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 in 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 1-877-716-8694 (TTY/TDD 711), hours of operation are:
- 8 a.m. – 8 p.m. ET, Monday through Friday from April 1 – September 30
- 8 a.m. – 8 p.m. ET, seven days a week from October 1 – March 31
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, one time every six months.
$0 copay for cleaning, one time every six months.
$0 copay for fluoride treatments, up to 6 applications per lifetime.
$0 copay for X-rays.
$0 copay for fillings.
$0 copay for tooth extractions, one visit every year.
$0 copay for complete or partial dentures, one time every five years.
$0 copay for routine eye examinations one time every two years.
$0 copay for an initial pair of eye glasses. Replacement glasses are offered one 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).
|Over-the-counter (OTC) items||
Up to $75 per quarter may be spent for OTC items. Get more information from the OTC catalog (PDF). Money not spent in a quarter does not roll over into the next quarter.
$0 copay for rides to a health-related location (scheduling rules apply).
$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 when 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:
This is not a complete list. The benefit information is a brief summary, not a complete description of benefits. For more information contact the plan or read the AmeriHealth Caritas VIP Care Plus Member Handbook (PDF).