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Option 5

VNS CHOICE Medicare Option 5 covers all of the services you receive under Original Medicare, plus your Medicare prescription drug coverage. VNS CHOICE also provides several terrific benefits, including a Care Manager who will assist you with all of the medical care you need and help you obtain other benefits and services for which you may be eligible.

VNS CHOICE Medicare Option 5 also offers unique benefits to members, including:

  • $5 co-payments for generic drugs and $30 to $60 co-payments for brand name drugs,
  • $0 co-payment for primary care, as well as for many other services, screenings, and vaccines,
  • $25 co-payment for in-network specialist care, including podiatry, outpatient mental health care, urgently needed care, and outpatient rehabilitation services,
  • Comprehensive dental coverage, including up to $1,000 for preventive or restorative services every year,
  • Routine eye exams and $120 toward eyeglass frames and lenses every year,
  • An annual physical,
  • $1,200 in services toward medical care while traveling outside the United States.

As a member of Option 5, you may be able to get extra help to pay for your prescription drug premiums and costs. If you think you may qualify, call Social Security at 1-800-772-1213 or visit www.socialsecurity.gov. TTY users may call 1-800-325-0778.

This is only a partial list of the benefits VNS CHOICE Medicare Option 5 covers. For full information on VNS CHOICE Medicare benefits, call our Customer Service department at 1-866-VNS-0047 (1-866-867-0047). You may also review our Summary of Benefits or the Member Handbook (also called Evidence of Coverage) before making a decision about your coverage.

Effective January 1, 2010, VNS CHOICE Medicare covers standard and FDA approved HIV rapid screening tests. Please review the "Coverage Update" for more information.

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This site has been approved by the Centers for Medicare and Medicaid Services. Approval Code: H5549_Website 2010_4006_102909.