Medicare D-SNP + Medicaid CCC Plus - Virginia Premier

Medicare D-SNP + Medicaid CCC Plus

Two health insurance types, one trusted plan: Virginia Premier

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

Virginia Premier Advantage Elite (HMO D-SNP)—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 Virginia Premier Advantage Elite plan that provides extra benefits at no cost. You must also be enrolled in a Commonwealth Coordinated Care Plus (CCC Plus) Medicaid managed care plan.

Virginia Premier Elite Plus (CCC Plus)

Virginia Premier has a CCC Plus Medicaid plan, called Virginia Premier Elite Plus, focused on managed care. Every member has a care team dedicated to providing personalized health care and support.

2022 Virginia Premier Medicare and Medicaid plan added benefits overview

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

For added 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.

2022 Advantage Elite (HMO D-SNP)-$0 copay with $4,000 max

  • Preventive: Oral exam, one cleaning, one fluoride treatment and two bitewing X-rays every 12 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)-SilverSneakers®

  • $0 copay. Attend SilverSneakers® LIVE™ online classes and workshops, view on-demand workout videos or visit one of many fitness locations nationwide.

Elite Plus (CCC Plus)

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

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)-$0 copay

  • $350 allowance every three months for approved OTC products.

Elite Plus (CCC Plus)

  • Many generic over-the-counter (OTC) medications are a covered benefit. 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 non-health-related locations such as a church or senior center.

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 CCC Plus to Virginia Premier

  • New members: Within your first 90 days.
  • Annual: During Open Enrollment: October 1–December 18
  • 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 all over Virginia, too. That’s why we are bringing you quality, affordable Medicare Advantage and Medicaid plans with personalized care and services.