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Benefits

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
Dental services

$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.

  • Bitewing X-rays, 1 time in a 12-month period.
  • A panoramic X-ray, 1 time every 5 years.
  • A full mouth or complete series of X-rays, 1 time every 5 years.

$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

Vision care

$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)

Transportation services

$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:

  • $0 copay for adult day programs.
  • $0 copay for assistive technology.
  • $0 copay for chore services.
  • $0 copay for environmental modifications.
  • $0 copay for expanded community living supports.
  • $0 copay for fiscal intermediary services.
  • $0 copay for home-delivered meals.
  • $0 copay for non-medical transportation.
  • $0 copay for preventive nursing services.
  • $0 copay for private duty nursing (PDN).
  • $0 copay for respite care services.
    Authorization rules apply

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