Medicare D-SNP and Medicaid

Two types of health insurance types, one trusted provider: Virginia Premier

You can streamline your care and gain extra benefits when you have Virginia Premier manage your Medicare D-SNP and Medicaid Plans.

Virginia Premier Advantage Elite (HMO D-SNP) is a Dual Eligible Special Needs Plan

  • $0 monthly plan premium
  • This Medicare Advantage plan is available to those with full Medicaid benefits who live in Virginia.

If you are eligible for both Medicaid and Original Medicare (Part A and Part B), you may be able to enroll in the Advantage Elite plan that provides extra benefits at no cost. You must also be enrolled in a Medicaid plan.

Virginia Premier Medicaid

Virginia Premier has a Medicaid Plan, focused on managed care. Every member has a care team dedicated to providing personalized health care and support.

Extra benefits overview: Virginia Premier Medicare and Medicaid plans

See the extra benefits you receive with Advantage Elite and Virginia Premier’s Medicaid plan below. For a complete list of covered services, view the Advantage Elite Summary of Benefits or our Medicaid Member Handbook.

For extra benefits covered by both Medicare D-SNP and Medicaid, the D-SNP benefit is used first. The Medicaid benefit covers what is not already covered by the D-SNP added benefit.

2023 Extra Benefits

Advantage Elite (HMO D-SNP)-$0 copay with $4,000 max

  • Preventive: Oral exam, one cleaning, one fluoride treatment, two bitewing X-rays every 12 months, and one full-mouth X-ray every 36 months.
  • Comprehensive: Fillings, extractions and dentures up to $4,000 allowed annually.

Virginia Premier Medicaid

  • Coverage included by Virginia Medicaid.

Advantage Elite (HMO D-SNP)-$0 copay

  • $0 copay for routine exam. Receive up to $300 allowance every 12 months for eyewear and/or contact lenses.

Virginia Premier Medicaid

  • Up to $100 allowance towards contacts, frames, lenses, and one exam every 24 months (diabetics yearly).

Advantage Elite (HMO D-SNP)-$0 copay

  • $0 copay for routine hearing exam. $0 copay for one set of select hearing aids every 12 months to a max allowance of $2,000.

Virginia Premier Medicaid

  • Exams and hearing aid allowance up to $1,250 every 36 months.

Advantage Elite (HMO D-SNP)-$100 monthly allowance

Members receive an allowance of $100 each month to spend on healthy food products at retail locations that operate as grocery stores, including Food Lion, Harris Teeter, Kroger, Rite Aid, Walgreens, and Walmart. Grocery items can also be ordered from NationsBenefits® by phone, online, or mail— with no additional cost for delivery.

Unspent dollars do not carry over to the next month.

*Members with chronic condition(s) that meet certain criteria may be eligible for this special supplemental benefit.

Advantage Elite (HMO D-SNP)-$0 copay

  • SilverSneakers®: Attend online classes and workshops, view on-demand workout videos, or visit one of many fitness locations nationwide. Available to Virginia Premier Advantage Elite members of all ages.

Virginia Premier Medicaid

  • In-home options available. Please contact your care coordinator.

Advantage Elite (HMO D-SNP)-$0 copay

  • $350 allowance every three months for approved OTC products. Amount does not carry over to the next quarter.

Virginia Premier Medicaid

  • Many generic OTC medications are covered. For more information on OTC drugs covered by Virginia Premier, please visit the Medicaid Formulary.

Advantage Elite (HMO D-SNP)-$0 copay

  • Medical: $0 copay for 48 one-way trips every 12 months for health-related services.
  • Non-medical: $0 copay for 24 one-way trips every 12 months to approved locations such as grocery stores, church, or senior centers, churches, or community centers.

*Members with chronic condition(s) that meet certain criteria may be eligible for this special supplemental benefit.

Virginia Premier Medicaid

  • Medical: Unlimited transportation services for medical trips including but not limited to routine PCP visits, urgent visits, and to/from the pharmacy.
  • Non-medical: Three free non-medical round trips every 3 months.

2022 Extra Benefits

Advantage Elite (HMO D-SNP)-$0 copay with $4,000 max

  • Preventive: Oral exam, one cleaning, one fluoride treatment, two bitewing X-rays every 12 months, and one full-mouth X-ray every 36 months.
  • Comprehensive: Fillings, extractions and dentures up to $4,000 allowed annually.

Elite Plus (CCC Plus)

  • Coverage included by Virginia Medicaid as of July 1, 2021

Advantage Elite (HMO D-SNP)-$0 copay

  • $0 copay for routine exam. Receive up to $300 allowance every 12 months for eyewear and/or contact lenses.

Elite Plus (CCC Plus)

  • Up to $100 allowance towards contacts, frames, lenses, and one exam every 24 months (diabetics yearly).

Advantage Elite (HMO D-SNP)-$0 copay

  • $0 copay for routine hearing exam. $0 copay for one set of select hearing aids every 12 months to a max allowance of $2,000.

Elite Plus (CCC Plus)

  • Exams and hearing aid allowance up to $1,250 every 36 months.

Advantage Elite (HMO D-SNP)-$75 monthly allowance

Members receive a grocery card loaded with $75 each month to spend on healthy food products at Harris Teeter, Kroger, Rite Aid, Walgreens, or Walmart. Grocery items can also be ordered from NationsBenefits® by phone, online, or mail— with no additional cost for delivery.

Unspent dollars do not carry over to the next month. Members with chronic condition(s) that meet certain criteria may be eligible for this special supplemental benefit.

Advantage Elite (HMO D-SNP)-$0 copay

  • SilverSneakers®: Attend online classes and workshops, view on-demand workout videos, or visit one of many fitness locations nationwide. Available to Virginia Premier Advantage Elite members of all ages.

Elite Plus (CCC Plus)

  • In-home options available. Please contact your care coordinator.

Advantage Elite (HMO D-SNP)-$0 copay

  • $350 allowance every three months for approved OTC products. Amount does not carry over to the next quarter.

Elite Plus (CCC Plus)

  • Many generic OTC medications are covered. For more information on OTC drugs covered by Virginia Premier, please visit the CCC Plus Formulary.

Advantage Elite (HMO D-SNP)-$0 copay

  • Medical: $0 copay for 48 one-way trips every 12 months for health-related services.
  • Non-medical: $0 copay for 24 one-way trips every 12 months to approved locations such as grocery stores, church, or senior centers. Members with chronic condition(s) that meet certain criteria may be eligible for this special supplemental benefit.

Elite Plus (CCC Plus)

  • Medical: Unlimited transportation services for medical trips including but not limited to routine PCP visits, urgent visits, and to/from the pharmacy.
  • Non-medical: Three free non-medical round trips every 3 months.

Are you ready to enroll?

Enjoy the convenience of having both of your health insurance types in one place with Virginia Premier. If you have Medicare and Medicaid from two different health plan carriers at the same time, it may be confusing to know who to ask for help. When Virginia Premier covers them both, you gain one main care coordinator to manage all your needs.

How to switch your Medicare D-SNP to Virginia Premier

  • Once a quarter: January 1–March 31, April 1–June 30, July 1–September 30. Your coverage will be effective the first of the month following your election.
  • When you enroll October 15–December 7, your coverage will take effect the following January 1.

For details, talk to one of our Licensed Plan Advisors at 1-833-270-2104 (TTY: 711).

How to switch your Medicaid to Virginia Premier

  • New members: Within your first 90 days.
  • Annual: During Open Enrollment
    • Traditional CCC Plus members: October 1 – December 31
    • CCC Plus Medicaid Expansion members: November 1 – December 31
  • Any other time: With permission from the Virginia Department of Medical Assistance Services (DMAS).

For details, contact the CCC Plus Helpline toll-free: 1-844-374-9159 (TTY: 1-800-817-6608).

Choose Virginia Premier

Virginia Premier has been serving the health care needs of Virginians for over 25 years. We understand the opportunities and health care challenges of this community. We live and work throughout Virginia, too. That’s why we are bringing you quality, affordable Medicare Advantage and Medicaid plans with personalized care and services.