You're a VIP. Discover the difference.
Our large network of providers, hospitals, and pharmacies makes it easy for you to get care. Choose AmeriHealth Caritas VIP Care Plus (Medicare-Medicaid plan) and be treated like the VIP you are.
Summary of benefits
AmeriHealth Caritas VIP Care Plus provides:
- $0 copay for Medicare-covered benefits.
- $0 copay for all prescription drugs on the formulary.
- Long-term services and supports waiver benefits if medically necessary.
- Coverage for inpatient hospital care, as well as skilled nursing facility and home health care services.
- A large network of providers, hospitals, specialists, and pharmacies.
Below is a brief summary of key benefits. You can also view the complete documents below:
For more information, call AmeriHealth Caritas VIP Care Plus Customer Care Advocates at 1-877-703-9109 (TTY/TDD 711), 8 a.m. to 8 p.m., 7 days a week.
Find a provider in our network for the benefits listed below.
|Premium||$0 monthly plan premium|
|Doctor office visits||$0 copay for each Medicare-covered primary care provider (PCP) visit|
$0 copay for examinations and evaluations, 1 time every 6 months
$0 copay for cleaning, 1 time every 6 months
$0 copay for X-rays.
$0 copay for fillings
$0 copay for tooth extractions, 1 visit every year
$0 copay for complete or partial dentures, 1 time every 5 years
$0 copay for routine eye examinations 1 time every year
$0 copay for an initial pair of eye glasses. Replacement glasses are offered 1 time every year
$0 copay for contact lenses for people with certain conditions
$0 copay for basic and essential low-vision aids (such as telescopes, microscopes, and certain other low-vision aids)
$0 copay for rides to a plan-approved location (scheduling rules apply)
|Home delivered meals||
$0 copay for home delivered meals (authorization rules may apply)
|Home health care||
$0 copay for Medicare-covered home health visits (authorization rules apply)
|Home-and community-based waiver services (HCBS)||
HCBS benefits are offered to all plan enrollees for whom they are medically necessary. If you are not a waiver participant, you can receive HCBS waiver benefits through AmeriHealth Caritas VIP Care Plus if they are medically necessary for you. Waiver services include: