Medicare

Find the right Medicare coverage for you in Virginia

Enroll in Virginia Premier Advantage Elite - Dual Eligible Special Needs Plan - Covers all of Virginia

$0 Monthly Premium

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.

Enroll or switch your Medicare D-SNP to Virginia Premier year round.

  • 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 on January 1.

2022 Advantage Elite Benefits

There is a $0 copay for preventative and comprehensive dental.

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 annual allowable.

There is a $0 copay for inpatient hospital coverage, primary care and specialist doctor visits (office or virtual), preventive care and behavioral health visits.

Members have access to quality doctors and medical facilities through the Virginia Premier provider network. To see if your doctor, specialist, pharmacy or hospital is included in our network, check our Find a doctor search tool.

Urgent care: Urgent care visits for serious medical conditions that are not life threatening are covered.

Emergency care: Hospital visits for emergencies and anything life threatening are covered.

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

Virginia Premier covers medications prescribed by your doctor, including some over-the-counter drugs with a prescription.

View the plan documents.

Virginia Premier’s Nurse Advice Line is ready to help when medical advice is needed right away. A registered nurse will always answer your call.

Call 1-800-256-1982 (TTY: 711) 24-hours a day, seven days a week.

Hearing services: $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.

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

Over-the-counter (OTC) product allowance: $350 allowance every three months for approved OTC products.

Transportation: 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.

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

Foot care (routine podiatry): $0 copay, eight visits every 12 months.

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

Meals after hospital stays: Up to 56 home-delivered meals after inpatient hospital stays.

2021 Advantage Elite Benefits

Preventive: One exam, cleaning and X-ray per year.

Comprehensive: $3,000 per year for fillings, extractions, crowns, dentures, implants and bridges.

Exams and hearing aid allowance up to $1,250 every three years.

Up to $250 allowance towards eyeglass frames, lenses or contact lenses annually. 

$350.00 allowance per quarter ($1,400 yearly). Unused OTC amounts do not roll over from quarter to quarter.

48 one-way trips to health-related locations including the dentist, eye exam provider and podiatrist.

Paid in full participating fitness centers in addition to flexible in-home options new in 2021.

Find your doctor in our network or choose a doctor that works for you.

Search for medications you may need and see if your plan covers them.

Access plan documents and health education articles whenever you need them.

Are you ready to enroll?

Enrolling in a Virginia Premier plan is simple and convenient. Any information you share with us is kept secure and strictly confidential.

When you enroll, have your Medicare ID card available. If you do not have your Medicare ID card, contact the Social Security Administration (SSA) at 1-800-772-1213 (TTY: 1-800-325-0778). Ask the SSA for your name as it appears in their records, and for the effective dates for your Medicare coverage.

Call 1-833-688-6701 (TTY: 711)

October 1- March 31
Monday-Sunday
8 am to 8 pm

April 1- September 30
Monday-Friday
8 am to 8 pm

Please print and complete the enrollment application, then mail it to us at:

Virginia Premier-Enrollment
P.O. Box 104921
Jefferson City, MO 65110-9807

Quickly enroll online in the Advantage Elite Plan.

What to Expect After Enrolling

Once you have enrolled with us, we will:

  • Confirm your enrollment with the Centers for Medicare & Medicaid Services.
  • Send your Virginia Premier member ID card, which you should use for all your doctor visits.
  • Send plan documents to you, detailing your benefits and other plan information.

Get a Free Enrollment Information Kit

When you are looking to enroll in a Medicare plan, it is important to understand all of your options. The enrollment kit includes:

  • A summary of health care benefits.
  • Additional benefits you receive when you enroll in the Advantage Elite plan.
  • Information about prescription drugs and over-the-counter medications.
  • How to enroll.

Call a Licensed Plan Advisor at 1-833-688-6701 (TTY: 711) Monday through Friday, 8 am to 8 pm to receive your free enrollment kit. Learn about eligibility requirements to qualify for coverage in Medicare and D-SNP plans, including Advantage Elite.

Choose Virginia Premier

Virginia Premier has been serving the health care needs of Virginians for over 30 years. We understand the opportunities and health care challenges of this community. That is why we are bringing you this quality, affordable Medicare Advantage plan at competitive rates with personalized care and services.

See why you should have your Medicare D-SNP and Medicaid CCC Plus benefits through Virginia Premier.

Medicare Advantage Star Rating

The Centers for Medicare and Medicaid have created a five-star quality rating system to help you and your family or caregivers select a Medicare plan. Virginia Premier’s Star Rating for 2022 is three and a half out of five stars. Learn more about Virginia Premier’s Medicare Star Rating.