract with the New York State Department of Health. Enrollment in HIP depends on contract renewal. HIP is an EmblemHealth company. SilverSneakers is a registered trademark of Tivity Health, Inc. © 2021 Tivity Health, Inc. All rights reserved. Y0026_202097_M Accepted 8/23/2021 Y0026_XXXXXXX 86-8992-22 9/21 86-XXXX-20 7/19
We’ve got you covered.
Take the next step to better manage your health care. Simply complete this card and: • Give the card to an EmblemHealth representative OR • Fold it, seal it, and put it in the mail. (The postage is paid, so no stamp is needed.) YES! I would like to find out more about health insurance from EmblemHealth. Please call me about insurance for: Name: _____________________________________________ Email: _________________________________________ Home phone: ________________________________________ Cell phone: _
Best time to call: _ Or email: _ By completing this form, I consent to receive calls or emails from a representative about EmblemHealth products and services at the number/email I have provided (including mobile devices). These calls/emails may be made using an automated technology, and my consent to receive these calls is not required as a condition for me to make a purchase. For Company Use Only: Agent ID#: _______________________________________________________________________________ Location received:______________________________________ Date received: _______________________ Y0026_202097_M Accepted 8/23/2021
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NECESSARY
IF MAILED
IN THE
UNITED STATES
BUSINESS REPLY MAIL
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POSTAGE WILL BE PAID BY ADDRESSEE
EMBLEMHEALTH MEDICARE SALES
55 WATER STREET
NEW YORK NY 10275-0718You can also read
