VNS CHOICE offers two Managed Long Term Care (MLTC) plans, VNS CHOICE MLTC and VNS CHOICE MLTC Plus (HMO).

VNS CHOICE MLTC is a Medicaid plan for residents of New York City with long term care needs that qualify them for nursing home care but who prefer to remain in their homes, and who are at least 65 years old. This plan covers a wide range of home-, community-, and facility-based long term care and health-related services, including:

• Care management and home care services,
• Home health aides and personal care services,
• Home-delivered meals,
• Chores services and housekeeping,
• Adult day health care and social adult day care,
• Transportation to and from medical appointments,
• And many others (see additional covered services).

VNS CHOICE MLTC Plus is a specialized program for residents of New York City with long term care needs that qualify them for nursing home care but who prefer to remain in their homes, and who are over the age of 18. This plan combines the benefits of a Medicaid Advantage Plus plan and the medical and prescription drug benefits of our Medicare Advantage plans into one comprehensive program. With MLTC Plus, members receive all of the services covered by Medicare Parts A, B and D, as well as Medicaid benefits.

Both of our Managed Long Term Care plans offer unique benefits to members, including:

• Comprehensive care management. When you enroll in VNS CHOICE MLTC or MLTC Plus, you will be assigned a Care Manager (either a nurse or social worker) who will assess your needs and work with you, your family and caregivers, and your physicians to develop a Plan of Care. Your Care Manager will also oversee all of the services you receive and will work with your providers to make sure your Plan of Care meets all your needs.
• Nurse hotline. If you have a question, a concern—any time when our office or your doctor’s office is closed—you can reach a VNS CHOICE nurse 24 hours a day, 7 days a week.
• Coordination of benefits. It can be a challenge to keep straight which services you’re entitled to receive, and whether they’re covered by Medicaid or Medicare. With VNS CHOICE, one phone call connects you to all of the services and benefits you need.

No matter which plan you choose, you’ll pay no monthly premiums, no deductibles, and no co-payments for services you receive from our network of providers. Most members of MLTC Plus (HMO) are responsible for modest co-payments for prescription drug coverage.

If you are a member of VNS CHOICE MLTC Plus, you are eligible to get extra help to pay for your prescription drug premiums and costs. Click here to learn more.

To see how our plans compare side-by-side, view the Comparison Table.

The benefit information provided herein is a brief summary, but not a comprehensive description of available benefits. Additional information about benefits is available to assist you in making a decision about your coverage.